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[非结核分枝杆菌肺病的放射学诊断]

[Radiologic Diagnosis of Nontuberculous Mycobacterial Pulmonary Disease].

作者信息

Kang Eun-Young

出版信息

Taehan Yongsang Uihakhoe Chi. 2021 Jul;82(4):838-850. doi: 10.3348/jksr.2021.0068. Epub 2021 Jun 16.

Abstract

The incidence and prevalence of nontuberculous mycobacterial pulmonary disease (NTM-PD) is increasing worldwide, including in Korea, and the clinical importance of NTM-PD is also rapidly increasing. The diagnosis and management of NTM-PD is difficult. Radiologic evidence is mandatory to diagnose NTM-PD, and the radiologic findings may be the first evidence of the disease in many patients. Traditionally, NTM-PD demonstrates two different radiologic forms: fibrocavitary and nodular bronchiectatic. However, the disease also shows non-specific and a wide spectrum of radiologic features. Radiologists must be aware of the radiologic features of NTM-PD and should include them in the differential diagnosis. This review focuses on the epidemiology in Korea, diagnostic criteria, and radiological features of NTM-PD for radiologists.

摘要

非结核分枝杆菌肺病(NTM-PD)在全球范围内,包括在韩国,其发病率和患病率都在上升,并且NTM-PD的临床重要性也在迅速增加。NTM-PD的诊断和管理具有挑战性。放射学证据是诊断NTM-PD的必要条件,在许多患者中,放射学表现可能是该疾病的首要证据。传统上,NTM-PD呈现两种不同的放射学形式:纤维空洞型和结节支气管扩张型。然而,该疾病也表现出非特异性且广泛的放射学特征。放射科医生必须了解NTM-PD的放射学特征,并应将其纳入鉴别诊断。本综述聚焦于韩国的流行病学、诊断标准以及NTM-PD对于放射科医生的放射学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0f5/9514422/f260d7d9a650/jksr-82-838-g001.jpg

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