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Updated: Jun 22, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
[Interstitial lung diseases : From imaging to treatment]
D Soriano1, J Nattenmüller2,3, K Schröder4
1Klinik für Pneumologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland.
Radiology is essential for diagnosing interstitial lung diseases (ILDs), identifying specific patterns like usual interstitial pneumonia (UIP) and guiding treatment decisions within multidisciplinary teams.
Area of Science:
- Diagnostic imaging in pulmonology
- Radiological patterns of interstitial lung diseases
Context:
- The diagnostic landscape for interstitial lung diseases (ILDs) has shifted, with radiology increasingly complementing or replacing traditional histology.
- Radiology is now a cornerstone for both diagnosing and monitoring ILDs.
Purpose:
- To evaluate the influence of radiological assessments on the diagnosis and treatment strategies for interstitial lung diseases (ILDs).
Summary:
- Radiology is pivotal in ILD diagnosis, offering specific computed tomography (CT) patterns (e.g., usual interstitial pneumonia, nonspecific interstitial pneumonia, organizing pneumonia).
- It aids in detecting multicompartment diseases, suspecting pulmonary hypertension, and identifying extrapulmonary involvement.
- Radiologic assessment is a criterion for progressive pulmonary fibrosis and often incidentally detects interstitial lung abnormalities.
Impact:
- Radiology significantly impacts ILD diagnosis and treatment planning within multidisciplinary conferences.
- It informs therapeutic choices, including antifibrotic or anti-inflammatory medications.
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