Gruden J F, McGuinness G
NYU Medical Center, NY, USA.
Crit Rev Diagn Imaging. 1996 Oct;37(5):349-434.
High-resolution computed tomography (HRCT) allows a detailed assessment of the anatomy and pathology of the pulmonary parenchyma. However, numerous potential pitfalls exist that can hinder or preclude accurate interpretation of HRCT images. These sources of potential diagnostic error can be systematically evaluated with respect to the major categories of HRCT abnormalities: (1) increased parenchymal attenuation, (2) linear opacities and interstitial disease, (3) nodular lung disease, and (4) holes in the lung. Accurate HRCT interpretation depends on the correct recognition and characterization of imaging abnormalities. Technical factors that enhance or limit scan interpretation, HRCT features of subtle disease, and imaging mimics of commonly observed pathology are addressed in detail with regard to each of the above categories of disease. Common pitfalls are illustrated and explained in an effort to increase general awareness of these sources of real and potential diagnostic confusion.
高分辨率计算机断层扫描（HRCT）能够对肺实质的解剖结构和病理状况进行详细评估。然而，存在许多潜在的陷阱，可能会妨碍或排除对HRCT图像的准确解读。这些潜在的诊断错误来源可针对HRCT异常的主要类别进行系统评估：（1）实质密度增加，（2）线状阴影和间质性疾病，（3）结节性肺病，以及（4）肺部空洞。准确的HRCT解读取决于对影像异常的正确识别和特征描述。针对上述每一类疾病，将详细探讨增强或限制扫描解读的技术因素、细微疾病的HRCT特征以及常见病理状况的影像模拟。文中将举例说明并解释常见的陷阱，以提高对这些真实和潜在诊断混淆来源的普遍认识。
