y*****0
发帖数: 10 | 1 结核菌素皮试（tuberculin skin test，TST）或者血液结核测试（interferon gamma
release assay ，IGRA， including the QuantiFERON ® TB Gold Test, the
QuantiFERON® TB Gold in Tube Test, and the T-Spot ® TB Test）的结果
以及解释，是485体检当中困扰大多数兄姐妹的问题。本人也在MITBBS潜水多年，绿卡
申请收获良多，却从来没有发表过只言片语。最近在申请485体检的过程中，我和LD的
结核菌数实验皆为阳性，搜寻了整个MITBBS，看来大家对此问题的看法有许多不一致的
地方，因此抖胆注册了信息，盼望可以澄清一些问题。
下面的链接为移民局官方网站专门对于TB的一些最新解释和回答，大家可以点击一一查
看和讨论。
http://www.uscis.gov/portal/site/uscis/menuitem.5af9bb95919f35e
我仅仅就最容易困惑我自己和多数人的问题根据移民局网站进行解释：
1. TST阳性，X线胸片检查阴性是否影响绿卡申请？
这一情况下体检医生会报告隐性结核感染（Latent TB infection）。医生可以推荐你
进行治疗，但是仅是推荐而不是硬性要求（你可以不接受治疗）。医生应尽快完成你的
体检表格，这一报告并不影响你的绿卡申请。
移民局官网原文：
Q. What is my skin test is positive and my chest x-ray is normal?
A. If you are diagnosed with Class B, Latent TB infection, the civil surgeon
may recommend you go to the health department for further assessment and
preventative treatment. However, it is only recommended (not required) that
you get assessed by the local health department. The civil surgeon can
immediately sign Form I-693 and give it to you in a sealed envelope provided
that all other examinations are up-to-date, and you can be medically
cleared for immigration purposes prior to the referral to the health
department TB control program.
2. 如果医生未进行结核菌素皮肤测试和血液检查，直接拍片，移民局是否接受？
不接受，必须先做皮肤测试或者血液检查，阳性才拍胸片。
Q. Will USCIS accept a Form I-693 if the civil surgeon performed a chest x-
ray without the initial TB test (either TST or IGRA)?
A. No. USCIS will not accept a Form I-693 if the civil surgeon performed a
chest x-ray without the initial TB screening test (either TST or IGRA) and
if the civil surgeon failed to provide a valid exception to the TST or IGRA
initial screening requirement.
3. 胸片阅片结果是否需要附在体检表中？
是，必须将放射科医生的阅片报告附上，不能只由体检医生在表格中简单描述。
Q. If a chest x-ray is required, will USCIS accept Form I-693 without the
full and formal chest x-ray report?
A. No. If a chest x-ray is required, the TB Component of the Technical
Instructions for the Medical Examination of Aliens in the United States (May
2008), and its update require the civil surgeon to submit a full and formal
chest x-ray report. This report should be as follows:
The chest x-ray should be interpreted by a radiologist or other qualified
physician who is trained and experienced in reading chest radiographs
demonstrating TB or other diseases of the lungs. After interpreting the
results, the radiologist or other qualified physician should create and sign
the full and formal report on official hospital or medical office
letterhead. USCIS will accept the original or a copy of the report. USCIS
cannot accept any preliminary or incomplete evaluation, whether handwritten
or not, that does not describe the full evaluation or findings. In most
cases, the civil surgeon will have to wait a day or two before this report
has been sent by the reviewing medical office and cannot not sign off on the
Form I-693 until this report has been received.
4. 什么条件下需要拍胸片？
结核菌素实验或者血液检查阳性。（出现结核症状，免疫抑制状态等后三种情况皆不在
此文讨论范围之内）。
Q. When is a chest x-ray required?
A. Every applicant is required to undergo a chest x-ray if one of the
following applies:
• The applicant has a TST reaction of 5mm or greater of induration (
including pregnant or possibly pregnant individuals)
• The applicant has a positive IGRA result (including pregnant or
possibly pregnant individuals)
• The applicant was not required to undergo the TST or IGRA testing
because of the exceptions specified in the TB Component of the Technical
Instructions for the Medical Examination of Aliens in the United States (May
2008), and its update, applied to the applicant
• The applicant has signs or symptoms of TB (regardless of the initial
testing result)
• The applicant is immunosuppressed (regardless of the initial testing
result)
5.什么情况下可以不做皮肤或者血液检查，直接拍胸片？
需要提供以前具有皮肤或者血液检查阳性的文件，包括时间，皮球直径描述，何种PPD
，血液检查结果，医生签名，不接受口头报告。如果曾经有严重皮肤反应，例如水泡等
可以不做，但是没有书面文件，口头报告估计也不行。
Q. Are there any exceptions to the initial TB testing requirement?
A. Yes. Under the May 2008 TB Component of the Technical Instructions for
the Medical Examination of Aliens in the United States, and its update, an
applicant may not be required to undergo the initial TB screening testing
with a TST or IGRA under the following circumstances:
• Applicants providing written documentation (with a health care
provider's signature) of a TST reaction of 5 mm or greater of induration.
For this TST exception to apply, the written documentation must include:
1) The date of the test;
2) The millimeters of induration;
3) The type of PPD used;
4) The testing health care provider's name, signature, and office
information.
A verbal history from an applicant of a positive TST reaction is not
acceptable.
• Applicants who have a history of a severe reaction with blistering
to a prior TST.
• Applicants providing written documentation (with the health care
provider's signature) of a prior positive IGRA. If more than one IGRA has
previously been performed, the most recent result should be used by the
civil surgeon. The written documentation must include:
1) The date of the test;
2) The type of IGRA performed;
3) The test results including units of measurement;
4) The testing health care provider's name, signature, and office
information.
A verbal history from the applicant of a positive IGRA result is not
acceptable.
If one of these exceptions applies, the civil surgeon is directed to
annotate the Form I-693 accordingly and to have the applicant undergo a
chest x-ray.
6. 什么时候医生开始使用血液结核检查？
在2009年11月之后，医生可以使用血液检查。在这之前，移民局只接受皮肤结核菌素测
试。
Q. When can a civil surgeon start to use the IGRA tests in place of the TST?
A. With the publication of the Update to the TB Component of the Technical
Instructions for the Medical Examination of Aliens in the United States (
available at http://www.cdc.gov/ncidod/dq/civil.htm) any initial testing for TB may be done by either using the TST or the IGRA as initial TB testing method. That is, for medical examinations conducted on or after November 1, 2009, the civil surgeon may use any of these methods. However, if the IGRA method is used, the civil surgeon must record the results of the IGRA test on the newest version of the Form I-693, Report of Medical Examination and Vaccination Record (edition October 14, 2009). Older versions of Form I-693 cannot be used for recording the IGRA results.
If a Form I-693 is completed prior to November 1, 2009 by using other
methods than the TST, the form will be rejected.
皮肤结核菌素实验和血液检测，哪个更好？
二者均由FDA批准。皮肤测试需要等72小时来看，血液检测不用。可以自己决定用哪一
个。
Q. Which initial testing method is better, the TST or the IGRA blood tests?
A. Each of these tests has been approved by the federal Food and Drug
Administration (FDA) as suitable methods for initial testing for TB. While
the TST may be inconvenient due to the need of a follow up visit, the IGRA
tests have availability and cost limitations. Once the civil surgeon has
informed you of your options, you can make a decision.
是否需要两个都做？
不需要，一个就行。
Q. Do I need both the TST and an IGRA test?
A. No. Only one of the tests is required as an initial screening method to
determine whether you are infected with TB. Also, only one initial screening
method is allowed, according to the update to the TB Component, as
published on CDC's website at http://cdc.gov/ncidod/dq/civil.htm. | g***i
发帖数: 1972 | 2 直接x光就行了
gamma
★ 发自iPhone App: ChineseWeb 7.8
【在 y*****0 的大作中提到】
: 结核菌素皮试（tuberculin skin test，TST）或者血液结核测试（interferon gamma
: release assay ，IGRA， including the QuantiFERON ® TB Gold Test, the
: QuantiFERON® TB Gold in Tube Test, and the T-Spot ® TB Test）的结果
: 以及解释，是485体检当中困扰大多数兄姐妹的问题。本人也在MITBBS潜水多年，绿卡
: 申请收获良多，却从来没有发表过只言片语。最近在申请485体检的过程中，我和LD的
: 结核菌数实验皆为阳性，搜寻了整个MITBBS，看来大家对此问题的看法有许多不一致的
: 地方，因此抖胆注册了信息，盼望可以澄清一些问题。
: 下面的链接为移民局官方网站专门对于TB的一些最新解释和回答，大家可以点击一一查
: 看和讨论。
: http://www.uscis.gov/portal/site/uscis/menuitem.5af9bb95919f35e
| y*****0
发帖数: 10 | | L*******n
发帖数: 1447 | 4 赞
gamma
结果
【在 y*****0 的大作中提到】
: 结核菌素皮试（tuberculin skin test，TST）或者血液结核测试（interferon gamma
: release assay ，IGRA， including the QuantiFERON ® TB Gold Test, the
: QuantiFERON® TB Gold in Tube Test, and the T-Spot ® TB Test）的结果
: 以及解释，是485体检当中困扰大多数兄姐妹的问题。本人也在MITBBS潜水多年，绿卡
: 申请收获良多，却从来没有发表过只言片语。最近在申请485体检的过程中，我和LD的
: 结核菌数实验皆为阳性，搜寻了整个MITBBS，看来大家对此问题的看法有许多不一致的
: 地方，因此抖胆注册了信息，盼望可以澄清一些问题。
: 下面的链接为移民局官方网站专门对于TB的一些最新解释和回答，大家可以点击一一查
: 看和讨论。
: http://www.uscis.gov/portal/site/uscis/menuitem.5af9bb95919f35e
| x***h
发帖数: 9020 | 5 bless
gamma
【在 y*****0 的大作中提到】
: 结核菌素皮试（tuberculin skin test，TST）或者血液结核测试（interferon gamma
: release assay ，IGRA， including the QuantiFERON ® TB Gold Test, the
: QuantiFERON® TB Gold in Tube Test, and the T-Spot ® TB Test）的结果
: 以及解释，是485体检当中困扰大多数兄姐妹的问题。本人也在MITBBS潜水多年，绿卡
: 申请收获良多，却从来没有发表过只言片语。最近在申请485体检的过程中，我和LD的
: 结核菌数实验皆为阳性，搜寻了整个MITBBS，看来大家对此问题的看法有许多不一致的
: 地方，因此抖胆注册了信息，盼望可以澄清一些问题。
: 下面的链接为移民局官方网站专门对于TB的一些最新解释和回答，大家可以点击一一查
: 看和讨论。
: http://www.uscis.gov/portal/site/uscis/menuitem.5af9bb95919f35e
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