Chinese expert consensus on imaging diagnosis of drug-resistant pulmonary tuberculosis
Chuanjun Xu, Pu-Xuan Lu, Chunhua Li, Yulin He, Wei-jun Fang, Ruming Xie, Guanqiao Jin, Yibo Lu, Qiuting Zheng, Guangping Zheng, Sheng-Xiu Lv, Hua Huang, Li Li, Meiji Ren, Yuxin Shi, Xin-nian Wen, Lin Li, Fang-Jun Wei, Dailun Hou, Yan Lv, Fei Shan, Zhengcan Wu, Zhiliang Hu, Xiangrong Zhang, Du-Xian Liu, Wei-Ya Shi, Huiru Li, Na Zhang, Min Kyung Song, Xin Zhang, Yingying Deng, Jinlong Li, Qiang Liu, Dechun Li, Lingling Zhao, Bu-dong Chen, Yanbin Shi, Fengli Jiang, Xin Tang, Liji Wu, Wei Ma, Xinyue Xu, Hong-Jun Li
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.