People's Health Press
ISSN 2096-2738 CN 11-9370/R
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Electronic Journal of Emerging Infectious Diseases ›› 2021, Vol. 6 ›› Issue (1): 65-72.doi: 10.19871/j.cnki.xfcrbzz.2021.01.015

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Pulmonary multi-drug resistant tuberculosis: a radiological review

Ma Luyao1,2, Zheng Qiuting3, Lu Puxuan3, Li Hongjun4, Fleming YM Lure5, Yin Xiaoping1, Guo Lin4   

  1. 1. Clinical Medical College, Hebei University,Hebei Baoding 071000, China;
    2. CT-MRI Room, Affiliated Hospital of Hebei University, Hebei Baoding 071000, China;
    3. Shenzhen Center for Chronic Disease Control,Guangdong Shenzhen 518020, China;
    4. Department of Radiology, Beijing You'an Hospital, Capital Medical University,Beijing 1000689, China;
    5. Shenzhen Zhiying Medical Imaging, Guangdong Shenzhen 518109, China
  • Received:2019-12-15 Online:2021-02-28 Published:2021-03-03

Abstract: Drug-resistant tuberculosis is a respiratory infectious disease caused by drug-resistant Mycobacterium tuberculosis, which seriously threatens human health. The disease is poorly treated, especially multidrug-resistant tuberculosis (MDR-TB).Therefore, timely detection of MDR-TB can enable patients to be better managed and treated.Based on published literature, this article searches the PubMed database in October 2019. The search keyword combination is "(multidrug-resistant tuberculosis) AND (CT or radiograph or imaging or X-ray or computed tomography)", while searching Wanfang Medical database, the search keyword combination is "(multidrug-resistant tuberculosis) and (CT or radiology or imaging or X-ray)" to analyze and summarize the progress of MDR-TB in imaging research.The published literature shows that MDR-TB patients have no definite chest imaging diagnosis basis. When the chest X-ray and CT, the patient appears lung cavity, especially the larger the cavity or the thicker the cavity wall, the more prompt It is the possibility of MDR-TB, and the imaging doctor should doubt the possibility of MDR-TB when there is the appearance of damaged lung imaging.At the same time, the analysis results show that CT is the main imaging method, and X-rays have certain limitations. Positron Emission Tomography-Computed Tomography (PET-CT) is currently only applicable to assess MDR-TB treatment. The result description is not concise, you can refer to how other similar articles are described. Using artificial intelligence (AI) technology for MDR-TB auxiliary diagnosis will become a new key research direction in the future.

Key words: Tuberculosis, Multidrug-resistant tuberculosis, Computed tomography