Abstract
Imaging has an important complementary role in the diagnosis of pulmonary and extrapulmonary tuberculosis, particularly in patients with non-specific symptoms. It helps to detect lesions and confirm the diagnosis, evaluate the extent of disease and its complications, monitor its progress and response to treatment, as well as demonstrate residual or recurring disease after completion of therapy. Radiographs are an excellent screening tool and typically the initial radiological investigation, particularly for pulmonary and musculoskeletal tuberculosis. Computed tomography is utilized to further evaluate pulmonary, abdominal, urinary tract, and head and neck tuberculosis. Magnetic resonance imaging is the modality of choice for assessing tuberculosis in the brain, spine, and musculoskeletal system. Imaging modalities such as contrast fluoroscopy studies, ultrasound imaging, and nuclear medicine imaging, particularly positron-emission tomography, may also be of benefit in the management of selected patients suspected to have tuberculosis. Imaging techniques, such as ultrasound and computed tomography, are also used to guide diagnostic and therapeutic aspirations and drainages, as well as biopsies for histopathological confirmation of tuberculosis. As each of these modalities have their own advantages, disadvantages, and limitations, the modality of choice therefore varies, depending on the clinical indications, and should be tailored to each individual patient.
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Abbreviations
- CT:
-
Computed tomography
- IVU:
-
Intravenous urography
- MRI:
-
Magnetic resonance imaging
- PET:
-
Positron-emission tomography
- TB :
-
Tuberculosis
- US:
-
Ultrasound
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Teo, T.S.F., Kannivelu, A., Srinivasan, S., Peh, W.C.G. (2022). Imaging Techniques for Tuberculosis. In: Ladeb, M.F., Peh, W.C.G. (eds) Imaging of Tuberculosis. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-031-07040-2_4
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