• 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

计算机断层扫描偶然发现肺部病变的报告和管理：不仅仅是肺结节。

Reporting and management of incidental lung findings on computed tomography: beyond lung nodules.

机构信息

Cancer Imaging Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Guy's & St Thomas' NHS Foundation Trust, London, UK.

出版信息

Br J Radiol. 2023 Feb;96(1142):20220207. doi: 10.1259/bjr.20220207. Epub 2022 Sep 26.

DOI:10.1259/bjr.20220207
PMID:36124681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9975526/
Abstract

Non-nodular incidental lung findings can broadly be categorised as airway- or airspace-related abnormalities and diffuse parenchymal abnormalities. Airway-related abnormalities include bronchial dilatation and thickening, foci of low attenuation, emphysema, and congenital variants. Diffuse parenchymal abnormalities relate to the spectrum of diffuse parenchymal lung diseases cover a spectrum from interstitial lung abnormalities (ILAs) and pulmonary cysts to established diffuse parenchymal lung abnormalities such as the idiopathic interstitial pneumonias and cystic lung diseases. In this review, we discuss the main manifestations of these incidental findings, paying attention to their prevalence and importance, descriptors to use when reporting, the limits of what can be considered "normal", and conclude each section with some pragmatic reporting recommendations. We also highlight technical and patient factors which can lead to spurious abnormalities.

摘要

非结节性偶然肺部发现大致可分为气道或气腔相关异常和弥漫性实质异常。气道相关异常包括支气管扩张和增厚、低衰减灶、肺气肿和先天性变异。弥漫性实质异常与弥漫性实质性肺疾病的范围有关，包括从间质肺异常 (ILA) 和肺囊肿到特发性间质性肺炎和囊性肺疾病等已确立的弥漫性实质异常。在这篇综述中，我们讨论了这些偶然发现的主要表现，注意它们的普遍性和重要性、报告时使用的描述符、可以被认为是“正常”的界限，并在每一节的结尾提出一些实用的报告建议。我们还强调了可能导致虚假异常的技术和患者因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/dc3e3f321c01/bjr.20220207.g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/f7cdac6d9093/bjr.20220207.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/3e1f7c57adc9/bjr.20220207.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/8ff29330c4e8/bjr.20220207.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/2d774b421323/bjr.20220207.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/6073938c2484/bjr.20220207.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/26d9dcdca8dd/bjr.20220207.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/7eea37819a90/bjr.20220207.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/cddeda915858/bjr.20220207.g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/81003c5cd386/bjr.20220207.g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/77896e1dc6f7/bjr.20220207.g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/5ee6b14b90ea/bjr.20220207.g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/cc4c648e7694/bjr.20220207.g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/d32f9c3d82a6/bjr.20220207.g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/dc3e3f321c01/bjr.20220207.g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/f7cdac6d9093/bjr.20220207.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/3e1f7c57adc9/bjr.20220207.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/8ff29330c4e8/bjr.20220207.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/2d774b421323/bjr.20220207.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/6073938c2484/bjr.20220207.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/26d9dcdca8dd/bjr.20220207.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/7eea37819a90/bjr.20220207.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/cddeda915858/bjr.20220207.g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/81003c5cd386/bjr.20220207.g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/77896e1dc6f7/bjr.20220207.g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/5ee6b14b90ea/bjr.20220207.g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/cc4c648e7694/bjr.20220207.g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/d32f9c3d82a6/bjr.20220207.g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6cf/9975526/dc3e3f321c01/bjr.20220207.g014.jpg

相似文献

1
Reporting and management of incidental lung findings on computed tomography: beyond lung nodules.计算机断层扫描偶然发现肺部病变的报告和管理：不仅仅是肺结节。
Br J Radiol. 2023 Feb;96(1142):20220207. doi: 10.1259/bjr.20220207. Epub 2022 Sep 26.
2
Interstitial Lung Abnormalities: Current Understanding.间质性肺异常：当前的认识
Clin Chest Med. 2024 Jun;45(2):433-444. doi: 10.1016/j.ccm.2024.02.013. Epub 2024 Apr 2.
3
Radiographic Differentiation of Advanced Fibrocystic Lung Diseases.晚期纤维囊性肺疾病的影像学鉴别
Ann Am Thorac Soc. 2017 Mar;14(3):432-440. doi: 10.1513/AnnalsATS.201611-883PS.
4
Interstitial lung abnormalities and interstitial lung diseases associated with cigarette smoking in a rural cohort undergoing surgical resection.与农村人群手术切除相关的间质肺异常和与吸烟相关的间质性肺疾病。
BMC Pulm Med. 2022 Apr 29;22(1):172. doi: 10.1186/s12890-022-01961-9.
5
Cystic Lung Diseases: Algorithmic Approach.囊性肺疾病：算法方法
Chest. 2016 Oct;150(4):945-965. doi: 10.1016/j.chest.2016.04.026. Epub 2016 May 13.
6
Screening for Lung Cancer: Incidental Pulmonary Parenchymal Findings.肺癌筛查：偶然发现的肺部实质病变。
AJR Am J Roentgenol. 2018 Mar;210(3):503-513. doi: 10.2214/AJR.17.19003. Epub 2017 Dec 12.
7
Diffuse smoking-related lung disease: emphysema and interstitial lung disease.弥漫性吸烟相关肺部疾病：肺气肿和间质性肺疾病。
Semin Roentgenol. 2015 Jan;50(1):16-22. doi: 10.1053/j.ro.2014.04.009. Epub 2014 Apr 13.
8
Diffuse lung cysts in lymphoid interstitial pneumonia: high-resolution CT and pathologic findings.淋巴细胞间质性肺炎中的弥漫性肺囊肿：高分辨率CT及病理表现
J Thorac Imaging. 2006 Aug;21(3):241-4. doi: 10.1097/01.rti.0000213554.61752.73.
9
Idiopathic dendriform pulmonary ossification as the phenotype of interstitial lung abnormalities: CT-pathologic correlation and prevalence.特发性树突状肺骨化作为肺间质异常的表型：CT-病理相关性和患病率。
Jpn J Radiol. 2024 Sep;42(9):993-1002. doi: 10.1007/s11604-024-01590-8. Epub 2024 May 14.
10
Incidental nonneoplastic parenchymal findings in patients undergoing lung resection for mass lesions.因肺部肿块行切除术的患者中偶然发现的非肿瘤性实质病变。
Hum Pathol. 2019 Apr;86:93-101. doi: 10.1016/j.humpath.2019.01.002. Epub 2019 Jan 15.

引用本文的文献

1
Opportunistic Screening on Chest CT, From the Special Series on Screening.胸部CT的机会性筛查，来自筛查专题系列。
AJR Am J Roentgenol. 2025 Jul 16. doi: 10.2214/AJR.25.33069.
2
Incidental imaging findings from head to toe: challenges and management: introductory editorial.从头到脚的偶然影像学发现：挑战与管理：引言社论
Br J Radiol. 2023 Feb;96(1142):20239002. doi: 10.1259/bjr.20239002.

本文引用的文献

1
Incidental Findings on Low-Dose CT Scan Lung Cancer Screenings and Deaths From Respiratory Diseases.低剂量 CT 扫描肺癌筛查中的偶然发现与呼吸系统疾病导致的死亡。
Chest. 2022 Apr;161(4):1092-1100. doi: 10.1016/j.chest.2021.11.015. Epub 2021 Nov 25.
2
Managing Incidental Findings on Thoracic CT: Lung Findings. A White Paper of the ACR Incidental Findings Committee.管理胸部 CT 偶然发现：肺部发现。ACR 偶然发现委员会白皮书。
J Am Coll Radiol. 2021 Sep;18(9):1267-1279. doi: 10.1016/j.jacr.2021.04.014. Epub 2021 Jul 8.
3
Fleischner Society Visual Emphysema CT Patterns Help Predict Progression of Emphysema in Current and Former Smokers: Results from the COPDGene Study.
弗莱舍纳社会视觉肺气肿 CT 模式有助于预测当前和曾经吸烟者肺气肿的进展：COPDGene 研究结果。
Radiology. 2021 Feb;298(2):441-449. doi: 10.1148/radiol.2020200563. Epub 2020 Dec 15.
4
Delivering low-dose CT screening for lung cancer: a pragmatic approach.开展低剂量CT肺癌筛查：一种务实的方法。
Thorax. 2020 Oct;75(10):831-832. doi: 10.1136/thoraxjnl-2020-215131. Epub 2020 Aug 13.
5
Interstitial lung abnormalities detected incidentally on CT: a Position Paper from the Fleischner Society.偶然在 CT 上发现的肺间质异常：弗勒施纳学会的立场文件。
Lancet Respir Med. 2020 Jul;8(7):726-737. doi: 10.1016/S2213-2600(20)30168-5.
6
Phenotypic comparison between smoking and non-smoking chronic obstructive pulmonary disease.吸烟与非吸烟慢性阻塞性肺疾病表型比较。
Respir Res. 2020 Feb 12;21(1):50. doi: 10.1186/s12931-020-1310-9.
7
Visual and Quantitative Evaluation of Emphysema: A Case-Control Study of 1111 Participants in the Pilot Swedish CArdioPulmonary BioImage Study (SCAPIS).肺气肿的视觉和定量评估：瑞典心肺生物影像学研究（SCAPIS）中 1111 名参与者的病例对照研究。
Acad Radiol. 2020 May;27(5):636-643. doi: 10.1016/j.acra.2019.06.019. Epub 2019 Jul 18.
8
Interstitial Lung Abnormality: Recognition and Perspectives.间质性肺异常：识别与展望
Radiology. 2019 Apr;291(1):1-3. doi: 10.1148/radiol.2018181684. Epub 2018 Dec 18.
9
Prevalence and outcomes of incidental imaging findings: umbrella review.偶然影像学发现的患病率和结局：伞式综述。
BMJ. 2018 Jun 18;361:k2387. doi: 10.1136/bmj.k2387.
10
Lung Cancers Associated with Cystic Airspaces: Underrecognized Features of Early Disease.与囊性气腔相关的肺癌：早期疾病的未被充分认识的特征。
Radiographics. 2018 May-Jun;38(3):704-717. doi: 10.1148/rg.2018170099. Epub 2018 Apr 13.