Choosing Wisely: Computed Tomography In The Diagnosis Of Adolescents With Intrathoracic Tuberculosis

Spenta Kakalia,Aparna Chakravarty,David Manson,Ray Lam,Valerie Waters,Ian Kitai

JOURNAL OF THE PEDIATRIC INFECTIOUS DISEASES SOCIETY（2021）

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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.

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关键词

computed tomography, diagnostic imaging, pediatric, radiation exposure, tuberculosis, utility

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