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Xu, Chuan-Jun; Lu, Pu-Xuan; Li, Chun-Hua; He, Yu-Lin; Fang, Wei-Jun; Xie, Ru-Ming; Jin, Guan-Qiao; Lu, Yi-Bo; Zheng, Qiu-Ting; Zheng, Guang-Ping; Lv, Sheng-Xiu; Huang, Hua; Li, Li; Ren, Meiji; Shi, Yu-Xin; Wen, Xin-Nian; Li, Lin; Wei, Fang-Jun; Hou, Dai-Lun; Lv, Yan; Shan, Fei; Wu, Zheng-Can; Hu, Zhi-Liang; Zhang, Xiang-Rong; Liu, Du-Xian; Shi, Wei-Ya; Li, Hui-Ru; Zhang, Na; Song, Min; Zhang, Xin; Deng, Ying-Ying; Li, Jinlong; Liu, Qiang; Li, Dechun; Zhao, Lingling; Chen, Bu-Dong; Shi, Yan-Bin; Jiang, Feng-Li; Tang, Xin; Wu, Li-Ji; Ma, Wei; Xu, Xin-Yue; Li, Hong-Jun
Quantitative imaging in medicine and surgery, 2024-Jan-03, Volume: 14, Issue: 1Journal Article
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.
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