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放射影像学在重度及难治性哮喘管理中的作用

The role of radiological imaging in the management of severe and difficult-to-treat asthma.

作者信息

Aigbirior Joshua, Almaghrabi Amer, Lafi Monder, Mansur Adel H

机构信息

Department of Respiratory Medicine, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Medical School, Lancaster University, Lancaster, UK.

出版信息

Breathe (Sheff). 2024 Jul 16;20(2):240033. doi: 10.1183/20734735.0033-2024. eCollection 2024 Jun.

DOI:10.1183/20734735.0033-2024
PMID:39015661
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11249838/
Abstract

Radiological imaging has proven to be a useful tool in the assessment of asthma, its comorbidities and potential complications. Characteristic chest radiograph and computed tomography scan findings can be seen in asthma and in other conditions that can coexist with or be misdiagnosed as asthma, including chronic rhinosinusitis, inducible laryngeal obstruction, excessive dynamic airway collapse, tracheobronchomalacia, concomitant COPD, bronchiectasis, allergic bronchopulmonary aspergillosis, eosinophilic granulomatosis with polyangiitis, and eosinophilic pneumonia. The identification of the characteristic radiological findings of these conditions is often essential in making the correct diagnosis and provision of appropriate management and treatment. Furthermore, radiological imaging modalities can be used to monitor response to therapy.

摘要

放射影像学已被证明是评估哮喘、其合并症及潜在并发症的有用工具。在哮喘以及可与哮喘共存或被误诊为哮喘的其他病症中,包括慢性鼻-鼻窦炎、可诱导性喉梗阻、过度动态气道塌陷、气管支气管软化、合并慢性阻塞性肺疾病(COPD)、支气管扩张、变应性支气管肺曲霉菌病、嗜酸性肉芽肿性多血管炎和嗜酸性肺炎,均可看到特征性的胸部X线片和计算机断层扫描结果。识别这些病症的特征性放射学表现对于做出正确诊断以及提供适当的管理和治疗通常至关重要。此外,放射影像学检查方法可用于监测治疗反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/4e5346b80003/EDU-0033-2024.06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/d2b0e8b3b1f1/EDU-0033-2024.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/a46a12cf3638/EDU-0033-2024.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/eaad9f989a46/EDU-0033-2024.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/af8a1069e9cb/EDU-0033-2024.04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/a6ca34398e08/EDU-0033-2024.05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/4e5346b80003/EDU-0033-2024.06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/d2b0e8b3b1f1/EDU-0033-2024.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/a46a12cf3638/EDU-0033-2024.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/eaad9f989a46/EDU-0033-2024.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/af8a1069e9cb/EDU-0033-2024.04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/a6ca34398e08/EDU-0033-2024.05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/11249838/4e5346b80003/EDU-0033-2024.06.jpg

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Evidence-Based Guideline for the diagnosis and management of eosinophilic granulomatosis with polyangiitis.循证指南:嗜酸性肉芽肿性多血管炎的诊断与管理。
Nat Rev Rheumatol. 2023 Jun;19(6):378-393. doi: 10.1038/s41584-023-00958-w. Epub 2023 May 9.
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