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ISSN 2096-2738 CN 11-9370/R
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Electronic Journal of Emerging Infectious Diseases ›› 2021, Vol. 6 ›› Issue (1): 73-78.doi: 10.19871/j.cnki.xfcrbzz.2021.01.016

• Education Fields • Previous Articles    

Interpretation of imaging diagnostic criteria of pulmonary tuberculosis

Fang Weijun1, He Yulin2, Xu Chuanjun3, Lu Yibo4, Lyu Shengxiu5, Wang Xiaoyi6, Chen Budong7, Yang Yuxin8, Li Hongjun9, Lu Puxuan10   

  1. 1. Department of Radiology,Guangzhou Chest Hospital, Guangzhou 510095, China;
    2. Department of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 334406, China;
    3. Department of Radiology, Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Nanjing 210003, China;
    4. Department of Radiology, Nanning Fourth People's Hospital, Nanning 530023, China;
    5. Department of Radiology, Chongqing Public Health Medical Center, Chongqing 400036, China;
    6. Department of Radiology, the Fourth People's Hospital of Qinghai Province, Xining 810009, China;
    7. Department of Radiology, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China;
    8. Department of Radiology, Xinjiang Uygur Autonomous Region Sixth People's Hospital, Urumqi, China;
    9. Department of Radiology, Beijing You'an Hospital, Capital Medical University, Beijing 100069, China;
    10. Department of Radiology, Shenzhen Center for Chronic Disease Control, Guangdong Shenzhen 518020, China
  • Received:2021-01-08 Online:2021-02-28 Published:2021-03-03

Abstract: Tuberculosis is still a major infectious disease that endangers human health today,, especially in the context of the COVID-19 epidemic, maintaining and strengthening of TB services is an important part of the overall process of achieving universal health coverage and restoring health systems, and can ensures the collaborative prevention and control of TB and COVID-19.The establishment and publication of the diagnostic criteria of pulmonary tuberculosis is of great significance to the accurate classification, imaging diagnosis, differential diagnosis and therapeutic evaluation of pulmonary tuberculosis, at the same time, it is a perfect and effective supplement to the national diagnostic criteria of pulmonary tuberculosis.Diagnostic criteria for imaging of pulmonary tuberculosis are based on evidence-based medicine guidelines and standard-setting methodologies, the recommended imaging methods for pulmonary tuberculosis include X-ray chest film (evidence level Ⅲ, recommended intensity: strong) and CT (evidence level Ⅲ, recommended intensity: strong).It is suggested that the history, clinical manifestation, laboratory examination and histopathological examination are the basis for the diagnosis of pulmonary tuberculosis.According to the national tuberculosis diagnostic criteria and the classification of pulmonary tuberculosis, the imaging classification of pulmonary tuberculosis is recommended as follows: primary pulmonary tuberculosis, hematogenous pulmonary tuberculosis, secondary pulmonary tuberculosis, tracheobronchial tuberculosis and tuberculous pleurisy, the main imaging manifestation of pulmonary tuberculosis were systematically described, which is helpful for clinical diagnosis and provides a basis for accurate diagnosis and treatment.

Key words: Pulmonary tuberculosis, Imaging diagnosis, Diagnostic criteria, Interpretation