Characterization of progressive HIV-associated tuberculosis using 2-deoxy-2-[(18)F]fluoro-D-glucose positron emission and computed tomography.

Characterization of progressive HIV-associated tuberculosis using 2-deoxy-2-[(18)F]fluoro-D-glucose positron emission and computed tomography.
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DOI:
10.1038/nm.4161
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发表时间:
2016-10
期刊:
影响因子:
82.9
通讯作者:
Wilkinson, Robert J.
Wilkinson, Robert J.
中科院分区:
医学1区
文献类型:
--
作者:
Esmail, Hanif;Lai, Rachel P.;Lesosky, Maia;Wilkinson, Katalin A.;Graham, Christine M.;Coussens, Anna K.;Oni, Tolu;Warwick, James M.;Said-Hartley, Qonita;Koegelenberg, Coenraad F.;Walzl, Gerhard;Flynn, JoAnne L.;Young, Douglas B.;Barry, Clifton E., III;O'Garra, Anne;Wilkinson, Robert J.

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结核病通常分为潜伏感染和活动性疾病。在35例无症状、抗逆转录病毒治疗初治、HIV-1感染的潜伏性结核病成人中,我们使用正电子发射和计算机断层扫描相结合的方法,确定了10例肺部异常提示亚临床、活动性疾病的患者,这些患者更有可能进展为临床疾病。我们的研究结果挑战了传统的两态范式,并可能有助于未来识别预测进展的生物标志物。
Tuberculosis is classically divided into states of latent infection and active disease. Using combined positron emission and computed tomography in 35 asymptomatic, antiretroviral therapy naïve, HIV-1 infected adults with latent tuberculosis, we identified ten individuals with pulmonary abnormalities suggestive of subclinical, active disease who were significantly more likely to progress to clinical disease. Our findings challenge the conventional two-state paradigm and may aid future identification of biomarkers predictive of progression.
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