Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening

Background/Aims We assessed the diagnostic yield of chest computed tomography (CT) as an initial diagnostic method for patients with a tuberculosis (TB) infection detected by mass screening in a country with an intermediate TB burden. Methods A retrospective study was conducted on patients with TB i...

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Autores principales:	Dong-Hyun Joo, Hyun Woo Lee, Seo-Young Yoon, Tae Yun Park, Eun Young Heo, Deog Kyeom Kim, Hee Soon Chung, Jung-Kyu Lee
Formato:	article
Lenguaje:	EN
Publicado:	The Korean Association of Internal Medicine 2021
Materias:	latent tuberculosis mass screening mass chest x-ray multidetector computed tomography Medicine R
Acceso en línea:	https://doaj.org/article/ff9b541e1c8b4c1aa0a1a10162663a92
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spelling	oai:doaj.org-article:ff9b541e1c8b4c1aa0a1a10162663a922021-11-08T00:59:06ZChest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening1226-33032005-664810.3904/kjim.2020.282https://doaj.org/article/ff9b541e1c8b4c1aa0a1a10162663a922021-11-01T00:00:00Zhttp://www.kjim.org/upload/pdf/kjim-2020-282.pdfhttps://doaj.org/toc/1226-3303https://doaj.org/toc/2005-6648Background/Aims We assessed the diagnostic yield of chest computed tomography (CT) as an initial diagnostic method for patients with a tuberculosis (TB) infection detected by mass screening in a country with an intermediate TB burden. Methods A retrospective study was conducted on patients with TB infection detected by mass screening performed between January 2015 and March 2018. The patients were classified according to whether they had a chest X-ray (CXR) or CT scan as an initial diagnostic test to exclude active TB. Results Of 542 patients with TB infection detected by mass screening, 222 and 320 were initially examined by CXR and CT, respectively; the two modalities showed no significant difference in rate of detection of patients with active TB (0.9% and 2.5%, respectively; p = 0.110). However, chest CT was associated with further invasive tests using bronchoscopy and respiratory specimens, and significantly increased the frequency of hospital visits. Conclusions Chest CT was not supported as an initial diagnostic method to rule out active TB in patients with a TB infection detected by mass screening in a country with an intermediate TB burden.Dong-Hyun JooHyun Woo LeeSeo-Young YoonTae Yun ParkEun Young HeoDeog Kyeom KimHee Soon ChungJung-Kyu LeeThe Korean Association of Internal Medicinearticlelatent tuberculosismass screeningmass chest x-raymultidetector computed tomographyMedicineRENThe Korean Journal of Internal Medicine, Vol 36, Iss 6, Pp 1410-1419 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	latent tuberculosis mass screening mass chest x-ray multidetector computed tomography Medicine R
spellingShingle	latent tuberculosis mass screening mass chest x-ray multidetector computed tomography Medicine R Dong-Hyun Joo Hyun Woo Lee Seo-Young Yoon Tae Yun Park Eun Young Heo Deog Kyeom Kim Hee Soon Chung Jung-Kyu Lee Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening
description	Background/Aims We assessed the diagnostic yield of chest computed tomography (CT) as an initial diagnostic method for patients with a tuberculosis (TB) infection detected by mass screening in a country with an intermediate TB burden. Methods A retrospective study was conducted on patients with TB infection detected by mass screening performed between January 2015 and March 2018. The patients were classified according to whether they had a chest X-ray (CXR) or CT scan as an initial diagnostic test to exclude active TB. Results Of 542 patients with TB infection detected by mass screening, 222 and 320 were initially examined by CXR and CT, respectively; the two modalities showed no significant difference in rate of detection of patients with active TB (0.9% and 2.5%, respectively; p = 0.110). However, chest CT was associated with further invasive tests using bronchoscopy and respiratory specimens, and significantly increased the frequency of hospital visits. Conclusions Chest CT was not supported as an initial diagnostic method to rule out active TB in patients with a TB infection detected by mass screening in a country with an intermediate TB burden.
format	article
author	Dong-Hyun Joo Hyun Woo Lee Seo-Young Yoon Tae Yun Park Eun Young Heo Deog Kyeom Kim Hee Soon Chung Jung-Kyu Lee
author_facet	Dong-Hyun Joo Hyun Woo Lee Seo-Young Yoon Tae Yun Park Eun Young Heo Deog Kyeom Kim Hee Soon Chung Jung-Kyu Lee
author_sort	Dong-Hyun Joo
title	Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening
title_short	Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening
title_full	Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening
title_fullStr	Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening
title_full_unstemmed	Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening
title_sort	chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening
publisher	The Korean Association of Internal Medicine
publishDate	2021
url	https://doaj.org/article/ff9b541e1c8b4c1aa0a1a10162663a92
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Chest computed tomography scan as an initial diagnostic method for tuberculosis infection detected by mass screening

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