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与先天性寨卡病毒感染相关异常的放射学表现:2016年世界放射学日的结论

Radiological findings of abnormalities associated with congenital Zika virus infection: conclusions from World Radiology Day 2016.

作者信息

Peggy Medlen Kayiba, Poretti Andrea, Huisman Thierry A G M, Muro Jonel Di, Butler Priscilla, Woletz Paula, Jiménez Pablo

机构信息

Department of Health Systems and Services/Unit of Medicines and Health Technologies Radiological Health Program, Pan American Health Organization Washington, DC. United States of America Department of Health Systems and Services/Unit of Medicines and Health Technologies, Radiological Health Program, Pan American Health Organization, Washington, DC, United States of America.

Radiology and Radiological Science Johns Hopkins University BaltimoreMaryland United States Radiology and Radiological Science, Johns Hopkins University, Baltimore, Maryland, United States.

出版信息

Rev Panam Salud Publica. 2017 Dec 5;41:e133. doi: 10.26633/RPSP.2017.133. eCollection 2017.

Abstract

In July 2015, Brazil reported an association between Zika virus infection and Guillain-Barre syndrome, and then in October 2015, between Zika and microcephaly. Most countries and territories in the Region of the Americas were later affected by the virus, creating a public health emergency. Each year, the Pan American Health Organization (PAHO), Regional Office of the World Health Organization commemorates World Radiology Day (WRD), which highlights the role of radiology in public health. In 2016, PAHO devoted its WRD efforts to the Zika infection. Experts and partners presented and discussed the various radiological findings of Zika infection, the crucial role of obstetric ultrasound in the screening and monitoring of abnormalities associated with confirmed Zika virus infection, and the appropriateness of utilizing other neuroimaging technologies to study brain abnormalities in neonates and infants with prenatal Zika virus infection. The conclusions of WRD 2016 recommend that upon confirmation, prenatal ultrasound be used as the main tool to investigate and monitor suspected cases, with subsequent multidisciplinary postnatal assessments that include neuropediatric clinical studies and relevant neuroimaging. Additionally, radiology technicians should be adequately trained and a quality assurance program should be implemented to ensure timely, safe, and accurate diagnosis.

摘要

2015年7月,巴西报告了寨卡病毒感染与吉兰-巴雷综合征之间的关联,随后在2015年10月,又报告了寨卡病毒与小头畸形之间的关联。美洲区域的大多数国家和地区随后都受到了该病毒的影响,引发了一场公共卫生紧急事件。每年,世界卫生组织区域办事处泛美卫生组织(PAHO)都会纪念世界放射日(WRD),该节日强调放射学在公共卫生中的作用。2016年,泛美卫生组织将其世界放射日活动聚焦于寨卡病毒感染。专家和合作伙伴展示并讨论了寨卡病毒感染的各种放射学发现、产科超声在筛查和监测与确诊寨卡病毒感染相关异常情况中的关键作用,以及利用其他神经成像技术研究产前感染寨卡病毒的新生儿和婴儿脑部异常情况的适宜性。2016年世界放射日的结论建议,一经确诊,应将产前超声作为调查和监测疑似病例的主要工具,并随后进行多学科产后评估,包括神经儿科临床研究和相关神经成像检查。此外,放射技师应接受充分培训,并应实施质量保证计划,以确保及时、安全和准确的诊断。

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