Zompatori Maurizio, Sverzellati Nicola, Poletti Venerino, Bnà Claudio, Ormitti Francesca, Spaggiari Enrica, Maffei Erica
Department of Radiology, University Hospital of Parma, University of Parma, Italy.
Semin Ultrasound CT MR. 2005 Oct;26(5):332-47. doi: 10.1053/j.sult.2005.07.004.
The chest radiograph remains the first imaging modality for the approach to diffuse infiltrative lung disease (DILD), but, 23 years after its introduction, high-resolution CT (HRCT) is still considered the best imaging tool for the evaluation of the pulmonary interstitium and to diagnose and assess DILD. The introduction of multidetector computed tomography (MDCT) has provided the thoracic radiologist with a powerful tool with which to image the lung. Moreover MDCT has enabled radiologists to understand better the functional information contained within CT images of DILD. By focusing on the HRCT signs, patterns, and distributions of abnormalities, and mentioning the clinical aspects and the new recent advances in pulmonary imaging, in this article we provide an overview of a practical approach to the interpretation of the DILD.
胸部X线片仍是诊断弥漫性浸润性肺疾病（DILD）的首选影像学检查方法，然而，在其应用23年后，高分辨率CT（HRCT）仍被认为是评估肺间质以及诊断和评估DILD的最佳影像学工具。多排螺旋计算机断层扫描（MDCT）的出现为胸放射科医生提供了一种强大的肺部成像工具。此外，MDCT使放射科医生能够更好地理解DILD的CT图像中所包含的功能信息。通过关注HRCT的异常征象、模式和分布，并提及临床情况以及肺部成像的最新进展，本文将概述一种解读DILD的实用方法。
