chest tuberculosis: radiological review and imaging recommendations

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Chest x-ray provides minimal radiation exposure, around 0.01 to 0.02 mSv. In the 26 included studies, the pooled proportion of individuals with LTBI having LTBI-CXR lesions was 0.15 (95% confidence interval [CI], 0.12-0.18]. Chest tuberculosis (CTB) is a widespread problem, especially in our country where it is one of the leading causes of mortality. Chest tuberculosis: Radiological review and imaging recommendations. In symptomatic patients, constitutional symptoms are prominent with fever, malais… The usefulness of routine chest radiograph examinations in patients treated with TNF inhibitors for inflammatory arthritis in South Korea. Objective: Initially, a chest radiograph is warranted for PTB evaluation. Journal of Thoracic Imaging 2015, Diffuse Parenchymal Abnormalities in Acutely Dyspneic Patients: A Pattern-based Approach. Atypical radiological images of Pulmonary Tuberculosis in 192 diabetic patients: A comparative study. PMID: 22315122. NIH Citation: American Journal of Roentgenology. Chest tuberculosis (CTB) is a widespread problem, especially in our country where it is one of the leading causes of mortality. RadioGraphics 2015, Chest tuberculosis: Radiological review and imaging recommendations. Advances in Cardiac Imaging, 19. Abnormalities suggestive of latent tuberculosis infection on chest radiography; how specific are they? Evidence-based guidelines for imaging should be followed when available and applicable, as the total cost of common, individually inexpensive tests such as chest radiography to the U.S. medical system is enormous. DIR 2015, Imaging the posterior mediastinum: a multimodality approach. European Respiratory Journal 49 (2017). Uzorka JW, Duinkerk DL, Kroft LJM, Bakker JA, Ramai RSRS, Ottenhoff THM, Arend SM. The patients ranged in age from 9 to 55 years (a mean of 25 years) with a preponderance of chest wall lesions in young adults and in females (male to female ratio of 2:5). Each month, the journal CHEST ® features the best in peer-reviewed, cutting-edge original research in the multidisciplinary specialties of chest medicine: pulmonary, critical care, and sleep medicine and related disciplines. It is difficult to diagnose TB in children due to lack of overt symptoms and difficulty in obtaining samples for microbiological confirmation. N Engl J Med 2004; 350:2060–7. Journal of Thoracic Imaging 2015, The role of computed tomography in the diagnosis of acute and chronic pulmonary embolism. Uzorka JW, Kroft LJM, Bakker JA, van Zwet EW, Huisman E, Prins C, van der Zwan CJ, Ottenhoff THM, Arend SM. Bhalla AS, Goyal A, Guleria R, Gupta AK (2015) Chest tuberculosis: radiological review and imaging recommendations. Lung Volume Reduction in Pulmonary Emphysema from the Radiologist’s Perspective. Journal of Thoracic Imaging 2015, Magnetic resonance imaging of the chest in the evaluation of cancer patients Radiologia Brasileira 2015, Histiocytic Disorders of the Chest: Imaging Findings RadioGraphics 2015, Thoracic manifestations of paradoxical immune reconstitution inflammatory syndrome during or after antituberculous therapy in HIV-negative patients DIR 2015, Radiologic Manifestations of Bronchoscopic Lung Volume Reduction in Severe Chronic Obstructive Pulmonary Disease AJR 2015, Pulmonary Nodule Characterization, Including Computer Analysis and Quantitative Features Journal of Thoracic Imaging Journal of Thoracic Imaging 2015, Low-dose Computed Tomography Screening for Lung Cancer in a Clinical Setting: Essential Elements of a Screening Program Journal of Thoracic Imaging 2015, Imaging manifestations of primary and disseminated coccidioidomycosis. USA.gov. 2018 Oct;143:109-115. doi: 10.1016/j.rmed.2018.09.005. Chest radiographs are important in the evaluation and risk stratification of patients suspected of having latent or inactive tuberculosis. Treatment of latent infection with Mycobacterium tuberculosis: update 2010. In this systematic review we evaluate the role of chest radiography (CXR) in the diagnostic flow chart for tuberculosis (TB) infection, focusing on latent TB infection (LTBI) in patients requiring medical treatment with biological drugs. We also attempt to categorize the findings into those definitive for active TB, indeterminate for disease activity, and those indicating healed TB. Chest tuberculosis: Radiological review and imaging recommendations Ashu Seith Bhalla, Ankur Goyal, Randeep Guleria, Arun Kumar Gupta July-September 2015, 25(3):213-225 -. Prevalence estimates were pooled using random effects models and odds ratios (ORs) were used to calculate risk estimates. 2019 Jan 25;15:100089. doi: 10.1016/j.jctube.2019.01.004. Method: Insights Imaging 2015, American Thoracic Society–European Respiratory Society Classification of the Idiopathic Interstitial Pneumonias: Advances in Knowledge since 2002. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Epub 2020 Feb 20. RadioGraphics 2015, Bronchiectasis: Mechanisms and Imaging Clues of Associated Common and Uncommon Diseases. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. J Clin Tuberc Other Mycobact Dis. RadioGraphics 2015, Mosaic Attenuation: Etiology, Methods of Differentiation, and Pitfalls. AJR 2015. Many also recommend chest radiography (CXR), although its added value is uncertain. [11] Pérez-Guzman C, Torres-Cruz A, Villarreal-Velarde H, Salazar-Lezama MA, Vargas MH. This is a basic article for medical students and other non-radiologists. Imaging of Congenital Heart Disease, 21. Chest tuberculosis: radiological review and imaging recommendations. Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings Radiologia Brasileira, Vol. Diagnostic and Therapeutic Interventions in Chest, 18. Imaging of Valvular Heart Disease, 22. 10.2214/AJR.07.3896 Get the latest public health information from CDC: https://www.coronavirus.gov. Results: Radiology reports should describe whether the radiograph shows entirely normal findings, shows calcified granulomas, shows fibronodular scarring (noting the duration of stability), or shows findings that raise concern for active tuberculosis. Applied Radiology 2015, Bronchial Arteries: Anatomy, Function, Hypertrophy, and Anomalies RadioGraphics 2015, Imaging adults on extracorporeal membrane oxygenation (ECMO) Insights Imaging 2014, Imaging of complications from hematopoietic stem cell transplant Indian J Radiol Imaging 2014, Imaging in lung transplants: Checklist for the radiologist Indian J Radiol Imaging 2014, Spontaneous pneumomediastinum and Macklin effect: Overview and appearance on computed tomography. The ACR Appropriateness Criteria ® (AC) are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. Indian J Radiol Imaging 2015; 25:213–225 [Google Scholar] 22. Only in 5% of patients, usually those with impaired immunity, go on to have progressive primary tuberculosis. Chest tuberculosis: Radiological review and imaging recommendations. Current guidelines recommend screening for latent tuberculosis infection (LTBI) with a tuberculin skin test (TST) or interferon gamma release assay (IGRA), or both. RadioGraphics 2015, Imaging Evaluation of Mediastinal Masses in Children and Adults: Practical Diagnostic Approach Based on A New Classification System. Indian J Radiol Imaging 2015. -, Bumbacea D, Arend SM, Eyuboglu F, et al. 2017 Mar 9;17(1):200. doi: 10.1186/s12879-017-2301-4. -, Solovic I, Sester M, Gomez-Reino JJ, et al. Tracheobronchial Branching Abnormalities: Lobe-based Classification Scheme. Clipboard, Search History, and several other advanced features are temporarily unavailable. Conclusions: Free Full Text. The article reviews the imaging findings in CTB on various modalities. Rofo 2015. Radiol Bras. Eur J Clin Microbiol Infect Dis. Chest Imaging Guidelines Abbreviations for Chest Guidelines 3 CH-1: General Guidelines 5 CH-2: Lymphadenopathy 9 ... Director Review CT Chest without contrast (CPT® 71250) ... stability does not require further advanced imaging. RadioGraphics 2016, Chest magnetic resonance imaging: a protocol suggestion. Burrill J, Christopher J.W., Bain G., et al. Chest. Keywords: AJR 2015, Multi-detector CT assessment in pulmonary hypertension: techniques, systematic approach to interpretation and key findings. Insights Imaging 2015, Chest CT examinations in patients presenting with acute chest pain. Kim SH, Min JH, Lee JY (2014) Radiological findings of primary multidrug-resistant pulmonary tuberculosis in HIV-seronegative patients. Chest tuberculosis (CTB) is a widespread problem, especially in our country where it is one of the leading causes of mortality. AJR 2015, Reducing errors in portable chest radiography. Lesions on CXR suggestive of previous infection with Mycobacterium tuberculosis were significantly associated with positive tests for LTBI, although the sensitivity was only 15%. Selection of Articles Included in This Review, Proportion of Individuals With Positive Test for Latent Tuberculosis (TB) Infection in Whom…, Meta-Analysis of Studies Showing the Crude Effect of a Positive TST Result on…, Meta-Analysis of Studies Showing the Crude Effect of a Positive Interferon-Gamma Release Assay…, NLM Comparing interferon-gamma release assays with tuberculin skin test for identifying latent tuberculosis infection that progresses to active tuberculosis: systematic review and meta-analysis. Please enable it to take advantage of the complete set of features! diagnostic imaging; latent tuberculosis; radiography; systematic review. Chest. RadioGraphics 2015, Amyloidosis: Modern Cross-sectional Imaging. The risk of tuberculosis related to tumour necrosis factor antagonist therapies: a TBNET consensus statement. Computed tomography (CT) scan is not reliable in diagnosing and characterizing testicular pathology. Materials and Methods Four deidentified HIPAA-compliant datasets were used in this study that were exempted from review by the institutional review board, which consisted of 1007 posteroanterior chest radiographs. Eur Respir J 2011; 37:690–711. Epub 2018 Sep 8. Leung CC, Rieder HL, Lange C, Yew WW. Meta-Analysis of Studies Showing the Crude Effect of a Positive TST Result on the Risk of Lesions Suggestive of Past TB Infection on Chest Radiography, Meta-Analysis of Studies Showing the Crude Effect of a Positive Interferon-Gamma Release Assay Result on the Risk of Lesions Suggestive of Past Tuberculosis Infection on Chest Radiography. Several imaging findings of thoracic diseases have been referred—on chest radiographs or CT scans—to signs, symbols, or naturalistic images. Many also recommend chest radiography (CXR), although its added value is uncertain. The risk of tuberculosis in transplant candidates and recipients: a TBNET consensus statement. 2 Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong, Kangnam-Ku, Seoul 135-710, Korea.  |  Ancillary tests such as positive chest radiograph or tuberculin test support the diagnosis. July 2015: The International Association for the Study of Lung Cancer Lymph Node Map: A Radiologic Atlas and Review. HHS The article reviews the imaging findings in CTB on various modalities. Radiographic Appearance of Pulmonary Tuberculosis: Dogma Disproved. Indian J Radiol Imaging 2015. Proportion of Individuals With Positive Test for Latent Tuberculosis (TB) Infection in Whom Lesions Suggestive of Previous TB Infection Were Found on Chest Radiography. DIR 2015, Imaging of Large Airways Disorders. Respir Med. We have included these signs in this review, having recognized an increasing trend of CT imaging being used as the initial imaging modality. These signs can be seen in different imaging modalities like plain radiograph and computed tomography. Rofo 2015, The International Association for the Study of Lung Cancer Lymph Node Map: A Radiologic Atlas and Review. 2017; 151(6):1356-1374. 2016 May;20(38):1-678. doi: 10.3310/hta20380. Tuberculosis: A Benign Impostor AJR 2010 Eur Respir J 2012; 40:990–1013.  |  Tuberc Respir Dis 2015 Accurate diagnosis of latent tuberculosis in children, people who are immunocompromised or at risk from immunosuppression and recent arrivals from countries with a high incidence of tuberculosis: systematic review and economic evaluation. Various clinical and biochemical markers exist for its diagnosis. The utility of routine admission chest roentgenograms (CXRs) was evaluated in detecting pulmonary tuberculosis and the relationship between roentgenographic patterns and the likelihood of finding acid-fast bacilli (AFB) on sputum smear. This finding may have added value when detection of past LTBI is important but immunodiagnostic tests may be unreliable. Radiation Exposure From Chest X-ray . Imaging of Pleura Miscellaneous Topics, 15. Patients with post-primary pulmonary tuberculosis are often asymptomatic or have only minor symptoms, such as a chronic dry cough. The long and winding road of chest radiography for tuberculosis detection. Applied Radiology 2015, Pulmonary Nodule Characterization, Including Computer Analysis and Quantitative Features. Some of these signs have been described in chest radiographs as well as in CT imaging. 2008;191: 834-844. © The Author(s) 2019. Employing these guidelines helps providers enhance quality of care and contribute to the most efficacious use of radiology. It is a major public health problem worldwide and is endemic in Pakistan. This systematic review assessed the prevalence of abnormalities suggestive of LTBI on CXR (LTBI-CXR lesions) and evaluated the strength of the association. We also attempt to categorize the findings into those definitive for active TB, indeterminate for disease activity, and those indicating healed TB. Overview of airway involvement in tuberculosis Journal of Medical Imaging and Radiation Oncology 2013. Introduction Pulmonary tuberculosis (PTB) is caused by species of organisms in the Mycobacterium tuberculosis complex. themselves state that chest radiograph (CXR) has high sensitivity, so it makes sense to employ it as an initial imaging modality, keeping in view its wide availability, low cost, and substantially less radiation. This site needs JavaScript to work properly. See this image and copyright information in PMC. Indian J Radiol Imaging 2015, Radiographic Appearance of Pulmonary Tuberculosis: Dogma Disproved. Tuberc Respir Dis (Seoul) 2001; 51:224–231 [Google Scholar] Applied Radiology 2014, Aerogenous Metastases: A Potential Game Changer in the Diagnosis and Management of Primary Lung Adenocarcinoma AJR 2014, Current Concepts in Imaging Evaluation of Penetrating Transmediastinal Injury RadioGraphics 2014, Dual-Energy CT for Imaging of Pulmonary Hypertension: Challenges and Opportunities RadioGraphics 2014, Imaging of community-acquired pneumonia: Roles of imaging examinations, imaging diagnosis of specific pathogens and discrimination from noninfectious diseases World J Radiol 2014, Pulmonary Effects of IV Injection of Crushed Oral Tablets: “Excipient Lung Disease” AJR 2014, Acute Pulmonary Complications in Patients with Hematologic Malignancies RadioGraphics 2014, Imaging Features of Thoracic Metastases from Gynecologic Neoplasms RadioGraphics 2014, Multimodality Imaging for Characterization, Classification, and Staging of Malignant Pleural Mesothelioma RadioGraphics 2014, International Association for the Study of Lung Cancer (IASLC) Lymph Node Map: Radiologic Review with CT Illustration RadioGraphics 2014, Update in the Evaluation of the Solitary Pulmonary Nodule RadioGraphics 2014, Multidetector Computer Tomography: Evaluation of Blunt Chest Trauma in Adults Radiol Res Pract 2014, Differential diagnosis of usual interstitial pneumonia: when is it truly idiopathic? Chest radiographic reports of all 2586 asymptomatic individuals with positive TST results who underwent pre-employment evaluation between January 1, 2003, and December 31, 2007, were evaluated to determine the frequency of detection of evidence of active tuberculosis (TB) or latent TB infection (LTBI) and the spectrum of imaging findings. Chest CT is appropriate when tuberculosis is suspected and radiography is nonrevealing or nondiagnostic. Chest CT is appropriate when tuberculosis is suspected and radiography is nonrevealing or nondiagnostic. Radiology ® Chest Imaging Guidelines V .0 . HRCT in Diffuse Lung Diseases, 17. Chest X-ray Evaluation in Cardiac Disease, 20. 2015, Imaging characteristics of pleural tumours. In a considerable proportion of patients, CXR along with clinical and laboratory findings would help to diagnose TB accurately and CT would be unnecessary. Get the latest research from NIH: https://www.nih.gov/coronavirus. World J Radiol 2014, MDCT of the central airways: Anatomy and pathology. COVID-19 is an emerging, rapidly evolving situation. Chest tuberculosis (CTB) is a widespread problem, especially in our country where it is one of the leading causes of mortality. The present review is a pictorial essay of the important chest CT scan signs and the associated pulmonary diseases. eCollection 2019 May. CHEST Journal. Testicular imaging is limited to the use of magnetic resonance imaging (MRI) and ultrasound. -, Sester M, van Leth F, Bruchfeld J, et al. 3 Knee Ankyloses Associated with Tuberculosis from the Medieval Hungary - Differential Diagnosis Based on Medical Imaging Techniques In 16 studies that reported on individuals with LTBI and uninfected controls, LTBI-CXR lesions were associated with a positive TST result ≥ 5 mm or ≥ 10 mm (OR, 2.45; 95% CI, 1.00-5.99; and OR, 2.06; 95% CI, 1.38-3.09, respectively) and with a positive QuantiFERON result (OR, 1.99; 95% CI, 1.17-3.39) compared to CXR in uninfected controls. The primary infection is usually asymptomatic (the majority of cases), although a small number go on to have symptomatic hematological dissemination which may result in miliary tuberculosis. Chest CT signs in pulmonary disease: a pictorial review. Auguste P, Tsertsvadze A, Pink J, Court R, McCarthy N, Sutcliffe P, Clarke A. BMC Infect Dis. In this essay, we describe 24 classical radiological signs used in chest imaging, which would be extremely helpful in routine clinical practice not only for radiologists but also for chest physicians and cardiothoracic surgeons. Tuberculosis: A Radiologic Review, RadioGraphics 2007 27:5, 1255-1273 Of 58 patients whose chief complaints were unrelated to pulmonary tuberculosis, the CXR suggested tuberculosis in 52 cases (90 percent). Han SH, Cha GY, Lee YM, et al. Eur Respir Rev 2014, Magnetic resonance imaging for lung cancer screen J Thorac Dis 2014, Thoracic, abdominal and musculoskeletal involvement in Erdheim-Chester disease: CT, MR and PET imaging findings Insights Imaging 2014, Pulmonary Langerhans cell histiocytosis: the many faces of presentation at initial CT scan Insights Imaging 2014, Looking beyond the thrombus: essentials of pulmonary artery imaging on CT Insights Imaging 2014. Kang J, Jeong DH, Yoo B, Lee CK, Kim YG, Hong S, Shim TS, Jo KW. The following review articles provide an overview of chest imaging. As author et al. Indian J Radiol Imaging 25:213–225 CrossRef PubMed PubMedCentral Google Scholar. Purpose To evaluate the efficacy of deep convolutional neural networks (DCNNs) for detecting tuberculosis (TB) on chest radiographs. Trends in diagnostic methods and treatment of latent tuberculosis infection in a tertiary care center from 2000 to 2017. A TBNET study. We searched 4 databases up to September 2017 and systematically reviewed cross-sectional and cohort studies reporting LTBI-CXR lesions in individuals with a positive TST or IGRA, or both, result. Chest is the commonest site of involvement by tuberculosis (TB) in children; lungs being the most frequently affected region, followed by nodes, pleura and chest wall. Tuberculosis: Chest tuberculosis: Radiological review and imaging recommendations. Radiology has an important role in the diagnosis of PTB. Summary of Evidence . Auguste P, Tsertsvadze A, Pink J, Court R, Seedat F, Gurung T, Freeman K, Taylor-Phillips S, Walker C, Madan J, Kandala NB, Clarke A, Sutcliffe P. Health Technol Assess. Am J Respir Crit Care Med 2014; 190:1168–76. Positive PPD or tuberculosis (See CH-14: Other Chest Infections). Interpretation of plain chest roentgenogram. Raju S, Ghosh S, Mehta AC, et al. This pictorial review of 14 patients highlights the varied appearance of tuberculosis (TB) of the chest wall on CT. Objective: Current guidelines recommend screening for latent tuberculosis infection (LTBI) with a tuberculin skin test (TST) or interferon gamma release assay (IGRA), or both. 2012; 141: 545-558. The article reviews the imaging findings in CTB on various modalities. Summary of Evidence. Study of antituberculous medications in anthracofibrosis. ; Tuberculosis Network European Trials Group Risk assessment of tuberculosis in immunocompromised patients. -, Horsburgh CR., Jr Priorities for the treatment of latent tuberculosis infection in the United States.  |  Raoof S, Feigin D, Sung A, et al. Int J Tuberc Lung Dis 2001; 5(5): 455-61. Eur Respir J 2010; 36:1185–206. 48, No. Imaging of the Diaphragm, 16. 39. However, negative results cannot reliably exclude the diagnosis. Indian J Radiol Imaging 2015, Lung Volume Reduction in Pulmonary Emphysema from the Radiologist’s Perspective. 2020 Jul;39(7):1329-1337. doi: 10.1007/s10096-020-03850-7. Indian J Radiol Imaging 2015; 25(3): 213-25. Although few studies reported specified lesions, calcified nodules were most frequently reported in individuals with LTBI (proportion, 0.07; 95% CI, 0.02-0.11). Published by Oxford University Press on behalf of Infectious Diseases Society of America. Quant Imaging Med Surg 2015, Imaging of lung cancer: Implications on staging and management. Tuberc Respir Dis 2015, Segmentation and Image Analysis of Abnormal Lungs at CT: Current Approaches, Challenges, and Future Trends.

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