PDF(Pubmed)
Abstract：
Tuberculosis (TB) remains one of the major infectious diseases in the world with a high incidence rate. Drug-resistant tuberculosis (DR-TB) is a key and difficult challenge in the prevention and treatment of TB. Early, rapid, and accurate diagnosis of DR-TB is essential for selecting appropriate and personalized treatment and is an important means of reducing disease transmission and mortality. In recent years, imaging diagnosis of DR-TB has developed rapidly, but there is a lack of consistent understanding. To this end, the Infectious Disease Imaging Group, Infectious Disease Branch, Chinese Research Hospital Association; Infectious Diseases Group of Chinese Medical Association of Radiology; Digital Health Committee of China Association for the Promotion of Science and Technology Industrialization, and other organizations, formed a group of TB experts across China. The conglomerate then considered the Chinese and international diagnosis and treatment status of DR-TB, China\'s clinical practice, and evidence-based medicine on the methodological requirements of guidelines and standards. After repeated discussion, the expert consensus of imaging diagnosis of DR-PB was proposed. This consensus includes clinical diagnosis and classification of DR-TB, selection of etiology and imaging examination [mainly X-ray and computed tomography (CT)], imaging manifestations, diagnosis, and differential diagnosis. This expert consensus is expected to improve the understanding of the imaging changes of DR-TB, as a starting point for timely detection of suspected DR-TB patients, and can effectively improve the efficiency of clinical diagnosis and achieve the purpose of early diagnosis and treatment of DR-TB.
摘要：
结核病（TB）仍然是世界上发病率很高的主要传染病之一。耐药结核病(DR-TB)是结核病防治的关键和难点。早期，快速,而DR-TB的准确诊断对于选择合适的、个性化的治疗方案至关重要,是降低疾病传播和死亡率的重要手段。近年来,DR-TB的影像诊断发展迅速,但是缺乏一致的理解。为此,传染病成像小组，传染病科,中国研究医院协会；中华医学会放射科传染病学会；中国科技产业化促进会数字卫生委员会，和其他组织,在中国成立了一批结核病专家。然后，该集团考虑了DR-TB的中国和国际诊断和治疗状况，中国临床实践，和循证医学对指南和标准的方法学要求。经过反复讨论,提出DR-PB影像诊断的专家共识。这一共识包括DR-TB的临床诊断和分类，病因和影像学检查的选择[主要是X射线和计算机断层扫描（CT）]，影像学表现,诊断,和鉴别诊断。这一专家共识有望提高对DR-TB影像学变化的认识,作为及时发现疑似DR-TB患者的起点，能有效提高临床诊断效率,达到DR-TB早期诊断和治疗的目的。
