Ueda Akihito, Nohara Kanji, Fujii Nami, Nakajima Kazuhiro, Miyauchi Yumiko, Inoue Yutaka
Medical Corporation Toujinkai Fujitate Hospital Osaka Japan.
Doctoral Program in Pharmaceutical Sciences, Graduate School of Pharmaceutical Sciences Teikyo Heisei University Tokyo Japan.
J Gen Fam Med. 2024 Jul 9;25(6):384-387. doi: 10.1002/jgf2.717. eCollection 2024 Nov.
The effect of neglecting imaging in aspiration pneumonia diagnosis is not well understood. In this study, the computed tomography images of 50 patients diagnosed with aspiration pneumonia were retrospectively analyzed by three radiologists at a different hospital. Among these cases, 32%-42% were not classified as aspiration pneumonia based on imaging. Thus, imaging features may not have been adequately considered for diagnosing aspiration pneumonia. Although not all patients with aspiration pneumonia can be diagnosed based on imaging, aspiration pneumonia should be considered in the diagnosis as cases that are clearly nonaspiration pneumonia can be misdiagnosed as aspiration pneumonia.
忽视影像学检查在吸入性肺炎诊断中的作用尚未得到充分认识。在本研究中,一家不同医院的三位放射科医生对50例被诊断为吸入性肺炎患者的计算机断层扫描图像进行了回顾性分析。在这些病例中,基于影像学检查,32%-42%的病例未被归类为吸入性肺炎。因此,在诊断吸入性肺炎时可能未充分考虑影像学特征。虽然并非所有吸入性肺炎患者都能通过影像学检查确诊,但在诊断时应考虑到吸入性肺炎,因为明显的非吸入性肺炎病例可能会被误诊为吸入性肺炎。