高级检索
中华结核和呼吸杂志
期刊首页
过刊列表
高级检索
稿件发表
• 年度综述 •
ENGLISH ABSTRACT
结核病影像学诊断年度进展2024
梁逸宁
侯代伦
作者及单位信息
·
DOI： 10.3760/cma.j.cn112147-20241031-00650
Annual progress in diagnostic imaging of tuberculosis in 2024
Liang Yining
Hou Dailun
Authors Info & Affiliations
Liang Yining
Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, China
Hou Dailun
Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, China
·
DOI： 10.3760/cma.j.cn112147-20241031-00650
662
171
0
0
5
3
PDF下载
APP内阅读
摘要

结核病目前仍然是世界范围内传染病的主要死亡原因。早期诊断可促进有效治疗，减少结核病的进一步传播。近年来，随着CT、MRI、 18氟-脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（ 18F-FDG PET/CT）、人工智能（AI）等的快速发展，为早期识别结核病提供了依据。本文系统性回顾2023年10月至2024年9月国内外关于结核病影像学诊断的共识及重点文献，以提高医生对肺结核和肺外结核的影像诊断与鉴别诊断能力。

ABSTRACT

Tuberculosis (TB) remains the leading cause of death from infectious diseases worldwide. Early diagnosis promotes effective treatment and reduces further transmission of TB. In recent years, with the rapid development of computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography/computed tomography with 18-fluoro-deoxyglucose ( 18F-FDG PET/CT), and artificial intelligence (AI), early identification of TB has been provided. This paper systematically reviews the consensus and key literature on diagnostic imaging of TB in national and international journals between October 2023 and September 2024 to improve the diagnostic and differential diagnostic imaging of pulmonary and extrapulmonary TB.

Hou Dailun, Email: nc.defudabe.umcc.liamld.uoh
Copyright by Chinese Medical Association
No content published by the journals of Chinese Medical Association may be reproduced or abridged without authorization. Please do not use or copy the layout and design of the journals without permission.
All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.
引用本文

梁逸宁,侯代伦. 结核病影像学诊断年度进展2024[J]. 中华结核和呼吸杂志,2025,48(02)：175-180.

DOI:10.3760/cma.j.cn112147-20241031-00650

PERMISSIONS

Request permissions for this article from CCC.

评价本文
*以上评分为匿名评价

版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

结核病是由结核分枝杆菌（ Mycobacterium tuberculosis，MTB）感染引起的一种高感染率和高病死率的慢性传染性疾病。在新型冠状病毒感染大流行之前，结核病是单一传染源导致死亡的首要原因 ［ 1 , 2 , 3 ］ 。世界卫生组织（World Health Organization，WHO）报告，2021年结核病病例达到惊人的1 060万例 ［ 1 ］ 。《柳叶刀》结核病委员会的一项调查研究显示，2020—2025年全球结核病死亡人数将增加约140万人 ［ 2 ］ 。随着新型冠状病毒感染死亡人数的减少，结核病将再次成为主要的传染性致死原因 ［ 2 , 3 ］ 。为实现2030年“终结结核病”的目标，结核病早期、快速、有效诊断至关重要 ［ 4 , 5 , 6 , 7 ］ 。近年来，随着CT、MRI、 18氟-脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（ 18fluorine-fluorinedeoxyglucosepositron positron emission tomography/computed tomography， 18F-FDG PET/CT）、人工智能（artificial intelligence，AI）等的快速发展，为结核病的早期诊断提供了依据。本文就 2023年10月至2024年9月的以上进展综述如下。
试读结束，您可以通过登录机构账户或个人账户后获取全文阅读权限。
参考文献
[1]
Vasiliu A , Martinez L , Gupta RK ,et al. Tuberculosis prevention: current strategies and future directions[J]. Clin Microbiol Infect, 2024,30(9):1123-1130. 10.1016/j.cmi.2023.10.023 .
返回引文位置Google Scholar
百度学术
万方数据
[2]
Reid M , Agbassi Y , Arinaminpathy N ,et al. Scientific advances and the end of tuberculosis: a report from the Lancet Commission on Tuberculosis[J]. Lancet, 2023,402(10411):1473-1498. DOI: 10.1016/S0140-6736(23)01379-X .
返回引文位置Google Scholar
百度学术
万方数据
[3]
代小伟,李传友,王嫩寒,等. 利福平耐药结核分枝杆菌对A组抗结核药物的耐药性研究[J]. 中华结核和呼吸杂志, 2023,46(11):1110-1117. DOI: 10.3760/cma.j.cn112147-20230804-00046 .
返回引文位置Google Scholar
百度学术
万方数据
[4]
Kontsevaya I , Cabibbe AM , Cirillo DM ,et al. Update on the diagnosis of tuberculosis[J]. Clin Microbiol Infect, 2024,30(9):1115-1122. DOI: 10.1016/j.cmi.2023.07.014 .
返回引文位置Google Scholar
百度学术
万方数据
[5]
Dheda K , Mirzayev F , Cirillo DM ,et al. Multidrug-resistant tuberculosis[J]. Nat Rev Dis Primers, 2024,10(1):22. DOI: 10.1038/s41572-024-00504-2 .
返回引文位置Google Scholar
百度学术
万方数据
[6]
Wulandari DA , Hartati YW , Ibrahim AU ,et al. Multidrug-resistant tuberculosis[J]. Clin Chim Acta, 2024,559:119701. DOI: 10.1016/j.cca.2024.119701 .
返回引文位置Google Scholar
百度学术
万方数据
[7]
Nyasulu PS , Doumbia CO , Ngah V ,et al. Multidrug-resistant tuberculosis: latest opinions on epidemiology, rapid diagnosis and management[J]. Curr Opin Pulm Med, 2024,30(3):217-228. DOI: 10.1097/MCP.0000000000001070 .
返回引文位置Google Scholar
百度学术
万方数据
[8]
Xu CJ , Lu PX , Li CH ,et al. Chinese expert consensus on imaging diagnosis of drug-resistant pulmonary tuberculosis[J]. Quant Imaging Med Surg, 2024,14(1):1039-1060. DOI: 10.21037/qims-23-1223 .
返回引文位置Google Scholar
百度学术
万方数据
[9]
刘晶哲,宋敏,陆普选. 《耐药肺结核影像学诊断专家共识》解读[J]. 新发传染病电子杂志, 2024,9(2):99-103. DOI: 10.19871/j.cnki.xfcrbzz.2024.02.018 .
返回引文位置Google Scholar
百度学术
万方数据
[10]
Pattamapaspong N , Kanthawang T , Peh W ,et al. Imaging of thoracic tuberculosis: pulmonary and extrapulmonary[J]. BJR Open, 2024,6(1):tzae031. DOI: 10.1093/bjro/tzae031 .
返回引文位置Google Scholar
百度学术
万方数据
[11]
Abid W , Ladeb MF , Chidambaranathan N ,et al. Imaging of musculoskeletal tuberculosis[J]. Skeletal Radiol, 2024,53(10):2081-2097. DOI: 10.1007/s00256-023-04556-5 .
返回引文位置Google Scholar
百度学术
万方数据
[12]
Pattamapaspong N , Kanthawang T , Bouaziz MC ,et al. Imaging of musculoskeletal tuberculosis[J]. Br J Radiol, 2024,97(1153):1-12. DOI: 10.1093/bjr/tqad019 .
返回引文位置Google Scholar
百度学术
万方数据
[13]
Li Z , Wang B , Du B ,et al. The incremental value of Mycobacterium tuberculosis trace nucleic acid detection in CT-guided percutaneous biopsy needle rinse solutions for the diagnosis of tuberculosis[J]. Front Microbiol, 2024,15:1335526. DOI: 10.3389/fmicb.2024.1335526 .
返回引文位置Google Scholar
百度学术
万方数据
[14]
Waters R , Laubscher M , Dunn RN ,et al. Higher Sensitivity of Xpert MTB/RIF Ultra Over Tuberculosis Culture for the Diagnosis of Spinal Tuberculosis With Open or Computed Tomography-Guided Biopsies[J]. Open Forum Infect Dis, 2024,11(1):ofad621. DOI: 10.1093/ofid/ofad621 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
Aggarwal S , Nandi S , Verma A ,et al. Peripancreatic tuberculosis[J]. BMJ Case Rep, 2023,16(12):e256433. DOI: 10.1136/bcr-2023-256433 .
返回引文位置Google Scholar
百度学术
万方数据
[16]
Varshney P , Kumar Kapoor V . Hepato-pancreato-biliary tuberculosis: A review[J]. Turk J Surg, 2024,40(2):95-103. 10.47717/turkjsurg.2024.6338 . DOI:.
返回引文位置Google Scholar
百度学术
万方数据
[17]
Zaffar D , Ranabhat CB , Ismail A ,et al. Pancreatic Tuberculosis With Duodenal Fistula Presenting as Life-Threatening Gastrointestinal Bleeding[J]. ACG Case Rep J, 2024,11(3):e01318. DOI: 10.14309/crj.0000000000001318 .
返回引文位置Google Scholar
百度学术
万方数据
[18]
郭宸浩,张雨阳,任欣欣,等. 泌尿系结核诊断现状及研究进展[J]. 中国感染与化疗杂志, 2024,24(1):113-117. DOI: 10.16718/j.1009-7708.2024.01.019 .
返回引文位置Google Scholar
百度学术
万方数据
[19]
Bausch K , Mantica G , Smith EJ ,et al. Genitourinary Tuberculosis: A Brief Manual for Urologists on Diagnosis and Treatment from the European Association of Urology Urological Infections Panel[J]. Eur Urol Focus, 2024,10(1):77-79. DOI: 10.1016/j.euf.2023.07.006 .
返回引文位置Google Scholar
百度学术
万方数据
[20]
卫宜锐,王浩,杨朴深,等. 前列腺结核与前列腺癌临床误诊分析[J]. 临床误诊误治, 2024,37(9):1-5. DOI: 10.3969/j.issn.1002-3429.2024.09.001 .
返回引文位置Google Scholar
百度学术
万方数据
[21]
Dahal P , Parajuli S . Magnetic resonance imaging findings in central nervous system tuberculosis: A pictorial review[J]. Heliyon, 2024,10(8):e29779. DOI: 10.1016/j.heliyon.2024.e29779 .
返回引文位置Google Scholar
百度学术
万方数据
[22]
Koesbandono, Muljadi R , Sutanto R ,et al. Intracranial tuberculomas: review of MRI findings and clinical features[J]. Clin Radiol, 2024,79(5):354-362. DOI: 10.1016/j.crad.2023.12.020 .
返回引文位置Google Scholar
百度学术
万方数据
[23]
Lazarte-Rantes C , Sinti-Ycochea M , Guillen-Pinto D . Intracranial manifestations of central nervous system tuberculosis in children[J]. Pediatr Radiol, 2024. DOI: 10.1007/s00247-024-06057-6 .
返回引文位置Google Scholar
百度学术
万方数据
[24]
McMahon P , Pisapia DJ , Schweitzer AD ,et al. Central nervous system tuberculoma mimicking a brain tumor: A case report[J]. Radiol Case Rep, 2024,19(1):414-417. DOI: 10.1016/j.radcr.2023.10.042 .
返回引文位置Google Scholar
百度学术
万方数据
[25]
Canas LS , Dong THK , Beasley D ,et al. Computer-aided prognosis of tuberculous meningitis combining imaging and non-imaging data[J]. Sci Rep, 2024,14(1):17581. 10.1038/s41598-024-68308-8 . DOI:.
返回引文位置Google Scholar
百度学术
万方数据
[26]
Shi Y , Zhang C , Pan S ,et al. The diagnosis of tuberculous meningitis: advancements in new technologies and machine learning algorithms[J]. Front Microbiol, 2023,14:1290746. DOI: 10.3389/fmicb.2023.1290746 .
返回引文位置Google Scholar
百度学术
万方数据
[27]
Chen X , Chen F , Liang C ,et al. MRI advances in the imaging diagnosis of tuberculous meningitis: opportunities and innovations[J]. Front Microbiol, 2023,14:1308149. DOI: 10.3389/fmicb.2023.1308149 .
返回引文位置Google Scholar
百度学术
万方数据
[28]
Sakamoto Y , Shimizu T , Otsuki B ,et al. Surgical treatment for recurrent thoracic ventral intradural arachnoid cyst secondary to tuberculous meningitis: a case report[J]. Spinal Cord Ser Cases, 2024,10(1):36. DOI: 10.1038/s41394-024-00650-5 .
返回引文位置Google Scholar
百度学术
万方数据
[29]
李翔,浦英,付旭文,等. 误诊为脊柱结核的真菌性脊柱炎临床及影像特征分析[J]. 中国防痨杂志, 2024,46(9):1109-1114. DOI: 10.19982/j.issn.1000-6621.20240064 .
返回引文位置Google Scholar
百度学术
万方数据
[30]
Tang J , Chen H , Chen F . CT and MRI presentation of nasopharyngeal tuberculosis (with a case report) [J]. Radiol Case Rep, 2024,19(5):1702-1707. DOI: 10.1016/j.radcr.2024.01.082 .
返回引文位置Google Scholar
百度学术
万方数据
[31]
Cross GB , O′ Doherty J , Chang CC ,et al. Does PET-CT Have a Role in the Evaluation of Tuberculosis Treatment in Phase 2 Clinical Trials?[J]. J Infect Dis, 2024,229(4):1229-1238. DOI: 10.1093/infdis/jiad425 .
返回引文位置Google Scholar
百度学术
万方数据
[32]
Jiang CZ , Ye H . (18)F-FAPI PET/CT imaging in a patient with multisystemic tuberculosis[J]. Int J Infect Dis, 2023,137:71-72. DOI: 10.1016/j.ijid.2023.10.003 .
返回引文位置Google Scholar
百度学术
万方数据
[33]
Ai L , Wang W , Li Y . Pleural tuberculosis mimicking malignant pleural mesothelioma by (18)F-FDG PET/CT[J]. Med Clin (Barc), 2023,161(9):415. DOI: 10.1016/j.medcli.2023.04.019 .
返回引文位置Google Scholar
百度学术
万方数据
[34]
Kim JW , Bowman K , Nazareth J ,et al. PET-CT-guided characterisation of progressive, preclinical tuberculosis infection and its association with low-level circulating Mycobacterium tuberculosis DNA in household contacts in Leicester, UK: a prospective cohort study[J]. Lancet Microbe, 2024,5(2):e119-e130. DOI: 10.1016/S2666-5247(23)00289-6 .
返回引文位置Google Scholar
百度学术
万方数据
[35]
Kim JW , Vadera S , Sharifpour M ,et al. A structural and metabolic framework for classifying pre-clinical tuberculosis infection phenotypes using 18 F-FDG PET-CT: a prospective cohort analysis following M. tuberculosis exposure [J]. Thorax, 2024,79(12):1156-1159. DOI: 10.1136/thorax-2024-221470 .
返回引文位置Google Scholar
百度学术
万方数据
[36]
Scherer J , Mukasa SL , Wolmarans K ,et al. Multi-level tuberculosis of the spine identified by 18 F-FDG-PET/CT and concomitant urogenital tuberculosis: a case report from the spinal TB X cohort[J]. Infection, 2024,52(6):2507-2519. DOI: 10.1007/s15010-024-02327-5 .
返回引文位置Google Scholar
百度学术
万方数据
[37]
Scherer J , Mukasa SL , Wolmarans K ,et al. Comparing gene expression profiles of adults with isolated spinal tuberculosis to disseminated spinal tuberculosis identified by (18)FDG-PET/CT at time of diagnosis, 6-and 12-months follow-up: classifying clinical stages of spinal tuberculosis and monitoring treatment response (Spinal TB X cohort study)[J]. J Orthop Surg Res, 2024,19(1):376. DOI: 10.1186/s13018-024-04840-7 .
返回引文位置Google Scholar
百度学术
万方数据
[38]
Günther G , Abu-Hussain N , Keller PM ,et al. To treat or not to treat tuberculosis-clinical decision making in patients with previous pulmonary tuberculosis using 18 F-FDG PET/CT [J]. Respir Med Case Rep, 2023,46:101932. DOI: 10.1016/j.rmcr.2023.101932 .
返回引文位置Google Scholar
百度学术
万方数据
[39]
Tan Z , Madzin H , Norafida B ,et al. DeepPulmoTB: A benchmark dataset for multi-task learning of tuberculosis lesions in lung computerized tomography (CT)[J]. Heliyon, 2024,10(4):e25490. DOI: 10.1016/j.heliyon.2024.e25490 .
返回引文位置Google Scholar
百度学术
万方数据
[40]
Riou C , du Bruyn E , Kim G ,et al. Derivation of a high-resolution CT-based, semi-automated radiographic score in tuberculosis and its relationship to bacillary load and antitubercular therapy[J]. Eur Respir J, 2023,62(3):2300600. DOI: 10.1183/13993003.00600-2023 .
返回引文位置Google Scholar
百度学术
万方数据
[41]
Li LS , Yang L , Zhuang L ,et al. From immunology to artificial intelligence: revolutionizing latent tuberculosis infection diagnosis with machine learning[J]. Mil Med Res, 2023,10(1):58. DOI: 10.1186/s40779-023-00490-8 .
返回引文位置Google Scholar
百度学术
万方数据
[42]
Awais M , Khan N , Khan AK ,et al. CT texture analysis for differentiating between peritoneal carcinomatosis and peritoneal tuberculosis: a cross-sectional study[J]. Abdom Radiol (NY), 2024,49(3):857-867. DOI: 10.1007/s00261-023-04103-9 .
返回引文位置Google Scholar
百度学术
万方数据
[43]
Li Y , Lyu B , Wang R ,et al. Machine learning-based radiomics to distinguish pulmonary nodules between lung adenocarcinoma and tuberculosis[J]. Thorac Cancer, 2024,15(6):466-476. DOI: 10.1111/1759-7714.15216 .
返回引文位置Google Scholar
百度学术
万方数据
[44]
Nijiati M , Guo L , Abulizi A ,et al. Deep learning and radiomics of longitudinal CT scans for early prediction of tuberculosis treatment outcomes[J]. Eur J Radiol, 2023,169:111180. DOI: 10.1016/j.ejrad.2023.111180 .
返回引文位置Google Scholar
百度学术
万方数据
[45]
Nijiati M , Guo L , Tuersun A ,et al. Deep learning on longitudinal CT scans: automated prediction of treatment outcomes in hospitalized tuberculosis pati ents [J]. iScience, 2023,26(11):108326. DOI: 10.1016/j.isci.2023.108326 .
返回引文位置Google Scholar
百度学术
万方数据
备注信息
A
侯代伦，Email： nc.defudabe.umcc.liamld.uoh
B
梁逸宁, 侯代伦. 结核病影像学诊断年度进展2024[J]. 中华结核和呼吸杂志, 2025, 48(2): 175-180. DOI: 10.3760/cma.j.cn112147-20241031-00650.
C
所有作者声明无利益冲突
D
国家自然科学基金 (82271962)
北京市高层次公共卫生技术人才建设项目培养计划 (学科带头人-03-07)
评论 （0条）
注册
登录
时间排序
暂无评论，发表第一条评论抢沙发
最新推荐
更多
慢性咳嗽年度进展2024
林明通 等
中华结核和呼吸杂志 2025,48(02)
呼吸康复年度进展2024
陈雨莎 等
中华结核和呼吸杂志 2025,48(01)
中国心力衰竭诊断和治疗指南2024
中华医学会心血管病学分会 等
中华心血管病杂志 2024,52(03)
肺癌流行病学研究年度进展2022
秦娜 等
中华医学杂志 2023,103(14)
MedAI助手（体验版）
文档即答
智问智答
机器翻译
回答内容由人工智能生成，我社无法保证其准确性和完整性，该生成内容不代表我们的态度或观点，仅供参考。
生成快照
文献快照

你好，我可以帮助您更好的了解本文，请向我提问您关注的问题。

0/2000

《中华医学会杂志社用户协议》 | 《隐私政策》

《SparkDesk 用户协议》 | 《SparkDesk 隐私政策》

网信算备340104764864601230055号 | 网信算备340104726288401230013号

技术支持：

历史对话
本文全部
还没有聊天记录
设置
模式
纯净模式沉浸模式
字号
小中大