Radiological diagnoses and follow-up of chronic pulmonary aspergillosis (CPA)
| Population | Intention | Intervention | SoR | QoE | Ref. | Comment |
| Any features of cavitation, fungal ball, pleural thickening and/or upper lobe fibrosis | Raise suspicion of CPA for physicians | Radiological report must mention possible CPA | A | II | [10, 11, 24, 25, 40, 55, 56] | CPA is often missed for years and patients mismanaged; microbiological testing required for confirmation |
| Suspicion of CPA on chest radiograph | Diagnosis or exclusion of CPA | CT scan (contrast) | A | II | [55] | High quality CT with vessel visualisation |
| PET scan | D | III | [57, 58] | Expert radiology advice | ||
| Follow-up on or off therapy | CT (low dose) | B | III | [15, 55] | General need to minimise radiation exposure, especially multiple CT scans | |
| Chest radiograph | B | III | ||||
| Initial follow-up at 3 or 6 months or with change of status | A | II | [15, 59] |
SoR: strength of recommendation; QoE: quality of evidence; CT: computed tomography; PET: positron emission tomography.