From the Department of Thoracic Imaging, Hôpital Calmette, Boulevard Jules Leclercq, 59037 Lille, France (M.R.J.); Department of Medicine, University of British Columbia and Centre for Heart Lung Innovation, St Paul's Hospital, Vancouver, Canada (C.J.R.); Department of Radiology, UW-Madison School of Medicine and Public Health, Madison, Wis (M.L.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.N.C.L.); Division of Imaging, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (J.M.W.); Department of Respiratory Medicine, Hannover Medical School and German Centre of Lung Research (DZL), Hannover, Germany (M.M.H.); Department of Radiology, Saint Louis University School of Medicine, St Louis, Mo (P.O.A.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (L.R.G.); Department of Radiology, Vancouver General Hospital, Vancouver, Canada (J.M.); Department of Radiology and Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY (L.B.H.); Department of Radiology, Fujita Health University School of Medicine, Toyoake, Japan (Y.O.); Division of Cardiothoracic Surgery, University of California, San Diego, La Jolla, Calif (P.T.); Edinburgh Imaging, Queens Medical Research Institute, University of Edinburgh, Edinburgh, Scotland (E.J.R.v.B.); Department of Library and Knowledge Services (S.L.K.) and Department of Radiology (D.A.L.), National Jewish Health, Denver, Colo; Department of Radiology, Duke University School of Medicine, Durham, NC (G.D.R.); and Université Paris Saclay, Inserm UMR S999, Department of Pneumology, AP-HP, Pulmonary Hypertension Reference Center, Hôpital de Bicêtre, Le Kremlin Bicêtre, France (M.H.).
Radiology. 2021 Mar;298(3):531-549. doi: 10.1148/radiol.2020203108. Epub 2021 Jan 5.
Pulmonary hypertension (PH) is defined by a mean pulmonary artery pressure greater than 20 mm Hg and classified into five different groups sharing similar pathophysiologic mechanisms, hemodynamic characteristics, and therapeutic management. Radiologists play a key role in the multidisciplinary assessment and management of PH. A working group was formed from within the Fleischner Society based on expertise in the imaging and/or management of patients with PH, as well as experience with methodologies of systematic reviews. The working group identified key questions focusing on the utility of CT, MRI, and nuclear medicine in the evaluation of PH: Is noninvasive imaging capable of identifying PH? What is the role of imaging in establishing the cause of PH? How does imaging determine the severity and complications of PH? How should imaging be used to assess chronic thromboembolic PH before treatment? Should imaging be performed after treatment of PH? This systematic review and position paper highlights the key role of imaging in the recognition, work-up, treatment planning, and follow-up of PH. This article is a simultaneous joint publication in and . The articles are identical except for stylistic changes in keeping with each journal's style. Either version may be used in citing this article. © 2021 RSNA and the European Respiratory Society.
肺动脉高压（PH）定义为平均肺动脉压大于 20mmHg，并分为五个不同组，它们具有相似的病理生理机制、血流动力学特征和治疗管理。放射科医生在 PH 的多学科评估和管理中发挥着关键作用。一个工作组由 Fleischner 学会内部组成，成员具有 PH 患者影像学和/或管理方面的专业知识，以及系统评价方法方面的经验。工作组确定了重点关注 CT、MRI 和核医学在 PH 评估中的效用的关键问题：
非侵入性成像能否识别 PH？
成像在确定 PH 病因中的作用是什么？
成像如何确定 PH 的严重程度和并发症？
应如何在治疗前使用影像学评估慢性血栓栓塞性 PH？
PH 治疗后是否应进行影像学检查？
本系统评价和立场文件强调了影像学在 PH 的识别、检查、治疗计划和随访中的关键作用。本文是在 和 同时联合发表的。除了为符合每个期刊的风格而进行的样式更改外，这两篇文章完全相同。在引用本文时，可以使用任一篇文章。©2021RSNA 和欧洲呼吸学会。
