Bronchiectasis Diagnosis and Tests use HRCT imaging and sputum cultures to confirm permanent airway damage, identify underlying causes, manage infection.
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The diagnosis of bronchiectasis is a multi-step process that requires confirming the irreversible damage and finding the reason it happened. The initial check focuses on the patient’s symptoms and lung function.
Advanced procedures are essential to clearly see the damaged airways, identify the specific germs causing the infection, and find the original cause of the disease. These steps provide clear evidence needed for long-term treatment.
The High-Resolution CT (HRCT) Scan is the most critical non-invasive imaging test for diagnosing and staging bronchiectasis. It is a quick, painless procedure that creates detailed images of the airways and lung tissue.
The HRCT objectively visualizes the permanent structural damage to the airways.
Preparation for bronchiectasis diagnosis focuses on making sure that tests for lung function and infection samples are as accurate as possible. This ensures collected mucus samples give the correct information about the chronic infection.
Doctors interpret your test results by looking for a characteristic combination of findings that confirm permanent airway damage, quantify the loss of lung function, and identify the specific bacteria present. The results confirm irreversible damage and identify the specific targets for your long-term treatment plan.
You need advanced testing for bronchiectasis to identify the specific, underlying cause of the irreversible damage and to guide targeted therapeutic intervention.
The term Pre-Surgery Evaluation for a patient with bronchiectasis is critical before any surgical procedure. Their airways are already damaged and chronically infected, making them highly vulnerable to postoperative complications, especially pneumonia and respiratory failure.
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Diagnosis relies on High-Resolution CT (HRCT) scans to confirm permanent airway widening and Pulmonary Function Tests (PFTs) to measure the resulting functional limitation.
You should aim to collect the sample first thing in the morning and cough deeply to ensure the mucus comes from the lungs (not the mouth) for the most accurate bacterial identification.
No, the HRCT scan is a non-invasive, painless procedure that requires you only to lie still for a few minutes while the images are taken.
HRCT is the gold standard and is highly accurate for visualizing the permanent structural damage. Sputum cultures are accurate for identifying the specific bacteria causing chronic infection.
Advanced testing (genetic screens, immune panels) is needed immediately after diagnosis to find the underlying cause (etiology) so that targeted treatment can be started to slow disease progression.
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