TB remains one of the most significant causes of morbidity and mortality in children worldwide. In the Northwest of England, UK we report an incidence of approximately 1.4 per 100,000 under 15 years of age. Diagnosis and management are subtle and complex. We explain the insensitivity of the screening tests currently available and widely relied upon in the adult sector. We highlight the importance of multidisciplinary team working exemplified by our Network model in the Northwest region of England. This virtual forum meets weekly and includes radiologists, pulmonologists, specialist nurses, infectious disease specialists and local clinicians. We discuss all new TB cases across the region, present imaging findings and document all decisions. We review these cases until discharge encompassing imaging findings in the acute disease phase, treatment phase and post infectious stage. These may go on to affect quality and length of life and include but are not limited to fibrotic scarring, bronchiectasis and intrapulmonary/pleural calcifications. We have extensive data from our virtual network (the largest in the United Kingdom) and will use this poster to show multiple high quality cases to highlight the importance of multidisciplinary team working. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Harris Debra, Maniyar Jenny, Dixon Rachel, Turnbull Louise, Dominiak Kate, Kapadia Tejas

Keywords: Tuberculosis, Multidisciplinary Education, Thoracic

As the regional referral centre for paediatric tuberculosis (TB) in Northwest England, we conducted a retrospective review of referrals to assess indications for CT imaging based on clinical presentation and chest X-ray (CXR) findings. A literature review was performed addressing latent TB detection, radiographic features in infants, the WHO End TB strategy, and NICE guidelines. CXR sensitivity for latent TB detection is as low as 15%, whereas CT imaging, despite higher radiation exposure, offers superior diagnostic accuracy. Guidelines recommend contrast-enhanced CT when CXR findings are inconclusive or diagnostic uncertainty exists. Our multicentre review identified CT indications including equivocal or abnormal CXRs, extrapulmonary lymphadenopathy, and suspected airway compression. Integral to our protocol is a region-wide multidisciplinary team (MDT) comprising paediatricians, radiologists, infectious disease, and respiratory specialists. The MDT convenes weekly to integrate clinical and radiological data, guiding imaging decisions and management. This collaborative approach ensures tailored, low-dose CT protocols with expedited reporting, enhancing diagnostic confidence and patient outcomes. The MDT also facilitates consideration of differential diagnoses, including malignancy and steroid effects. Our findings highlight the critical role of coordinated MDT discussion and protocol adherence in optimizing imaging strategies and improving paediatric TB care. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Maniyar Jenny, Harris Debra, Dixon Rachel, Turnbull Louise, Dominiak Kate, Kapadia Tejas

Keywords: Tuberculosis, Multidisciplinary Education, Thoracic