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儿童胸段结核病的标准化影像学解读

Standardized radiographic interpretation of thoracic tuberculosis in children.

作者信息

Concepcion Nathan David P, Laya Bernard F, Andronikou Savvas, Daltro Pedro A N, Sanchez Marion O, Uy Jacqueline Austine U, Lim Timothy Reynold U

机构信息

Section of Pediatric Radiology, Institute of Radiology, St. Luke's Medical Center, Bonifacio Global City, Taguig City, Philippines.

Section of Pediatric Radiology, Institute of Radiology, St. Luke's Medical Center, Quezon City, Philippines.

出版信息

Pediatr Radiol. 2017 Sep;47(10):1237-1248. doi: 10.1007/s00247-017-3868-z. Epub 2017 Aug 29.

DOI:10.1007/s00247-017-3868-z
PMID:29052771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5574960/
Abstract

There is a lack of standardized approach and terminology to classify the diverse spectrum of manifestations in tuberculosis. It is important to recognize the different clinical and radiographic patterns to guide treatment. As a result of changing epidemiology, there is considerable overlap in the radiologic presentations of primary tuberculosis and post-primary tuberculosis. In this article we promote a standardized approach in clinical and radiographic classification for children suspected of having or diagnosed with childhood tuberculosis. We propose standardized terms to diminish confusion and miscommunication, which can affect management. In addition, we present pitfalls and limitations of imaging.

摘要

目前缺乏标准化的方法和术语来对结核病的各种表现进行分类。认识到不同的临床和影像学模式对于指导治疗很重要。由于流行病学的变化，原发性肺结核和原发性后肺结核的放射学表现存在相当大的重叠。在本文中，我们倡导一种针对疑似患有或已确诊儿童结核病的儿童进行临床和影像学分类的标准化方法。我们提出标准化术语以减少可能影响治疗管理的混淆和沟通不畅。此外，我们还介绍了影像学检查的陷阱和局限性。

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