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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (8): 638-642.doi: 10.3969/j.issn.1000-6621.2014.08.004

• 专家论坛 • 上一篇    下一篇

肺结核的影像学诊断——从形态分析到分子影像诊断

周新华   

  1. 101149  首都医科大学附属北京胸科医院影像科
  • 收稿日期:2014-07-10 出版日期:2014-08-10 发布日期:2014-09-07

Imaging diagnosis of pulmonary tuberculosis— from the morphological analysis to the diagnosis of molecular imaging

ZHOU Xin-hua   

  1. The Radiological Department of Beijing Chest Hospital, Capital Medical University, Beijing  101149, China
  • Received:2014-07-10 Online:2014-08-10 Published:2014-09-07

摘要: 医学影像学已成为肺结核及肺部疾病诊断不可缺少的重要方法。病灶形态分析是肺结核影像学诊断与鉴别诊断的重要方法,CT增强扫描是病灶形态学诊断的重要补充方法,MRI既是形态学诊断也是分子影像诊断的重要技术,正电子发射计算机体层摄影术-计算机体层摄影术(PET-CT)是重要的分子影像学诊断技术,在结核病的鉴别诊断和结核病灶活动性的评价方面具有重要意义。熟练掌握不同影像学技术,以及在肺结核诊断中应用的目的与意义,重视肺结核不典型影像表现和菌阴肺结核的影像诊断与鉴别,推进影像学形态分析和细菌学、病理学及免疫学等多学科联合诊断等,将是现在及未来的主要努力方向。

关键词: 结核, 肺/放射摄影术, 体层摄影术, X线计算机, 磁共振成像

Abstract: Medical imaging has become an important and indispensable diagnostic method in pulmonary tuberculosis and lung disease. Lesions morphological analysis is one of the important methods for the imaging diagnosis and differential diagnosis of pulmonary tuberculosis, enhanced CT scanning is the important supplement methods for the diagnosis of lesions morphology, magnetic resonance imaging (MRI) is the important diagnostic technology both morphology and molecular imaging, positron emission computed tomography computed tomography(PET-CT) imaging is also the important molecular imaging technology, and the value of these methods is to diagnose differentially and evaluate active tuberculosis lesions. Skillful mastering the purpose and meaning of different imaging techniques used in the diagnosis of pulmonary tuberculosis, pay great attention to imaging diagnosis and differential diagnosis in atypical pulmonary tuberculosis and smear negative pulmonary tuberculosis, and promoting multidisciplinary combine diagnosis including imaging morphological analysis, bacteriology, pathology,immunology, will be the main effort direction now and in the future.

Key words: Tuberculosis, pulmonary/radiography, Tomography, X-rey computed, Magnetic resonance imaging