Hobbs Stephen, Chung Jonathan H, Leb Jay, Kaproth-Joslin Kate, Lynch David A
Department of Radiology, University of Kentucky, 800 Rose St, HX-315B, Lexington, KY 40536 (S.H.); Department of Radiology, University of Chicago, Chicago, Ill (J.H.C.); Department of Radiology, Columbia University, New York, NY (J.L.); Department of Imaging Sciences, University of Rochester, Rochester, NY (K.K.J.); and Department of Radiology, National Jewish Health, Denver, Colo (D.A.L.).
Radiol Cardiothorac Imaging. 2021 Feb 25;3(1):e200279. doi: 10.1148/ryct.2021200279. eCollection 2021 Feb.
Imaging serves a key role in the diagnosis of patients suspected of having idiopathic pulmonary fibrosis (IPF). Accurate pattern classification at thin-section chest CT is a key step in multidisciplinary discussions, guiding the need for surgical lung biopsy and determining available pharmacologic therapies. The recent approval of new treatments for fibrosing lung disease has made it more critical than ever for radiologists to facilitate accurate and early diagnosis of IPF. This document was developed by the Radiology Working Group of the Pulmonary Fibrosis Foundation with the goal of providing a practical guide for radiologists. In this review, the critical imaging patterns of IPF, pitfalls in imaging classifications, confounding imaging findings with other fibrotic lung diseases, and reporting standards for cases of lung fibrosis will be discussed. Published under a CC BY 4.0 license. See also the commentary by White and Galvin in this issue.
影像学在疑似特发性肺纤维化（IPF）患者的诊断中起着关键作用。薄层胸部CT上准确的模式分类是多学科讨论的关键步骤，指导手术肺活检的必要性并确定可用的药物治疗方法。最近用于纤维化性肺病的新疗法获批，使得放射科医生比以往任何时候都更迫切需要促进IPF的准确和早期诊断。本文档由肺纤维化基金会放射学工作组编写，目的是为放射科医生提供实用指南。在本综述中，将讨论IPF的关键影像学模式、影像学分型中的陷阱、与其他纤维化性肺病混淆的影像学表现以及肺纤维化病例的报告标准。根据知识共享署名4.0许可协议发布。另见本期怀特和加尔文的评论。
