Carroll Melissa B, Kanne Jeffrey P, Martin Rother Maria Daniela
Department of Radiology, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
Department of Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA.
Clin Chest Med. 2024 Jun;45(2):419-431. doi: 10.1016/j.ccm.2023.08.015. Epub 2023 Sep 15.
The American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Asociación Latinoamericana de Tórax 2018 clinical practice guideline and 2022 update provide recommendations to define and diagnose idiopathic pulmonary fibrosis (IPF) in patients with newly diagnosed interstitial lung disease. The guideline emphasizes recognition of usual interstitial pneumonia (UIP) and probable UIP patterns of fibrosis on high-resolution CT, which can obviate the need for surgical lung biopsy and allow timely initiation of antifibrotic pharmacotherapy citing a high correlation with UIP on histopathology. This article reviews the recent 2022 IPF clinical practice guideline with a focus on the imaging updates.
美国胸科学会/欧洲呼吸学会/日本呼吸学会/拉丁美洲胸科学会2018年临床实践指南及2022年更新版提供了针对新诊断间质性肺疾病患者特发性肺纤维化（IPF）的定义和诊断建议。该指南强调在高分辨率CT上识别普通型间质性肺炎（UIP）和可能的UIP纤维化模式，这可避免手术肺活检的必要性，并能及时启动抗纤维化药物治疗，理由是其与组织病理学上的UIP高度相关。本文回顾了2022年IPF临床实践指南，重点关注影像学方面的更新。
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