Diagnostic Imaging Working Group, Medecins Sans Frontiers, Plantage middenlaan 14, Amsterdam, The Netherlands.
Clin Chest Med. 2009 Dec;30(4):717-44, viii. doi: 10.1016/j.ccm.2009.08.022.
This article reviews the ongoing role of imaging in the diagnosis of tuberculosis (TB) and its complications. A modern imaging classification of TB, taking into account both adults and children and the blurring of differences in the presentation patterns, must be absorbed into daily practice. Clinicians must not only be familiar with imaging features of TB but also become expert at detecting these when radiologists are unavailable. Communication between radiologists and clinicians with regard to local constraints, patterns of disease, human immunodeficiency virus (HIV) coinfection rates, and imaging parameters relevant for management (especially in drug resistance programs) is paramount for making an impact with imaging, and preserving clinician confidence. Recognition of special imaging, anatomic and vulnerability differences between children and adults is more important than trying to define patterns of disease exclusive to children.
本文回顾了影像学在结核病（TB）及其并发症诊断中的作用。必须将一种现代的影像学分类方法应用于日常实践，该方法既要考虑到成人和儿童，又要考虑到临床表现模式差异的模糊性。临床医生不仅必须熟悉结核病的影像学特征，而且还必须在放射科医生无法提供帮助时能够熟练地检测到这些特征。放射科医生和临床医生之间就当地限制、疾病模式、人类免疫缺陷病毒（HIV）合并感染率以及与管理相关的影像学参数（特别是在耐药性计划中）进行沟通，对于影像学产生影响和保持临床医生的信心至关重要。认识到儿童和成人之间特殊的影像学、解剖和易感性差异比试图定义儿童特有的疾病模式更为重要。
