肺结核合并肺癌影像学评估方法现状及进展

Current status and progress of imaging evaluation methods for detecting pulmonary tuberculosis combined with lung cancer

结核病是目前全世界第二大致死性传染病。肺癌在中国的发病率和病亡率均位于恶性肿瘤中的第一位。由于肺结核和肺癌可以共存,因此对二者进行鉴别是临床工作所面临的一项挑战。随着影像学技术的快速发展,影像学检查对肺结核及肺癌的早期识别为两种疾病的诊断过程提供了指引。笔者对肺结核合并肺癌的传统影像学评估方法及研究新进展进行综述,同时分析现有影像学评估方法所面临的挑战,以及未来发展的方向。

Tuberculosis ranks second of the leading causes of communicable disease induced deaths worldwide.Lung cancer ranks first in both morbidity and mortality of malignant tumors in China.Because pulmonary tuberculosis and lung cancer can coexist,their differentiation is a clinical challenge.With the rapid development of imaging technology,the early identification of pulmonary tuberculosis and lung cancer using image evaluation provides great guide for diagnostic process of these two diseases.This paper mainly reviews the classic imaging evaluation methods and the latest research progress of novel methods for detecting pulmonary tuberculosis and lung cancer comorbidity,and analyzes the challenges of existing imaging evaluation methods and the future development direction.