Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA.
Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA.
Semin Nucl Med. 2022 Nov;52(6):797-805. doi: 10.1053/j.semnuclmed.2022.04.009. Epub 2022 Jun 20.
Diseases of pleura are not only common but also have a significant impact on patients' outcomes. While early detection and treatment are imperative in reducing this burden, many pleural entities present similarly, thus posing a diagnostic dilemma for radiologists requiring critical further workup. While chest radiography, CT, and image-guided thoracentesis are primarily utilized as the initial imaging techniques for the workup of pleural diseases, MRI, and FDG-PET/CT are also frequently employed to investigate the root cause of pleural abnormalities. By elucidating the common imaging features of neoplastic, inflammatory, and infectious pleural pathologies, clinicians can quickly and easily differentiate the various pleural diseases, rapidly reach the correct diagnosis, and ultimately improve patient outcomes.
胸膜疾病不仅常见,而且对患者的预后有重大影响。虽然早期发现和治疗对于减轻这种负担至关重要,但许多胸膜实体表现相似,因此对放射科医生来说,这构成了诊断难题,需要进行关键的进一步检查。虽然胸部 X 线摄影、CT 和影像引导下的胸腔穿刺术主要用作胸膜疾病检查的初始影像学技术,但 MRI 和 FDG-PET/CT 也常用于调查胸膜异常的根本原因。通过阐明肿瘤性、炎症性和感染性胸膜病变的常见影像学特征,临床医生可以快速轻松地区分各种胸膜疾病,迅速做出正确诊断,并最终改善患者预后。