肺 Mycobacterium avium 复杂疾病的放射特征的纵向变化
Chie Watanabe1, Ryohei Suematsu1, Tomoya Sano1
1Division of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Saitama, Japan.
Heliyon
|August 21, 2023
概括
飞菌复杂性肺病 (MAC-PD) 显示可逆性结节和透,但腔和浸泡不管治疗方式如何,都会进展. 在MAC-PD患者中,早期干预可以预防不可逆转的肺损伤.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 飞菌复杂肺病 (MAC-PD) 是一种由非结核菌菌引起的严重肺部感染.
- 马克-PD的放射性特征包括结节,透,腔腔和脱落,但它们对治疗的反应尚不清楚.
研究的目的:
- 用序列计算机断层扫描 (CT) 扫描来评估MAC-PD放射因子的纵向变化.
- 为了研究治疗和未治疗的MAC-PD患者的特定放射性病变的进展.
主要方法:
- 84名MAC-PD患者的回顾性分析和可用的年度CT记录.
- 放射性病变的分类为结节 (N),透 (I),空洞 (C) 和脱落 (E).
- 使用混合效应模型分析治疗和不治疗组的纵向变化.
主要成果:
- 未经治疗的MAC-PD表现为结节,透和脱的进展.
- 治疗表明改善结节和透的趋势.
- 不管治疗状态如何,腔和抽都呈现出进展.
结论:
- 在MAC-PD的放射性变化可以分为可逆的 (结节,透) 和不可逆的 (腔,阳光).
- 早期开始治疗对于潜在地预防MAC-PD中不可逆转的肺损伤的发展至关重要.
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