Computed tomography in the diagnosis of bilateral renal tuberculosis: diagnostic value, limitations, and future...

As equipment improves and technology advances, the application of Computed Tomography (CT) in clinical disease diagnosis has become increasingly widespread, particularly demonstrating significant advantages in diagnosing solid lesions. However, CT scans still face challenges, including insufficient sensitivity and an inability to assess renal function when diagnosing bilateral renal tuberculosis (BRTB). By reviewing relevant high-quality literature, we compared the sensitivity, specificity, advantages, and limitations of USG, KUB, IVU, MRI, PET-CT, and CT in the diagnosis of BRTB. CT offers higher clinical detection rates and reduces the economic burden on patients compared to other imaging methods, making it the preferred modality for imaging in patients with BRTB. AI-assisted diagnosis and the integration of CT with PET may represent promising future directions for CT imaging.