Thacker Paul G, Vargas Sara O, Fishman Martha P, Casey Alicia M, Lee Edward Y
Department of Radiology and Radiological Science, Medical University of South Carolina, MSC 322, 96 Jonathan Lucas Street, Charleston, SC 29425, USA.
Department of Pathology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Radiol Clin North Am. 2016 Nov;54(6):1065-1076. doi: 10.1016/j.rcl.2016.05.012. Epub 2016 Aug 12.
Childhood interstitial lung disease represents a rare and heterogeneous group of diseases that can result in significant morbidity and mortality, some leading to death during infancy. CT is the imaging test of choice. Although many CT findings are nonspecific and a definitive diagnosis usually cannot be reached by CT alone, the interpreting radiologist is instrumental in defining disease extent and refining the diagnosis. Chest CTs are of key importance in guiding site selection for lung biopsy and for following disease progression and response to treatment. Thus, from the radiologist's perspective, ensuring maximal quality of CT imaging and interpretation is paramount.
儿童间质性肺疾病是一组罕见且异质性的疾病，可导致严重的发病和死亡，有些甚至在婴儿期就导致死亡。CT是首选的影像学检查。尽管许多CT表现是非特异性的，通常仅靠CT无法做出明确诊断，但解读影像的放射科医生对于确定疾病范围和完善诊断至关重要。胸部CT在指导肺活检的部位选择、跟踪疾病进展以及评估治疗反应方面具有关键作用。因此，从放射科医生的角度来看，确保CT成像和解读的最大质量至关重要。
