Choosing Wisely: Computed Tomography in the Diagnosis of Adolescents With Intrathoracic Tuberculosis

被引：4
作者：
Kakalia, Spenta [1 ]
Chakravarty, Aparna [2 ]
Manson, David [3 ,4 ]
Lam, Ray [5 ,6 ]
Waters, Valerie [6 ,7 ]
Kitai, Ian [6 ,7 ]
机构：
[1] CMH Lahore Med Coll, Dept Paediat, Lahore, Pakistan
[2] Jamia Hamdard, Dept Paediat, Hamdard Inst Med Sci & Res, Delhi, India
[3] Hosp Sick Children, Dept Diagnost Imaging, Toronto, ON, Canada
[4] Univ Toronto, Dept Med Imaging, Div Pediat Imaging, Toronto, ON, Canada
[5] Univ Toronto, Bloomberg Fac Nursing, Toronto, ON, Canada
[6] Hosp Sick Children, Div Infect Dis, 555 Univ Ave, Toronto, ON M5G 1X8, Canada
[7] Univ Toronto, Dept Pediat, Toronto, ON, Canada
来源：
JOURNAL OF THE PEDIATRIC INFECTIOUS DISEASES SOCIETY | 2021年 / 10卷 / 04期
关键词：
computed tomography; diagnostic imaging; pediatric; radiation exposure; tuberculosis; utility; CHILDREN;
D O I：
10.1093/jpids/piaa134
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
In a retrospective study of adolescents with intrathoracic tuberculosis (TB), 26 out of the 81 (32%) patients had undergone chest computed tomography (CT). Chest CT was considered unnecessary in 7 (27%), necessary in 7 (27%), and possibly/probably helpful in 12 (46%). Promptly obtaining specimens for sputum smear microscopy, molecular testing, as well as culture for Mycobacterium tuberculosis could avoid several unnecessary CTs.
引用
收藏
页码：521 / 524
页数：4
相关论文
共 50 条
  • [41] Reliability of radiological diagnosis in children and adolescents with confirmed tuberculosis infection
    Brinkmann, Folke
    Hogrefe, Jana
    Berthold, Lars-Daniel
    Mueller-Heine, Annika
    Hansen, Gesine
    Schwerk, Nicolaus
    EUROPEAN RESPIRATORY JOURNAL, 2013, 42
  • [42] A systematic review and meta-analysis of computed tomography in the diagnosis of pediatric foreign body aspiration
    Azzi, Jayson Lee
    Seo, Chanhee
    McInnis, Graham
    Urichuk, Matthew
    Rabbani, Rasheda
    Rozovsky, Katya
    Leitao, Darren J.
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2023, 165
  • [43] Deep learning for precise diagnosis and subtype triage of drug-resistant tuberculosis on chest computed tomography
    Liang, Shufan
    Xu, Xiuyuan
    Yang, Zhe
    Du, Qiuyu
    Zhou, Lingyu
    Shao, Jun
    Guo, Jixiang
    Ying, Binwu
    Li, Weimin
    Wang, Chengdi
    MEDCOMM, 2024, 5 (03):
  • [44] Diagnostic accuracy of computed tomography in differentiating peritoneal tuberculosis from peritoneal carcinomatosis
    Sohail, Amir H.
    Khan, Muhammad S.
    Sajan, Abin
    Williams, Caroline Elizabeth
    Amodu, Leo
    Hakmi, Hazim
    Hadi, Yousaf Bashir
    Ismail, Sameeha
    Sohail, Sachal
    Ahmad, Muhammad N.
    CLINICAL IMAGING, 2022, 82 : 198 - 203
  • [45] Pulmonary sarcoidosis mimicking tuberculosis: Importance of the galaxy sign on thoracic computed tomography
    Gorospe Sarasua, Luis
    Urena-Vacas, Almudena
    Arrieta, Paola
    Lucia Santos-Carreno, Astrid
    Navas-Elorza, Enrique
    de la Puente-Bujidos, Carlos
    REUMATOLOGIA CLINICA, 2019, 15 (06): : E133 - E135
  • [46] ABDOMINAL TUBERCULOSIS - COMPARISON OF SONOGRAPHY AND COMPUTED-TOMOGRAPHY
    SHEIKH, M
    ABUZIDAN, F
    ALHILALY, M
    BEHBEHANI, A
    JOURNAL OF CLINICAL ULTRASOUND, 1995, 23 (07) : 413 - 417
  • [47] Use of low-dose computed tomography to assess pulmonary tuberculosis among healthcare workers in a tuberculosis hospital
    He Wei
    Chen BuDong
    Lv Yan
    Zhou Zhen
    Xu JinPing
    Lv PingXin
    Zhou XinHua
    Ning FengGang
    Li ChengHai
    Wang DongPo
    Zheng Jie
    贫困所致传染病（英文）, 2017, 6 (02)
  • [48] Use of low-dose computed tomography to assess pulmonary tuberculosis among healthcare workers in a tuberculosis hospital
    He, Wei
    Chen, Bu-Dong
    Lv, Yan
    Zhou, Zhen
    Xu, Jin-Ping
    Lv, Ping-Xin
    Zhou, Xin-Hua
    Ning, Feng-Gang
    Li, Cheng-Hai
    Wang, Dong-Po
    Zheng, Jie
    INFECTIOUS DISEASES OF POVERTY, 2017, 6
  • [49] EVALUATION OF THE INFORMATIVE VALUE OF TRANSTHORACIC TREPAN LUNG BIOPSY UNDER THE CONTROL OF MULTISLICE COMPUTED TOMOGRAPHY OF INTRATHORACIC FORMATIONS IN THE DIAGNOSIS OF LUNG FORMATIONS
    Okoneshnikova, A. K.
    Nikiforov, P. V.
    Fedorov, A. G.
    Nikolaeva, T. I.
    Tikhonova, M. I.
    YAKUT MEDICAL JOURNAL, 2023, (02): : 42 - 45
  • [50] Aortic Root Size by Echocardiogram Compared With Computed Tomography in Adolescents With Pectus Excavatum
    Arevalo, Alejandro
    Haddad, Lauren
    Johnson, Jason
    Jones, Tamekia L.
    Joshi, Vijaya
    JOURNAL OF THORACIC IMAGING, 2016, 31 (03) : 163 - 167
12345