特发性间质性肺疾病的影像学特征。

IF 2 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Thoracic Imaging Pub Date : 2023-11-01 Epub Date: 2023-07-12 DOI:10.1097/RTI.0000000000000728
Kiran Batra, Traci N Adams
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引用次数: 2

摘要

特发性间质性肺炎(IIPs)是一组病因不明的弥漫性肺实质疾病,通过病史、体格检查、影像学、血清学检查以及必要时的组织病理学,与已知病因的弥漫性实质性肺疾病(如结缔组织病相关的间质性肺疾病或超敏性肺炎)区分开来。2013年美国胸科学会(ATS)/欧洲呼吸学会(ERS)指南是IIP最广泛接受的分类,包括以下诊断:特发性肺纤维化、特发性非特异性间质性肺炎、隐源性组织性肺炎、急性间质性炎、,特发性胸膜实质弹性纤维变性、呼吸性细支气管炎间质性肺病和脱屑性间质性肺炎。IIP诊断的金标准涉及肺科医生、放射科医生和病理学家之间的多学科讨论。这篇综述的重点将是讨论最常见IIP的成像特征,以及多学科讨论作为诊断金标准的作用。
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Imaging Features of Idiopathic Interstitial Lung Diseases.

Idiopathic interstitial pneumonias (IIPs) are a group of diffuse parenchymal lung diseases of unclear etiology and are distinguished from diffuse parenchymal lung diseases of known cause, such as connective tissue disease-related interstitial lung diseases or hypersensitivity pneumonitis by history, physical exam, imaging, serologic testing, and, when necessary, histopathology. The 2013 American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines are the most widely accepted classification of IIPs and include the following diagnoses: idiopathic pulmonary fibrosis, idiopathic nonspecific interstitial pneumonia, cryptogenic organizing pneumonia, acute interstitial pneumonia, idiopathic lymphocytic interstitial pneumonia, idiopathic pleuro-parenchymal fibroelastosis, respiratory bronchiolitis-interstitial lung disease, and desquamative interstitial pneumonia. The gold standard for diagnosis of IIP involves multidisciplinary discussion among pulmonologists, radiologists, and pathologists. The focus of this review will be to discuss the imaging features of the most common IIPs and the role of multidisciplinary discussion as the gold standard for diagnosis.

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来源期刊
Journal of Thoracic Imaging
Journal of Thoracic Imaging 医学-核医学
CiteScore
7.10
自引率
9.10%
发文量
87
审稿时长
6-12 weeks
期刊介绍: Journal of Thoracic Imaging (JTI) provides authoritative information on all aspects of the use of imaging techniques in the diagnosis of cardiac and pulmonary diseases. Original articles and analytical reviews published in this timely journal provide the very latest thinking of leading experts concerning the use of chest radiography, computed tomography, magnetic resonance imaging, positron emission tomography, ultrasound, and all other promising imaging techniques in cardiopulmonary radiology. Official Journal of the Society of Thoracic Radiology: Japanese Society of Thoracic Radiology Korean Society of Thoracic Radiology European Society of Thoracic Imaging.
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