Qureshi Nagmi R, Gleeson Fergus V
Department of Radiology, Churchill Hospital, Headington, Oxford OX3 7LJ, UK.
Clin Chest Med. 2006 Jun;27(2):193-213. doi: 10.1016/j.ccm.2006.02.001.
Imaging plays an important role in the diagnosis and subsequent management of patients with pleural disease. The presence of a pleural abnormality is usually suggested following a routine chest x-ray, with a number of imaging modalities available for further characterization. This article describes the radiographic and cross-sectional appearances of pleural diseases, which are commonly encountered in every day practice. The conditions covered include benign and malignant pleural thickening, pleural effusions, empyema and pneumothoraces. The relative merits of CT, MRI and PET in the assessment of these conditions and the role of image-guided intervention are discussed.
影像学在胸膜疾病患者的诊断及后续治疗中发挥着重要作用。常规胸部X光检查后通常会提示胸膜异常的存在,有多种影像学检查方式可用于进一步明确特征。本文描述了胸膜疾病在影像学检查(X线及断层扫描)中的表现,这些表现常见于日常临床实践中。涵盖的病症包括良性和恶性胸膜增厚、胸腔积液、脓胸和气胸。文中还讨论了CT、MRI和PET在评估这些病症时的相对优势以及影像引导介入的作用。