新发传染病电子杂志2024，Vol.9Issue(2)：99-103,5.DOI:10.19871/j.cnki.xfcrbzz.2024.02.018
《耐药肺结核影像学诊断专家共识》解读
Interpretation of Expert consensus imaging diagnosis of drug-resistant pulmonary tuberculosis
摘要
Abstract
Due to its difficulties in diagnosis and treatment and high case fatality rate,drug-resistant pulmonary tuberculosis is identified by the WHO as one of the three major challenges in tuberculosis prevention and control,and it is also a major public health problem..To this end,the Chinese Professional Committee of Infection and Inflammation Radiology and other institutions,organized more than 40 influential experts at home and abroad engaged in basic research and clinical related of drug-resistant tuberculosis,the Expert consensus on imaging diagnosis of drug-resistant pulmonary tuberculosis was compiled.Expert consensus on imaging diagnosis of drug-resistant tuberculosis is based on the assessment of evidence-based medicine and referring to the graded consensus guidelines on evidence quality and recommendation strength.Recommendation of imaging examination for drug-resistant tuberculosis(recommendation 1-5),including chest X-ray(DR)as the preferred screening method for drug-resistant pulmonary tuberculosis(level of evidence:Ⅲ,strength of recommendation:strong),and a common means of efficacy evaluation(level of evidence:Ⅳ,strength of recommendation:strong).CT is the main means of diagnosis of drug-resistant pulmonary tuberculosis(level of evidence:Ⅳ,strength of recommendation:strong).Based on the analysis of the imaging data of drug-resistant pulmonary tuberculosis,the CT imaging findings of drug-resistant pulmonary tuberculosis were described,including expert consensus indicating the main manifestations and characteristics of single drug resistance(including rifampin resistance),multidrug-resistant pulmonary tuberculosis(MDR-PTB)[including polydrug-resistant pulmonary tuberculosis(PDR-PTB)],and extensive drug-resistant pulmonary tuberculosis(including pre-extensive drug-resistant pulmonary tuberculosis)(recommendations 6-12).At the same time,the expert consensus described the key points of imaging differentiation between drug-resistant pulmonary tuberculosis and non-tuberculosis pulmonary disease,pulmonary aspergillosis and pulmonary cryptococcal disease.It provides a basis for the accurate diagnosis and guidance of clinical imaging of drug-resistant tuberculosis.This article interprets the expert consensus on imaging diagnosis of drug-resistant tuberculosis in order to help clinicians diagnose drug-resistant tuberculosis.关键词
肺结核/耐药/计算机断层扫描/影像学诊断/专家共识/解读Key words
Tuberculosis/Drug drug-resistant/Computed tomography/Imaging diagnosis/Expert consensus/Interpretation分类
医药卫生引用本文复制引用
刘晶哲,宋敏,陆普选..《耐药肺结核影像学诊断专家共识》解读[J].新发传染病电子杂志,2024,9(2):99-103,5.基金项目
1.中华国际医学交流基金会(2021SKY) （2021SKY）
2.北京影像科研基金项目(Z-2014-07-2101) （Z-2014-07-2101）
