胸部计算机断层扫描发现,单侧肺纤维化是慢性低输血的次要原因
Cristina Marrocchio1, Stephen M Humphries2, David A Lynch2
1Department of Medicine and Surgery, Unit of Radiological Sciences, University of Parma, Parma, Italy.
Journal of thoracic imaging
|December 14, 2023
概括
单侧肺纤维化可以从肺的低 perfusion 发展. 胸部CT扫描显示受影响的肺部有显著的纤维化,通常随着时间的推移而进展.
科学领域:
- 放射学 放射学是一门学科.
- 肺部医学 肺部医学
- 病理学 病理学 病理学
背景情况:
- 单侧肺纤维化是一种罕见的疾病.
- 已经记录了少数与对细胞低流相关的病例.
- 需要进一步了解这个实体.
研究的目的:
- 在患有单边肺纤维化患者中报告胸部计算机断层扫描 (CT) 发现.
- 为了研究与帕伦基马低 perfusion 相关的纤维化.
- 分析CT特征和单边肺纤维化进展.
主要方法:
- 胸部CT显示肺低 perfusion 和单边纤维化 (2004-2022) 的患者的回顾性鉴定.
- 收集临床和光学数据.
- 使用CT和数据驱动纹理分析 (DTA) 评估纤维化模式,分布和进展.
主要成果:
- 包括13名患者 (5名肺动脉缺失,8名纤维化中炎).
- 与相反的肺相比,受影响的肺显著减少了输液 (3.3%),纤维化得分增加了 (32%通过DTA).
- 60%的随访患者表现出进展性纤维化.
结论:
- 肺部低是单边肺纤维化的一个潜在原因.
- 胸部CT发现,包括DTA,可以量化和监测纤维化进展.
- 考虑肺纤维化是重要的,在患者的hypoperfusion.
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