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肺部的“碎石路样改变”

["Crazy paving" of the lungs].

作者信息

Euler André, Bremerich Jens, Niemann Tilo

机构信息

Klinik für Radiologie und Nuklearmedizin, Universitätsspital Basel.

出版信息

Praxis (Bern 1994). 2014 Mar 26;103(7):385-9. doi: 10.1024/1661-8157/a001606.

DOI:10.1024/1661-8157/a001606
PMID:24686759
Abstract

The term «crazy paving» describes an unspecific pattern in thoracic computed-tomography mimicking a paving stone configuration. This pattern can be caused by a number of differential diagnosis, for example alveolar hemorrhage, alveolar proteinosis, lipoid pneumonia or adenocarcinoma in situ. The knowledge of the correlation between imaging findings, histopathological pattern and clinical presentation prepares the clinician to understand the pathophysiology and to initiate the right therapeutic processes. In the following review, we describe the most common diseases and their radiologic correlation in daily practice.

摘要

术语“碎石路样”描述了胸部计算机断层扫描中一种非特异性的影像表现,类似铺路石的形态。这种表现可能由多种鉴别诊断引起,例如肺泡出血、肺泡蛋白沉积症、类脂性肺炎或原位腺癌。了解影像学表现、组织病理学形态和临床表现之间的关联,有助于临床医生理解病理生理学并启动正确的治疗流程。在以下综述中,我们描述了日常实践中最常见的疾病及其影像学关联。

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1
["Crazy paving" of the lungs].肺部的“碎石路样改变”
Praxis (Bern 1994). 2014 Mar 26;103(7):385-9. doi: 10.1024/1661-8157/a001606.
2
"Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview.肺部薄层CT的“铺路石征”:放射学-病理学概述
Radiographics. 2003 Nov-Dec;23(6):1509-19. doi: 10.1148/rg.236035101.
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Pulmonary alveolar proteinosis versus exogenous lipoid pneumonia showing crazy-paving pattern: Comparison of their clinical features and high-resolution CT findings.表现为铺路石样改变的肺泡蛋白沉积症与外源性类脂性肺炎:临床特征及高分辨率CT表现比较
Acta Radiol. 2010 May;51(4):407-12. doi: 10.3109/02841850903575332.
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Crazy-paving appearance at thin-section CT: spectrum of disease and pathologic findings.薄层CT上的铺路石样表现:疾病谱与病理表现
Radiology. 1999 Apr;211(1):155-60. doi: 10.1148/radiology.211.1.r99ap10155.
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Pulmonary melanoma and "crazy paving" patterns in chest images: a case report and literature review.肺部黑色素瘤与胸部影像中的“铺路石征”:一例报告及文献综述
BMC Cancer. 2016 Aug 3;16:592. doi: 10.1186/s12885-016-2630-5.
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The crazy-paving pattern in exogenous lipoid pneumonia: CT-pathologic correlation.外源性类脂性肺炎的铺路石样表现:CT与病理对照
AJR Am J Roentgenol. 1998 Feb;170(2):315-7. doi: 10.2214/ajr.170.2.9456935.
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Crazy paving pattern caused by pulmonary alveolar proteinosis: CT findings and the pathologic basis.肺泡蛋白沉积症所致的铺路石样表现:CT表现及病理基础
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Sep;39(9):924-9. doi: 10.11817/j.issn.1672-7347.2014.09.010.
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AIDS-related Kaposi sarcoma of the lung presenting with a "crazy-paving" pattern on high-resolution CT: imaging and pathologic findings.艾滋病相关的肺卡波西肉瘤在高分辨率CT上呈现“铺路石征”:影像学及病理表现
J Thorac Imaging. 2008 May;23(2):135-7. doi: 10.1097/RTI.0b013e31815a662d.
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[Alveolar microlithiasis: an uncommon cause of the crazy paving pattern].[肺泡微石症:铺路石样表现的罕见病因]
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Pulmonary alveolar microlithiasis presenting with crazy-paving pattern on high resolution CT.高分辨率CT上呈现铺路石样表现的肺泡微石症。
Br J Radiol. 2004 Nov;77(923):974-6. doi: 10.1259/bjr/96331922.

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