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高分辨率计算机断层扫描在特发性肺纤维化的诊断和随访中的应用。

High-resolution computed tomography in the diagnosis and follow-up of idiopathic pulmonary fibrosis.

机构信息

Dipartimento di Scienze Cliniche, Sezione di Diagnostica per Immagini, Università degli Studi di Parma, Parma, Italy.

出版信息

Radiol Med. 2010 Jun;115(4):526-38. doi: 10.1007/s11547-010-0512-5. Epub 2010 Jan 15.

DOI:10.1007/s11547-010-0512-5
PMID:20082223
Abstract

Idiopathic pulmonary fibrosis (IPF) is the most common interstitial lung disease and is associated with a fatal prognosis. Familiarity with the typical appearances of IPF on high-resolution computed tomography (HRCT) is important, as in the appropriate clinical setting, it is often sufficient for establishing a confident diagnosis of IPF without the need for surgical biopsy. Moreover, HRCT can provide important prognostic information in IPF. This is noteworthy, as the course of IPF is variable, and many patients develop complications leading to respiratory failure and death. The purpose of this paper is to review the progress made towards a better understanding of the HRCT patterns of IPF.

摘要

特发性肺纤维化(IPF)是最常见的间质性肺疾病,与致命预后相关。熟悉高分辨率计算机断层扫描(HRCT)上的 IPF 典型表现非常重要,因为在适当的临床环境中,它通常足以在无需手术活检的情况下建立对 IPF 的明确诊断。此外,HRCT 可以为 IPF 提供重要的预后信息。这一点值得注意,因为 IPF 的病程是可变的,许多患者会出现导致呼吸衰竭和死亡的并发症。本文旨在综述在更好地理解 IPF 的 HRCT 模式方面取得的进展。

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Nonspecific interstitial pneumonia: radiologic, clinical, and pathologic considerations.非特异性间质性肺炎:放射学、临床及病理学考量
Radiographics. 2009 Jan-Feb;29(1):73-87. doi: 10.1148/rg.291085096.
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The effect of diffuse pulmonary fibrosis on the reliability of CT signs of pulmonary hypertension.
Idiopathic interstitial pneumonias: do HRCT criteria established by ATS/ERS/JRS/ALAT in 2011 predict disease progression and prognosis?
特发性间质性肺炎:2011年美国胸科学会/欧洲呼吸学会/日本呼吸学会/拉丁美洲胸科协会制定的高分辨率计算机断层扫描标准能否预测疾病进展和预后?
Radiol Med. 2015 Oct;120(10):930-40. doi: 10.1007/s11547-015-0526-0. Epub 2015 Mar 6.
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Respir Res. 2013;14 Suppl 1(Suppl 1):S3. doi: 10.1186/1465-9921-14-S1-S3. Epub 2013 Apr 16.
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