Jardon Meghan, Mohammad Shaden F, Jude Cecilia M, Pahwa Anokh
1Department of Radiological Sciences, University of California Los Angeles, Los Angeles, CA USA.
3Department of Radiological Sciences, Ronald Reagan UCLA Medical Center, University of California Los Angeles, 757 Westwood Plaza, Suite 1638, Los Angeles, CA 90095 USA.
Curr Radiol Rep. 2019;7(9):25. doi: 10.1007/s40134-019-0338-4. Epub 2019 Jul 11.
Emerging infectious diseases have seen a record increase in prevalence, and understanding their management is critical in an increasingly global community. In this paper, we review current literature detailing the role of radiology in the diagnosis and treatment of the Ebola (EVD), Zika (ZVD), Chikungunya (CHIKF), H1N1, Middle East Respiratory (MERS), and Severe Acute Respiratory Syndrome (SARS) viruses.
Complex protocols are required to safely use portable imaging in EVD to prevent nosocomial spread of disease. In ZVD, antenatal ultrasound can detect fetal abnormalities early, allowing implementation of care and support to affected families. Imaging is useful in assessing the extent of involvement of chronic CHIKF and monitoring treatment effect. Chest radiography and CT play a more direct role in the diagnosis and monitoring of the viral infections with primarily respiratory manifestations (H1N1, MERS, and SARS).
Radiology plays a variable role in emerging infectious diseases, requiring an understanding of disease transmission and safe imaging practices, as well as imaging features that affect clinical management.
新发传染病的流行率创历史新高，在日益全球化的社会中，了解其管理方法至关重要。在本文中，我们回顾了当前的文献，详细阐述了放射学在埃博拉病毒病（EVD）、寨卡病毒病（ZVD）、基孔肯雅热（CHIKF）、H1N1、中东呼吸综合征（MERS）和严重急性呼吸综合征（SARS）病毒的诊断和治疗中的作用。
在埃博拉病毒病中安全使用便携式成像需要复杂的方案，以防止疾病的医院内传播。在寨卡病毒病中，产前超声可以早期检测出胎儿异常，从而为受影响的家庭提供护理和支持。影像学有助于评估慢性基孔肯雅热的累及范围并监测治疗效果。胸部X线摄影和CT在主要表现为呼吸道症状的病毒感染（H1N1、中东呼吸综合征和严重急性呼吸综合征）的诊断和监测中发挥更直接的作用。
放射学在新发传染病中发挥着不同的作用，需要了解疾病传播、安全的成像操作以及影响临床管理的成像特征。
