肺部和鼻真菌感染成像在免疫功能低下的患者
Frederic Lamoth1, Katya Prakash2, Catherine Beigelman-Aubry3
1Service of Infectious Diseases, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; Institute of Microbiology, Department of Laboratory Medicine and Microbiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
概括
成像在诊断免疫受损患者的侵入性真菌感染方面发挥着至关重要的作用. 特定的CT发现,如光环标志,可以表明阿斯伯吉洛症或粘菌,有助于早期治疗.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 菌群学 菌群学是指菌群学的学科.
背景情况:
- 图像检查对于诊断侵袭性肺部和鼻真菌病至关重要.
- 菌诊断指南强调了成像的重要性.
- 本综述侧重于针对免疫功能低下个体的侵袭性阿斯伯吉洛症,粘膜菌和肺囊的成像.
研究的目的:
- 审查和总结有关成像方法和诊断侵入性真菌肺部和鼻疾病的研究结果的证据.
主要方法:
- 通过PubMed,谷歌学者,Embase和科学网进行全面的文献搜索.
- 数据收集的重点是成像方法和诊断结果.
- 在2023年4月1日之前进行的审查.
主要成果:
- 计算机断层扫描 (CT) 是疑似真菌性肺部或鼻疾病的首选成像方法.
- 具体的CT标志,如光环标志 (阿斯伯吉洛症) 和反向光环标志 (乳腺瘤) 进行了讨论.
- 鼻腔CT检测结果,如骨质侵蚀和,可以预测真菌感染.
结论:
- 图像检测对于诊断和管理免疫受损患者的侵入性真菌病 (IFD) 是必不可少的.
- 放射性征兆的灵敏度和特异性根据患者的病情而异.
- 定期审查成像检测结果和指导方针可以导致更早的IFD诊断和治疗.
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