{Reference Type}: Journal Article {Title}: Chinese expert consensus on imaging diagnosis of drug-resistant pulmonary tuberculosis. {Author}: Xu CJ;Lu PX;Li CH;He YL;Fang WJ;Xie RM;Jin GQ;Lu YB;Zheng QT;Zheng GP;Lv SX;Huang H;Li L;Ren M;Shi YX;Wen XN;Li L;Wei FJ;Hou DL;Lv Y;Shan F;Wu ZC;Hu ZL;Zhang XR;Liu DX;Shi WY;Li HR;Zhang N;Song M;Zhang X;Deng YY;Li J;Liu Q;Li D;Zhao L;Chen BD;Shi YB;Jiang FL;Tang X;Wu LJ;Ma W;Xu XY;Li HJ; {Journal}: Quant Imaging Med Surg {Volume}: 14 {Issue}: 1 {Year}: 2024 Jan 3 {Factor}: 4.63 {DOI}: 10.21037/qims-23-1223 {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.