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在新冠疫情期间,肺部淋巴管炎给肿瘤学领域的放射科医生带来了重大挑战。

Pulmonary Lymphangitis Poses a Major Challenge for Radiologists in an Oncological Setting during the COVID-19 Pandemic.

作者信息

Fusco Roberta, Simonetti Igino, Ianniello Stefania, Villanacci Alberta, Grassi Francesca, Dell'Aversana Federica, Grassi Roberta, Cozzi Diletta, Bicci Eleonora, Palumbo Pierpaolo, Borgheresi Alessandra, Giovagnoni Andrea, Miele Vittorio, Barile Antonio, Granata Vincenza

机构信息

Medical Oncology Division, Igea SpA, 80013 Napoli, Italy.

Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

出版信息

J Pers Med. 2022 Apr 12;12(4):624. doi: 10.3390/jpm12040624.

Abstract

Due to the increasing number of COVID-19-infected and vaccinated individuals, radiologists continue to see patients with COVID-19 pneumonitis and recall pneumonitis, which could result in additional workups and false-positive results. Moreover, cancer patients undergoing immunotherapy may show therapy-related pneumonitis during imaging management. This is otherwise known as immune checkpoint inhibitor-related pneumonitis. Following on from this background, radiologists should seek to know their patients' COVID-19 infection and vaccination history. Knowing the imaging features related to COVID-19 infection and vaccination is critical to avoiding misleading results and alarmism in patients and clinicians.

摘要

由于感染新冠病毒和接种新冠疫苗的人数不断增加,放射科医生持续接诊新冠肺炎和回忆性肺炎患者,这可能导致额外的检查和假阳性结果。此外,接受免疫治疗的癌症患者在影像检查中可能会出现与治疗相关的肺炎。这也被称为免疫检查点抑制剂相关肺炎。基于这一背景,放射科医生应了解患者的新冠病毒感染和疫苗接种史。了解与新冠病毒感染和疫苗接种相关的影像特征对于避免误导患者和临床医生以及引发恐慌至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/815c/9024504/fa0e9173747e/jpm-12-00624-g001.jpg

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