• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

胸部 CT 检查中急性磨玻璃密度影的鉴别诊断:影像学研究。

Differential diagnoses of acute ground-glass opacity in chest computed tomography: pictorial essay.

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2021 Mar 15;19:eRW5772. doi: 10.31744/einstein_journal/2021RW5772. eCollection 2021.

DOI:10.31744/einstein_journal/2021RW5772
PMID:33729289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7935089/
Abstract

Ground-glass opacity is a very frequent and unspecified finding in chest computed tomography. Therefore, it admits a wide range of differential diagnoses in the acute context, from viral pneumonias such as influenza virus, coronavirus disease 2019 and cytomegalovirus and even non-infectious lesions, such as vaping, pulmonary infarction, alveolar hemorrhage and pulmonary edema. For this diagnostic differentiation, ground glass must be correlated with other findings in imaging tests, with laboratory tests and with the patients' clinical condition. In the context of a pandemic, it is extremely important to remember the other pathologies with similar findings to coronavirus disease 2019 in the imaging exams.

摘要

磨玻璃影是胸部计算机断层扫描中非常常见且未特定的发现。因此,在急性情况下,它可以有广泛的鉴别诊断,从病毒性肺炎,如流感病毒、冠状病毒病 2019 和巨细胞病毒,甚至非传染性病变,如蒸气、肺梗死、肺泡出血和肺水肿。为了进行这种诊断区分,磨玻璃影必须与影像学检查中的其他发现、实验室检查和患者的临床情况相关联。在大流行期间,非常重要的是要记住影像学检查中与冠状病毒病 2019 具有相似发现的其他病理学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/c1001d201494/2317-6385-eins-19-eRW5772-gf14-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/d03fd312c24e/2317-6385-eins-19-eRW5772-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/f1bfa5ce0ac7/2317-6385-eins-19-eRW5772-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/eec407906d9a/2317-6385-eins-19-eRW5772-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/3ccbb2dc178b/2317-6385-eins-19-eRW5772-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/77fda011dc66/2317-6385-eins-19-eRW5772-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/bd4ac4dc13af/2317-6385-eins-19-eRW5772-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/e230875722e5/2317-6385-eins-19-eRW5772-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/5d0a352c99d2/2317-6385-eins-19-eRW5772-gf08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/e3ab2128e085/2317-6385-eins-19-eRW5772-gf09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/5a483cbc59ca/2317-6385-eins-19-eRW5772-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/b1d39b9b1361/2317-6385-eins-19-eRW5772-gf11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/8ce140ebe02f/2317-6385-eins-19-eRW5772-gf12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/d69038228774/2317-6385-eins-19-eRW5772-gf13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/fbffc6a1076f/2317-6385-eins-19-eRW5772-gf14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/335cc18fefdf/2317-6385-eins-19-eRW5772-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/f1bfa5ce0ac7/2317-6385-eins-19-eRW5772-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/b09b82b520f7/2317-6385-eins-19-eRW5772-gf03-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/7f9752ec352f/2317-6385-eins-19-eRW5772-gf04-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/77fda011dc66/2317-6385-eins-19-eRW5772-gf05-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/07e881fe35ea/2317-6385-eins-19-eRW5772-gf06-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/8a579009d950/2317-6385-eins-19-eRW5772-gf07-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/2d393311900d/2317-6385-eins-19-eRW5772-gf08-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/106526694e78/2317-6385-eins-19-eRW5772-gf09-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/e4722be367d2/2317-6385-eins-19-eRW5772-gf10-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/59af21caa3df/2317-6385-eins-19-eRW5772-gf11-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/8cd39b3e059f/2317-6385-eins-19-eRW5772-gf12-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/3befa4c06fc6/2317-6385-eins-19-eRW5772-gf13-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/c1001d201494/2317-6385-eins-19-eRW5772-gf14-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/d03fd312c24e/2317-6385-eins-19-eRW5772-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/f1bfa5ce0ac7/2317-6385-eins-19-eRW5772-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/eec407906d9a/2317-6385-eins-19-eRW5772-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/3ccbb2dc178b/2317-6385-eins-19-eRW5772-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/77fda011dc66/2317-6385-eins-19-eRW5772-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/bd4ac4dc13af/2317-6385-eins-19-eRW5772-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/e230875722e5/2317-6385-eins-19-eRW5772-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/5d0a352c99d2/2317-6385-eins-19-eRW5772-gf08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/e3ab2128e085/2317-6385-eins-19-eRW5772-gf09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/5a483cbc59ca/2317-6385-eins-19-eRW5772-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/b1d39b9b1361/2317-6385-eins-19-eRW5772-gf11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/8ce140ebe02f/2317-6385-eins-19-eRW5772-gf12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/d69038228774/2317-6385-eins-19-eRW5772-gf13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/fbffc6a1076f/2317-6385-eins-19-eRW5772-gf14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/335cc18fefdf/2317-6385-eins-19-eRW5772-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/f1bfa5ce0ac7/2317-6385-eins-19-eRW5772-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/b09b82b520f7/2317-6385-eins-19-eRW5772-gf03-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/7f9752ec352f/2317-6385-eins-19-eRW5772-gf04-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/77fda011dc66/2317-6385-eins-19-eRW5772-gf05-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/07e881fe35ea/2317-6385-eins-19-eRW5772-gf06-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/8a579009d950/2317-6385-eins-19-eRW5772-gf07-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/2d393311900d/2317-6385-eins-19-eRW5772-gf08-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/106526694e78/2317-6385-eins-19-eRW5772-gf09-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/e4722be367d2/2317-6385-eins-19-eRW5772-gf10-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/59af21caa3df/2317-6385-eins-19-eRW5772-gf11-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/8cd39b3e059f/2317-6385-eins-19-eRW5772-gf12-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/3befa4c06fc6/2317-6385-eins-19-eRW5772-gf13-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c629/7935089/c1001d201494/2317-6385-eins-19-eRW5772-gf14-pt.jpg

相似文献

1
Differential diagnoses of acute ground-glass opacity in chest computed tomography: pictorial essay.胸部 CT 检查中急性磨玻璃密度影的鉴别诊断:影像学研究。
Einstein (Sao Paulo). 2021 Mar 15;19:eRW5772. doi: 10.31744/einstein_journal/2021RW5772. eCollection 2021.
2
Comparison of initial high-resolution computed tomography (HRCT) features of coronavirus disease 2019 (COVID-19) pneumonia and other viral pneumonias.比较 2019 年冠状病毒病(COVID-19)肺炎和其他病毒性肺炎的初始高分辨率计算机断层扫描(HRCT)特征。
Ann Palliat Med. 2021 Jan;10(1):560-571. doi: 10.21037/apm-20-2479.
3
CT Manifestations of Coronavirus Disease (COVID-19) Pneumonia and Influenza Virus Pneumonia: A Comparative Study.COVID-19 肺炎与流感病毒肺炎的 CT 表现:一项对比研究。
AJR Am J Roentgenol. 2021 Jan;216(1):71-79. doi: 10.2214/AJR.20.23304. Epub 2020 Jul 9.
4
COVID-19 and its Mimics: What the Radiologist Needs to Know.COVID-19 及其类似疾病:放射科医生需要了解的知识。
J Thorac Imaging. 2021 Jan;36(1):W1-W10. doi: 10.1097/RTI.0000000000000554.
5
A Comparison of Clinical and Chest CT Findings in Patients With Influenza A (H1N1) Virus Infection and Coronavirus Disease (COVID-19).甲型流感病毒(H1N1)感染与新型冠状病毒肺炎(COVID-19)患者的临床和胸部 CT 表现比较。
AJR Am J Roentgenol. 2020 Nov;215(5):1065-1071. doi: 10.2214/AJR.20.23214. Epub 2020 May 26.
6
COVID-19 mimics on chest CT: a pictorial review and radiologic guide.COVID-19 与胸部 CT 的表现:图像综述及影像学指导。
Br J Radiol. 2021 Feb 1;94(1118):20200703. doi: 10.1259/bjr.20200703. Epub 2020 Dec 9.
7
Potential role of CT-textural features for differentiation between viral interstitial pneumonias, pneumocystis jirovecii pneumonia and diffuse alveolar hemorrhage in early stages of disease: a proof of principle.CT 纹理特征在疾病早期鉴别病毒性间质性肺炎、卡氏肺孢子菌肺炎和弥漫性肺泡出血中的作用:原理验证。
BMC Med Imaging. 2019 May 21;19(1):39. doi: 10.1186/s12880-019-0338-0.
8
Chest Computed Tomography Manifestation of Coronavirus Disease 2019 (COVID-19) in Patients With Cardiothoracic Conditions.伴有心胸状况的 2019 冠状病毒病(COVID-19)患者的胸部计算机断层扫描表现。
J Thorac Imaging. 2020 Jul;35(4):W90-W96. doi: 10.1097/RTI.0000000000000531.
9
Widespread ground-glass opacity of the lung in consecutive patients undergoing CT: Does lobular distribution assist diagnosis?连续接受CT检查的患者中广泛存在的肺部磨玻璃影:小叶分布有助于诊断吗?
AJR Am J Roentgenol. 2003 Apr;180(4):965-8. doi: 10.2214/ajr.180.4.1800965.
10
High-resolution computed tomography enhances the diagnosis and follow-up of influenza A (H1N1) virus-associated pneumonia.高分辨率计算机断层扫描增强了对甲型 H1N1 流感病毒相关肺炎的诊断和随访。
J Infect Dev Ctries. 2020 Mar 31;14(3):317-320. doi: 10.3855/jidc.11665.

引用本文的文献

1
Long-Term Clinical Outcomes of Adults Hospitalized for COVID-19 Pneumonia.因新冠肺炎肺炎住院的成年人的长期临床结局
Emerg Infect Dis. 2025 Jun;31(6):1158-1168. doi: 10.3201/eid3106.241097.
2
New insights into imaging of pulmonary metastases from extra-thoracic neoplasms.胸外肿瘤肺转移成像的新见解。
Radiol Med. 2025 Apr 1. doi: 10.1007/s11547-025-02008-9.
3
Lobectomy for Anomalous Systemic Arterial Supply to the Basal Segment of the Lung in the Second Trimester of a Pregnant Patient with Hemoptysis.孕中期咯血孕妇肺基底段异常体动脉供血的肺叶切除术

本文引用的文献

1
Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review.新型冠状病毒病 2019(COVID-19)的胸部 CT 表现:影像学综述。
Eur Radiol. 2020 Aug;30(8):4381-4389. doi: 10.1007/s00330-020-06801-0. Epub 2020 Mar 19.
2
Imaging Findings of Vaping-Associated Lung Injury.电子烟相关肺损伤的影像学表现。
AJR Am J Roentgenol. 2020 Mar;214(3):498-505. doi: 10.2214/AJR.19.22251. Epub 2019 Oct 8.
3
Radiographic and CT Features of Viral Pneumonia.病毒性肺炎的影像学和 CT 特征。
Intern Med. 2025 Jun 1;64(11):1716-1723. doi: 10.2169/internalmedicine.4283-24. Epub 2024 Nov 8.
4
Trimethoprim-sulfamethoxazole-induced lung injury: a case report.甲氧苄啶-磺胺甲恶唑所致肺损伤:一例报告
Transl Pediatr. 2023 Nov 28;12(11):2062-2073. doi: 10.21037/tp-23-383. Epub 2023 Nov 24.
5
[Correlation between comorbidities and thoracic CT manifestations of COVID-19 pneumonia].[新冠肺炎合并症与胸部CT表现的相关性]
Med Klin Intensivmed Notfmed. 2024 Jun;119(5):384-390. doi: 10.1007/s00063-023-01062-3. Epub 2023 Sep 25.
6
Longer length of stay, days between discharge/first readmission, and pulmonary involvement ≥50% increase prevalence of admissions in ICU in unplanned readmissions after COVID-19 hospitalizations.新冠肺炎住院后非计划性再入院时,住院时间延长、出院/首次再入院间隔天数增加以及肺部受累≥50%,会增加 ICU 收治率。
J Med Virol. 2022 Aug;94(8):3750-3756. doi: 10.1002/jmv.27792. Epub 2022 May 4.
7
Metastatic Pulmonary Calcification Detected on F-FDG PET/CT and Tc-MDP Bone Scan.在F-FDG PET/CT和Tc-MDP骨扫描中检测到转移性肺钙化。
Diagnostics (Basel). 2021 Sep 6;11(9):1627. doi: 10.3390/diagnostics11091627.
Radiographics. 2018 May-Jun;38(3):719-739. doi: 10.1148/rg.2018170048.
4
Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017.CT 图像上偶然发现的肺结节管理指南:来自 2017 年 Fleischner 学会。
Radiology. 2017 Jul;284(1):228-243. doi: 10.1148/radiol.2017161659. Epub 2017 Feb 23.
5
Community-Acquired Pneumonia Caused by Mycoplasma pneumoniae: How Physical and Radiological Examination Contribute to Successful Diagnosis.肺炎支原体导致的社区获得性肺炎:体格检查和影像学检查如何有助于明确诊断。
Front Med (Lausanne). 2016 Jun 13;3:28. doi: 10.3389/fmed.2016.00028. eCollection 2016.
6
Organizing pneumonia: chest HRCT findings.机化性肺炎:胸部高分辨率CT表现
J Bras Pneumol. 2015 May-Jun;41(3):231-7. doi: 10.1590/S1806-37132015000004544.
7
Pneumocystis jiroveci pneumonia: high-resolution CT findings in patients with and without HIV infection.卡氏肺孢子菌肺炎:HIV 感染患者与非 HIV 感染患者的高分辨率 CT 表现。
AJR Am J Roentgenol. 2012 Jun;198(6):W555-61. doi: 10.2214/AJR.11.7329.
8
CT of viral lower respiratory tract infections in adults: comparison among viral organisms and between viral and bacterial infections.成人病毒性下呼吸道感染的 CT 表现:病毒病原体之间以及病毒与细菌感染之间的比较。
AJR Am J Roentgenol. 2011 Nov;197(5):1088-95. doi: 10.2214/AJR.11.6501.
9
Imaging of pulmonary viral pneumonia.肺部病毒性肺炎的影像学表现。
Radiology. 2011 Jul;260(1):18-39. doi: 10.1148/radiol.11092149.
10
H1N1 influenza: initial chest radiographic findings in helping predict patient outcome.甲型 H1N1 流感:初始胸部 X 线摄影结果有助于预测患者预后。
Radiology. 2010 Apr;255(1):252-9. doi: 10.1148/radiol.10092240.