| Composite CT score-based assessment for comparative analysis of radiological feature and clinical factor in pulmonary non-tuberculous mycobacterial disease |
| Received:February 23, 2022 Revised:May 10, 2022 Click here to download the full text |
| Citation of this paper:MIAO Qing,WANG Mei-xia,PAN Jue,QU Hong,BAO Rong,YAO Yu-meng,MI Hong-fei,HU Bi-jie.Composite CT score-based assessment for comparative analysis of radiological feature and clinical factor in pulmonary non-tuberculous mycobacterial disease[J].Chinese Journal of Clinical Medicine,2022,29(3):409-414 |
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| Author Name | Affiliation | E-mail | | MIAO Qing | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | WANG Mei-xia | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | PAN Jue | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | QU Hong | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | BAO Rong | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | YAO Yu-meng | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | MI Hong-fei | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | HU Bi-jie | Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China | hu.bijie@zs-hospital.sh.cn |
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| Abstract:Objective To explore the factors influencing the imaging characteristics of non-tuberculous Mycobacterium lung disease in China by CT composite scoring system. Methods A total of 56 patients were retrospectively collected during September 2018 to October 2019 in Zhongshan Hospital, Fudan University with suspicious nontuberculous mucobacteria pulmonary disease (NTM-PD), according to the CT score, it is divided into groups with CT score <10 (n=27) and groups with CT score ≥ 10 (n=29). Clinical and imaging information were collected, and imaging evaluation intergrated bronchiectasis, tree-in-bud, nodular, consolidation, cavity, aspergilloma and lung segment into scoring system. Results Age was significantly increased in the CT score ≥ 10 group (65.63±11.2 vs 56.21±14.09, P=0.008). There was a correlation between age and CT score (r=0.322, P=0.016). CT scores of right upper middle lobe, left tongue segment and tree-in-bud sign were correlated with CT scores increasement with significant difference (all r>0.7, P<0.05). The correlation between left tongue lobe and tree-in-bud sign was strongly correlated (r=0.73, P=0.05). CT score affected the absorption rate of lesions in patients (P=0.037), but it may be related to confounding factors (HR=0.416, P=0.084). Conclusion The severe pulmonary lesions are mainly related to the bronchiectasis and tree-in-bud of left tongue segment. Elderly patients had more severe lung imaging lesions, and the absorption of the lesion was not obvious. |
| keywords:non-tuberculous Mycobacterium pulmonary disease CT score aging petient |
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