Fentress M, Henwood P C, Maharaj P, Mitha M, Khan D, Jackpersad R, Pitcher R, Redfern A, Lopez Varela E, van der Zalm M M, Wong E B, Palmer M, Grant A D
TB Centre, London School of Hygiene & Tropical Medicine, London, UK.
Thomas Jefferson University, Philadelphia, PA, USA.
Public Health Action. 2022 Mar 21;12(1):3-6. doi: 10.5588/pha.21.0072.
Thoracic ultrasound is an appealing alternative to chest radiography for the diagnosis of TB. Based on research experience conducting thoracic ultrasound for adults and children in South Africa, three key considerations for potential scale-up were identified. First, thoracic ultrasound requires a comprehensive training programme for novice users; artificial intelligence may be used to simplify training and interpretation. Second, a robust ultrasound device is needed with good subpleural resolution and a probe suitable for children. Third, comprehensive scanning of the lungs is time-intensive, and shorter scanning protocols may be more feasible in clinical practice.
胸部超声检查是用于诊断结核病的一种有吸引力的替代胸部X光检查的方法。基于在南非对成人和儿童进行胸部超声检查的研究经验，确定了潜在扩大规模的三个关键考虑因素。首先，胸部超声检查需要为新手用户提供全面的培训计划；人工智能可用于简化培训和解读。其次，需要一台具有良好胸膜下分辨率且配有适合儿童的探头的强大超声设备。第三，对肺部进行全面扫描耗时较长，在临床实践中采用更短的扫描方案可能更可行。
