{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T07:12:41Z","timestamp":1696317161581},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2015,12]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>Active pulmonary tuberculosis in A<\/jats:styled-content>ustralia is considered more common in migrants and the immunocompromised, but little data exist on how it manifests in non\u2010migrants. This study identified the radiographic findings of active pulmonary tuberculosis in the H<\/jats:styled-content>unter R<\/jats:styled-content>egion, NSW<\/jats:styled-content>, A<\/jats:styled-content>ustralia, and determined whether this manifests differently in non\u2010migrant and migrant populations.<\/jats:p><\/jats:sec>Methods<\/jats:title>We retrospectively analysed 64 patients over 8 years from the H<\/jats:styled-content>unter R<\/jats:styled-content>egion, who had positive M<\/jats:styled-content>ycobacterium tuberculosis cultures and contemporaneous thoracic imaging. Recorded data included age, gender, country of origin and chest radiographic findings, the latter categorised into apical fibrocavitatory disease, mixed apical fibrocavitation and consolidation, consolidation, lymphadenopathy, pleural effusions, tree\u2010in\u2010bud, empyema and miliary nodules.<\/jats:p><\/jats:sec>Results<\/jats:title>Sixty\u2010four patients (men\u2009=\u200937, women\u2009=\u200927) had available thoracic imaging, of which 34 were A<\/jats:styled-content>ustralian born. There was no statistically significant difference in the age between A<\/jats:styled-content>ustralian\u2010born and migrants (49.1 years (95% confidence interval, CI<\/jats:styled-content> 42.8\u201355.5) vs 48.2 years (95% CI<\/jats:styled-content> 41.1\u201355.3), P<\/jats:italic>\u2009=\u20090.71). The most common radiographic manifestations were purely apical fibrocavitatory lesions (22%), mixed apical fibrocavitation and consolidation (6%) and purely consolidation (27%). Migrants were more likely to have consolidation (40%), while A<\/jats:styled-content>ustralian\u2010born individuals were more likely to have apical fibrocavitatory lesions (26%). A<\/jats:styled-content>ustralian\u2010born individuals were slightly more likely to have a normal chest radiograph (18% vs 10%).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>There are radiographic differences between A<\/jats:styled-content>ustralian\u2010born and migrant populations with active pulmonary tuberculosis. Migrants are more likely to present with consolidation, and A<\/jats:styled-content>ustralian\u2010born with fibrocavitatory lesions. A normal chest radiograph does not exclude active tuberculosis, and while thoracic computed tomography may be useful to detect tree\u2010in\u2010bud opacities, neither should not detract from commencing treatment of a positive culture for tuberculosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.12351","type":"journal-article","created":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T19:49:37Z","timestamp":1441223377000},"page":"668-672","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of roentgenographic manifestations of active pulmonary tuberculosis between migrant and non\u2010migrant populations in the H<\/scp>unter R<\/scp>egion"],"prefix":"10.1111","volume":"59","author":[{"given":"Samantha M","family":"Stott","sequence":"first","affiliation":[{"name":"Hunter New England Area Health Service University of Newcastle Newcastle New South Wales Australia"},{"name":"School of Medicine and Public Health University of Newcastle Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry","family":"Soans","sequence":"additional","affiliation":[{"name":"Hunter New England Area Health Service University of Newcastle Newcastle New South Wales Australia"},{"name":"School of Medicine and Public Health University of Newcastle Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John QH","family":"Bui","sequence":"additional","affiliation":[{"name":"Hunter New England Area Health Service University of Newcastle Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"82","article-title":"Tuberculosis notifications in Australia, 2008 and 2009. National Tuberculosis Advisory Committee, for the Communicable Diseases Network Australia","volume":"36","author":"Barry C","year":"2012","journal-title":"Commun Dis Intell Q Rep"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.11395"},{"key":"e_1_2_6_4_1","first-page":"157","article-title":"Results of tuberculosis screening in applicants for migration in Vietnam and Cambodia","volume":"9","author":"Plant AJ","year":"2005","journal-title":"Int J Tuberc Lung Dis"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1444-0903.2004.00560.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2000.00527.x"},{"key":"e_1_2_6_7_1","first-page":"742","article-title":"Tuberculosis\u2010related deaths in Queensland, Australia, 1989\u20131998: characteristics and risk factors","volume":"7","author":"Walpola HC","year":"2003","journal-title":"Int J Tuberc Lung Dis"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1987.tb00110.x"},{"key":"e_1_2_6_9_1","first-page":"2248","article-title":"Why the tuberculosis incidence rate is not falling in New Zealand","volume":"119","author":"Das D","year":"2006","journal-title":"N Z Med J"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-946581"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-5-111"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.186.3.8430169"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1754-9485.12351","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.12351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:51:24Z","timestamp":1696283484000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.12351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1111\/1754-9485.12351"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.12351","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9]]},"assertion":[{"value":"2015-01-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-06-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-09-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}