现代医学影像技术在肺结核诊断中的应用价值与现状

结核病与肺部健康杂志 ›› 2012, Vol. 1 ›› Issue (1): 60-62.

现代医学影像技术在肺结核诊断中的应用价值与现状

伍建林,王帅

116001 大连大学附属中山医院(伍建林);大连医科大学医学影像学系(王帅)

收稿日期:2012-07-06 出版日期:2012-07-20 发布日期:2012-07-20
通信作者: 伍建林, Email:cjr.wujianlin@vip.163.com

The application values and status of modern medical imaging techniques in the diagnosis of pulmonary tuberculosis

WU Jian-lin^*,WANG Shuai

^*Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,China

Received:2012-07-06 Online:2012-07-20 Published:2012-07-20
Contact: WU Jian-lin,Email:cjr.wujianlin@vip.163.com

摘要/Abstract

摘要： 鉴于我国肺结核疫情现状与新特点,在临床综合诊治过程中,现代医学影像技术的应用与作用日显突出。常规X线胸片仍然是肺结核首选和主要检查手段,但多层螺旋CT(MSCT)在肺结核诊断、活动性判定和治疗随访中将发挥越来越重要的作用;MRI与正电子发射体层显像(PET)-CT为特殊情况下的辅助方法,在肺结核瘤与其他肺孤立结节的鉴别诊断方面较有价值。

Abstract: In view of epidemic situation and new features of pulmonary tuberculosis in China, modern medical imaging techniques play more important role in the clinical diagnosis and treatment of pulmonary tuberculosis. Though conventional chest X-ray film is still mainly the first choice, the multislice spiral CT (MSCT) plays an increasingly important role in the diagnosis, activity judgment and follow-up examination. In special situation, MRI and positron emission tomography (PET) CT could be used as the aiding method, which is valuable for the differential diagnosis between tuberculoma and other solitary pulmonary nodules.

伍建林,王帅. 现代医学影像技术在肺结核诊断中的应用价值与现状[J]. 结核病与肺部健康杂志, 2012, 1(1): 60-62.

WU Jian-lin^*,WANG Shuai. The application values and status of modern medical imaging techniques in the diagnosis of pulmonary tuberculosis[J]. Journal of Tuberculosis and Lung Health, 2012, 1(1): 60-62.

参考文献

[1] 王宇.全国第五次结核病流行病学抽样调查资料汇编.北京:军事医学科学出版社,2011.
[2] 孙怡芬,胡培安,张同梅,等.1781例菌阴肺结核纤维支气管镜检查结果分析.中国防痨杂志,2007,29(2):192-193.
[3] 黎惠如,刘文.多层螺旋CT对DR胸片显示孤立病灶菌阴肺结核的诊断价值.中国防痨杂志,2011,33(8):505-508.
[4] 路希伟,伍建林.新发、复发及慢性肺结核CT征象的比较研究.中国防痨杂志,2007,29(1):25-28.
[5] 伍建林,沈晶,徐凯,等.肺间质改变为主的继发性肺结核的CT诊断价值与疗效评价.中国防痨杂志,2012,34(4):207-211.
[6] Ors F,Deniz O,Bozlar U,et al. High-resolution CT findings in patients with pulmonary tuberculosis correlation with the degree of smear positivity. J Thorac Imaging,2007, 22(2):154-159.
[7] Kosaka N, Sakai T, Uematsu H, et al. Specific high-resolution computed tomography findings associated with sputum smear-positive pulmonary tuberculosis. J Comput Assist Tomogr,2005, 29(6):801-804.
[8] Yeh JJ,Yu JK,Teng WB,et al. High-resolution CT for identify patients with smear-positive, active pulmonary tuberculosis. Eur J Radiol, 2012,81(1):195-201.
[9] 伍建林,施裕新,刘晋新,等.免疫抑制宿主肺结核影像学表现及发病机制.中国医学计算机成像杂志,2010,16(5):415-419.
[10] Lee ES, Park CM, Goo JM, et al. Computed tomography features of extensively drug-resistant pulmonary tuberculosis in non-HIV-infected patients. J Comput Assist Tomogr, 2010,34(4): 559-563.
[11] 李成洲,肖湘生,刘士远,等.MRI增强薄层环状强化模式对结核瘤的诊断价值.放射学实践,2005,20(6):471-473.
[12] Rizzi EB, Schinina V, Cristofaro M,et al. Detection of pulmonary tuberculosis: comparing MR imaging with HRCT. BMC Infect Dis,2011, 11:243-250.
[13] Zheng Z, Pan Y, Guo F, et al. Multimodality FDG PET/CT appearance of pulmonary tuberculoma mimicking lung cancer and pathologic correlation in a tuberculosis-endemic country. South Med J,2011,104(6):440-445.
[14] Li YL, Su MG, Li FL,et al. The value of ¹⁸F-FDG-PET/CT in the differential diagnosis of solitary pulmonary nodules in areas with a high incidence of tuberculosis. Ann Nucl Med,2011,25(10):804-811.
[15] Jeong YJ, Lee KS. Pulmonary tuberculosis: up-to-date imaging and management. AJR Am J Roentgenol, 2008,191(3):834-844.
[16] Hara T, Kosaka N, Suzuki T, et al. Uptake rates of ¹⁸F-fluo-rodeoxyglucose and 11C-choline in lung cancer and pulmonary tuberculosis: a positron emission tomography study. Chest, 2003, 124(3): 893-901.