Clinical use of densitometric analysis of lung pathology and digital data processing programs for determining surgical tactics in phthisiosurgical patients with HIV status

Objective — to determine the possibilities of using densitometric indicators computed tomography (CT) and digital software processing CT data in lung pathology for formulation personalized treatment tactics phthisiosurgical patients with concomitant HIV pathology, justify indications surgical treatment. 
 Materials methods. A retrospective analysis was conducted on results examination 11 specific tuberculous lesions lungs. Specific therapy initiated 2—3 months after initial visit medical institution, immunochromatographic tests hepatitis, which were performed advance, yielded doubtful (questionable) or negative results. Patients underwent a general clinical examination, echocardiogram, fibrobronchoscopy bronchoalveolar lavage Mycobacterium tuberculosis, molecular genetic sputum lavage. Express HIV, hepatitis B, C, as well routine blood urine tests, carried out. The Aquilion TSX-101A Toshiba (Japan) used main research tool. Densitometric parenchyma DICOM-VIEWER PHILIPS areas interest. Digital images obtained from slices Dragonfly program. Results discussions. manifestation patients’ «radiological findings» asymptomatic 81.8 % cases mostly perceived «post COVID-19 syndrome». laboratory did not indicate signs disease 72.7 cases. study verified focal without destruction during revealed densities that characterize exudative processes (0—15 HU), is characteristic sign inflammatory process context infection. Histologically, high activity detected operated patients. During processing, we observed shift are phase inflammation. Situations HIV-associated infection alteration-exudative reactions noted, 100 determined by chest scan. Six surgery (2 lobectomies, 1 combined resection 3 sublobar resections). Among non-operated patients, experienced recurrence process, patient still exhibits significant morphological changes parenchyma.
 Conclusions. scan allows you objectify patient's condition reasonably prescribe therapy. Identified X-ray lungs require mandatory consultation thoracic surgeon consideration issue within start