Raju Shine, Ghosh Subha, Mehta Atul C
Respiratory Institute, Cleveland Clinic, Cleveland, OH.
Radiology Institute, Cleveland Clinic, Cleveland, OH.
Chest. 2017 Jun;151(6):1356-1374. doi: 10.1016/j.chest.2016.12.033. Epub 2017 Feb 16.
CT scanning of the chest is one of the most important imaging modalities available to a pulmonologist. The advent of high-resolution CT scanning of the chest has led to its increasing use. Although chest radiographs are still useful as an initial test, their utility is limited in the diagnosis of lung diseases that depend on higher resolution images such as interstitial lung diseases and pulmonary vascular diseases. Several metaphoric chest CT scan signs have been described linking abnormal imaging patterns to lung diseases. Some of these are specific to a disease, whereas others help narrow the differential diagnosis. Recognizing these imaging patterns and CT scan signs are thus vitally important. In the present article, we describe a comprehensive list of the commonly encountered metaphoric chest CT scan signs and their clinical relevance.
胸部CT扫描是肺科医生可采用的最重要的成像方式之一。胸部高分辨率CT扫描的出现使其应用日益广泛。尽管胸部X线片作为初始检查仍有用,但在诊断诸如间质性肺疾病和肺血管疾病等依赖更高分辨率图像的肺部疾病时,其效用有限。已经描述了几种隐喻性胸部CT扫描征象,将异常成像模式与肺部疾病联系起来。其中一些征象对某种疾病具有特异性,而其他征象则有助于缩小鉴别诊断范围。因此,识别这些成像模式和CT扫描征象至关重要。在本文中,我们列出了常见的隐喻性胸部CT扫描征象及其临床意义的详尽清单。