渐进性肺纤维化和间歇性肺异常:专家小组叙述审查
Jeffrey P Kanne1, Christopher M Walker2, Anupama G Brixey3
1Department of Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI 53792-3252.
AJR. American journal of roentgenology
|April 24, 2024
概括
新的成像概念,渐进性肺纤维化 (PPF) 和间歇性肺异常 (ILA),需要更明确的监测指南. 本综述澄清了当前的做法,并提出了管理间歇性肺病 (ILD) 和风险患者的方法.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 医疗成像医学成像
背景情况:
- 渐进性肺纤维化 (PPF) 和间歇性肺异常 (ILA) 是间歇性肺病 (ILD) 管理中的新兴概念.
- 在胸部CT上准确识别和分类PPF和ILA对于优化患者护理至关重要.
- 目前的专业指南缺乏对ILD或ILA的各种患者群体的成像监测的明确性.
研究的目的:
- 在ILD的背景下,审查目前关于PPF和ILA的知识.
- 描述目前在ILD,ILA和风险患者的成像监测中的临床实践.
- 在没有正式指导方针的情况下,提供指导监控成像的建议.
主要方法:
- 专家小组叙述审查.
- 对PPF和ILA的当前知识的综合.
- 对ILD和ILA成像监测中的临床实践模式的分析.
主要成果:
- 对于稳定的ILD,无症状的ILA和没有异常的风险人群的成像监测的作用尚未明确.
- 对这些患者群体的成像临床实践有很大的差异.
- 关于监视成像的决定往往基于个人肺病学家的偏好,因为有指导方针上的差距.
结论:
- 需要对PPF和ILA进行标准化的成像监控策略.
- 本次审查提出了一些实际建议,以弥合当前指南中的差距.
- 标准化方法可以改善患有或有ILD风险的患者的管理.
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