Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases

Detalhes bibliográficos
Autor(a) principal: Torres,Pedro Paulo Teixeira e Silva
Data de Publicação: 2021
Outros Autores: Rabahi,Marcelo Fouad, Moreira,Maria Auxiliadora do Carmo, Escuissato,Dante Luiz, Meirelles,Gustavo de Souza Portes, Marchiori,Edson
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Pneumologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000300500
Resumo: ABSTRACT Many conditions result in chronic interstitial lung disease (ILD), being classified as fibrosing ILDs, including idiopathic pulmonary fibrosis, connective tissue diseases, sarcoidosis, and fibrotic hypersensitivity pneumonitis. HRCT plays an important role in the clinical evaluation of fibrosing ILDs. Current treatment perspectives are encouraging and reinforce the need for HRCT scans of adequate technical quality for early detection of fibrosing ILD. Despite efforts in this regard, the significance and management of imaging findings of early interstitial lung abnormalities have yet to be clarified. After identification of CT findings consistent with fibrosing ILD, radiologists must be able to identify characteristic morphological patterns and, in some cases, features of specific clinical entities. In cases in which HRCT features are not sufficiently specific for a definitive diagnosis, HRCT can aid in selecting the best site for surgical lung biopsy. CT follow-up is useful for identifying progressive fibrosing ILDs and detecting complications unrelated to the underlying disease, including infections, acute exacerbations, and neoplasms. Automated quantification tools have clinical applicability and are likely to be available for use in imaging analysis in the near future. In addition, incorporation of CT evaluation into scoring systems based on clinical and functional parameters for staging fibrosing disease is likely to become valuable in determining prognosis. Knowledge of the clinical applications of CT evaluation is essential for specialists managing patients with fibrosing ILD and can have a positive impact on the clinical course of the disease.
id SBPT-1_97943bae4b93afccc98cd4b712eb2d03
oai_identifier_str oai:scielo:S1806-37132021000300500
network_acronym_str SBPT-1
network_name_str Jornal Brasileiro de Pneumologia (Online)
repository_id_str
spelling Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseasesTomography, X-ray computedDiagnostic imagingPulmonary fibrosisABSTRACT Many conditions result in chronic interstitial lung disease (ILD), being classified as fibrosing ILDs, including idiopathic pulmonary fibrosis, connective tissue diseases, sarcoidosis, and fibrotic hypersensitivity pneumonitis. HRCT plays an important role in the clinical evaluation of fibrosing ILDs. Current treatment perspectives are encouraging and reinforce the need for HRCT scans of adequate technical quality for early detection of fibrosing ILD. Despite efforts in this regard, the significance and management of imaging findings of early interstitial lung abnormalities have yet to be clarified. After identification of CT findings consistent with fibrosing ILD, radiologists must be able to identify characteristic morphological patterns and, in some cases, features of specific clinical entities. In cases in which HRCT features are not sufficiently specific for a definitive diagnosis, HRCT can aid in selecting the best site for surgical lung biopsy. CT follow-up is useful for identifying progressive fibrosing ILDs and detecting complications unrelated to the underlying disease, including infections, acute exacerbations, and neoplasms. Automated quantification tools have clinical applicability and are likely to be available for use in imaging analysis in the near future. In addition, incorporation of CT evaluation into scoring systems based on clinical and functional parameters for staging fibrosing disease is likely to become valuable in determining prognosis. Knowledge of the clinical applications of CT evaluation is essential for specialists managing patients with fibrosing ILD and can have a positive impact on the clinical course of the disease.Sociedade Brasileira de Pneumologia e Tisiologia2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000300500Jornal Brasileiro de Pneumologia v.47 n.3 2021reponame:Jornal Brasileiro de Pneumologia (Online)instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)instacron:SBPT10.36416/1806-3756/e20200096info:eu-repo/semantics/openAccessTorres,Pedro Paulo Teixeira e SilvaRabahi,Marcelo FouadMoreira,Maria Auxiliadora do CarmoEscuissato,Dante LuizMeirelles,Gustavo de Souza PortesMarchiori,Edsoneng2021-05-28T00:00:00Zoai:scielo:S1806-37132021000300500Revistahttp://www.jornaldepneumologia.com.br/default.aspONGhttps://old.scielo.br/oai/scielo-oai.php||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br1806-37561806-3713opendoar:2021-05-28T00:00Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)false
dc.title.none.fl_str_mv Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
title Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
spellingShingle Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
Torres,Pedro Paulo Teixeira e Silva
Tomography, X-ray computed
Diagnostic imaging
Pulmonary fibrosis
title_short Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
title_full Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
title_fullStr Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
title_full_unstemmed Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
title_sort Importance of chest HRCT in the diagnostic evaluation of fibrosing interstitial lung diseases
author Torres,Pedro Paulo Teixeira e Silva
author_facet Torres,Pedro Paulo Teixeira e Silva
Rabahi,Marcelo Fouad
Moreira,Maria Auxiliadora do Carmo
Escuissato,Dante Luiz
Meirelles,Gustavo de Souza Portes
Marchiori,Edson
author_role author
author2 Rabahi,Marcelo Fouad
Moreira,Maria Auxiliadora do Carmo
Escuissato,Dante Luiz
Meirelles,Gustavo de Souza Portes
Marchiori,Edson
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Torres,Pedro Paulo Teixeira e Silva
Rabahi,Marcelo Fouad
Moreira,Maria Auxiliadora do Carmo
Escuissato,Dante Luiz
Meirelles,Gustavo de Souza Portes
Marchiori,Edson
dc.subject.por.fl_str_mv Tomography, X-ray computed
Diagnostic imaging
Pulmonary fibrosis
topic Tomography, X-ray computed
Diagnostic imaging
Pulmonary fibrosis
description ABSTRACT Many conditions result in chronic interstitial lung disease (ILD), being classified as fibrosing ILDs, including idiopathic pulmonary fibrosis, connective tissue diseases, sarcoidosis, and fibrotic hypersensitivity pneumonitis. HRCT plays an important role in the clinical evaluation of fibrosing ILDs. Current treatment perspectives are encouraging and reinforce the need for HRCT scans of adequate technical quality for early detection of fibrosing ILD. Despite efforts in this regard, the significance and management of imaging findings of early interstitial lung abnormalities have yet to be clarified. After identification of CT findings consistent with fibrosing ILD, radiologists must be able to identify characteristic morphological patterns and, in some cases, features of specific clinical entities. In cases in which HRCT features are not sufficiently specific for a definitive diagnosis, HRCT can aid in selecting the best site for surgical lung biopsy. CT follow-up is useful for identifying progressive fibrosing ILDs and detecting complications unrelated to the underlying disease, including infections, acute exacerbations, and neoplasms. Automated quantification tools have clinical applicability and are likely to be available for use in imaging analysis in the near future. In addition, incorporation of CT evaluation into scoring systems based on clinical and functional parameters for staging fibrosing disease is likely to become valuable in determining prognosis. Knowledge of the clinical applications of CT evaluation is essential for specialists managing patients with fibrosing ILD and can have a positive impact on the clinical course of the disease.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000300500
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000300500
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.36416/1806-3756/e20200096
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
dc.source.none.fl_str_mv Jornal Brasileiro de Pneumologia v.47 n.3 2021
reponame:Jornal Brasileiro de Pneumologia (Online)
instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
instacron:SBPT
instname_str Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
instacron_str SBPT
institution SBPT
reponame_str Jornal Brasileiro de Pneumologia (Online)
collection Jornal Brasileiro de Pneumologia (Online)
repository.name.fl_str_mv Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
repository.mail.fl_str_mv ||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br
_version_ 1750318348165447680