Servicio de Radiodiagnóstico, CDI, Hospital Clínic de Barcelona, Barcelona, Spain.
Servicio de Anatomía Patológica, CDB, Hospital Clínic de Barcelona, Barcelona, Spain.
Radiologia (Engl Ed). 2022 Dec;64 Suppl 3:227-239. doi: 10.1016/j.rxeng.2022.10.009.
Idiopathic pulmonary fibrosis (IPF) is the most common fibrosing lung disease. It is associated with a very poor prognosis. Treatments can delay the progression of IPF, so early diagnosis is fundamental. Radiologists play a fundamental role in the evaluation and accurate diagnosis of IPF. Identifying the characteristic patterns of IPF on high-resolution computed tomography (HRCT) is key in the process of multidisciplinary diagnosis, often obviating the need for surgical lung biopsies. This review describes and illustrates the clinical and imaging findings in IPF in the context of the most recent international guidelines, as well as the differential diagnosis and the role of HRCT in follow-up and assessment of complications.
特发性肺纤维化(IPF)是最常见的肺纤维化疾病。它与非常差的预后相关。治疗可以延缓 IPF 的进展,因此早期诊断是基础。放射科医生在 IPF 的评估和准确诊断中起着至关重要的作用。在多学科诊断过程中,识别 IPF 的特征性 HRCT 模式是关键,通常可以避免进行外科肺活检。本综述描述并说明了最新国际指南中 IPF 的临床和影像学表现,以及鉴别诊断和 HRCT 在随访和并发症评估中的作用。