医学
恶化
特发性肺纤维化
肺
高分辨率计算机断层扫描
放射科
背景(考古学)
间质性肺病
肺癌
放射性武器
肺功能测试
人口
磨玻璃样改变
重症监护医学
计算机断层摄影术
内科学
癌症
腺癌
古生物学
环境卫生
生物
作者
Elisa Baratella,Ilaria Fiorese,Cristina Marrocchio,Francesco Salton,Maria Assunta Cova
标识
DOI:10.3390/medicina55100613
摘要
Idiopathic pulmonary fibrosis (IPF) is a chronic, pulmonary-limited, interstitial lung disease with a poor prognosis. This condition is characterized by different clinical scenarios, ranging from the most typical slow and progressive deterioration of symptoms to a rapid and abrupt decline of lung function. Rapid worsening of clinical course is due to superimposed complications and comorbidities that can develop in IPF patients, with a higher incidence rate compared to the general population. These conditions may require a different management of the patient and a therapy adjustment, and thus it is fundamental to recognize them. High Resolution Computed Tomography (HRCT) is sensitive, but not specific, in detecting these complications, and can evaluate the presence of radiological variations when previous examinations are available; it recognizes ground glass opacities or consolidation that can be related to a large spectrum of comorbidities, such as infection, lung cancer, or acute exacerbation. To reach the final diagnosis, a multidisciplinary discussion is required, particularly when the clinical context is related to imaging findings.
科研通智能强力驱动
Strongly Powered by AbleSci AI