Open Access

Clinical diagnostic value of spiral CT in invasive pulmonary fungal infection

  • Authors:
    • Junwei Wang
    • Chuanyu Zhang
    • Jizheng Lin
    • Liang Zhang
    • Jie Li
    • Fangfang Yang
  • View Affiliations

  • Published online on: March 19, 2019     https://doi.org/10.3892/etm.2019.7412
  • Pages: 4149-4153
  • Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

This study explored the diagnostic value of computed tomography (CT) in pulmonary fungal infection to provide a theoretical basis for the clinical diagnosis of pulmonary fungal infections. The clinical data of 82 suspected invasive fungal infection (IFI) patients admitted to the Department of Critical Care Medicine of The Affiliated Hospital of Qingdao University from January 2016 to May 2018 were retrospectively analyzed, and 64 of them were diagnosed with IFI by pathology and sputum culture. The CT results of the 82 patients were compared with the X‑ray results in order to analyze the diagnostic value of CT imaging. Taking pathological diagnosis as the gold standard, the number of true‑negative, true‑positive, false‑negative and false‑positive results in X‑ray diagnosis were 13, 43, 21 and 5, respectively, while those in CT diagnosis were 11, 59, 5 and 7, respectively. The sensitivity, specificity, accuracy, positive coincidence rate, negative coincidence rate, misdiagnosis rate and missed diagnosis rate of CT in IFI were 92.18, 61.11, 85.37, 89.39, 68.75, 38.89 and 7.81%, respectively, while those of X‑ray in IFI were 67.19, 72.22, 68.29, 89.58, 38.24, 27.78 and 32.81%, respectively. The sensitivity, accuracy and negative coincidence rate of CT in the diagnosis of IFI were significantly higher than those of X‑ray (P<0.05), with a sensitivity of 92.18%, which indicates that CT has a higher diagnostic value in IFI. The results of CT combined with the basic condition of the patients can be used to initially diagnose pulmonary fungal infections, which is of high diagnostic value and can improve clinical treatment.
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May-2019
Volume 17 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Wang J, Zhang C, Lin J, Zhang L, Li J and Yang F: Clinical diagnostic value of spiral CT in invasive pulmonary fungal infection. Exp Ther Med 17: 4149-4153, 2019
APA
Wang, J., Zhang, C., Lin, J., Zhang, L., Li, J., & Yang, F. (2019). Clinical diagnostic value of spiral CT in invasive pulmonary fungal infection. Experimental and Therapeutic Medicine, 17, 4149-4153. https://doi.org/10.3892/etm.2019.7412
MLA
Wang, J., Zhang, C., Lin, J., Zhang, L., Li, J., Yang, F."Clinical diagnostic value of spiral CT in invasive pulmonary fungal infection". Experimental and Therapeutic Medicine 17.5 (2019): 4149-4153.
Chicago
Wang, J., Zhang, C., Lin, J., Zhang, L., Li, J., Yang, F."Clinical diagnostic value of spiral CT in invasive pulmonary fungal infection". Experimental and Therapeutic Medicine 17, no. 5 (2019): 4149-4153. https://doi.org/10.3892/etm.2019.7412