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特发性肺纤维化的影像学检查

Imaging of Idiopathic Pulmonary Fibrosis.

作者信息

Kusmirek Joanna E, Martin Maria Daniela, Kanne Jeffrey P

机构信息

Department of Radiology, Virginia Commonwealth University, 1250 East Marshall Street, Richmond, VA 23298, USA.

Department of Radiology, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792-3252, USA.

出版信息

Radiol Clin North Am. 2016 Nov;54(6):997-1014. doi: 10.1016/j.rcl.2016.05.004.

Abstract

Idiopathic interstitial pneumonias are a heterogeneous group of diffuse lung diseases characterized by distinct clinicopathologic entities with the usual interstitial pneumonia (UIP) being the most common. The pattern of UIP can be seen in idiopathic pulmonary fibrosis (IPF) as well as in secondary causes, most commonly in connective tissue diseases. IPF is usually progressive and associated with a very poor prognosis, and newer therapies pose a risk of serious complications; therefore, diagnostic certainty is crucial. This article reviews the radiologic findings in UIP with clinical correlation and histopathologic features along with its significance for prognosis and patients monitoring.

摘要

特发性间质性肺炎是一组异质性的弥漫性肺疾病,其特征为具有不同的临床病理实体,其中普通型间质性肺炎(UIP)最为常见。UIP模式可见于特发性肺纤维化(IPF)以及继发性病因,最常见于结缔组织病。IPF通常呈进行性发展,预后很差,新的治疗方法有严重并发症的风险;因此,明确诊断至关重要。本文回顾了UIP的影像学表现,并将其与临床、组织病理学特征相关联,同时阐述了其对预后及患者监测的意义。

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