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Eur J Radiol. 2014 Jan;83(1):6-19. doi: 10.1016/j.ejrad.2012.12.028. Epub 2013 Feb 11.

A practical approach to high-resolution CT of diffuse lung disease.

Author information

1
Department of Radiology, Dana-Farber Cancer Institute and Brigham and Women's Hospital, 450 Brookline Avenue, Boston, MA 02215, USA. Electronic address: Mizuki_Nishino@DFCI.HARVARD.EDU.
2
Department of Radiology, University of Fukui Faculty of Medical Sciences, Matsuoka-cho, Yoshida-gun, Fukui, Japan.
3
Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02215, USA.

Abstract

Diffuse lung disease presents a variety of high-resolution CT findings reflecting its complex pathology, and provides diagnostic challenge to radiologists. Frequent modification of detailed pathological classification makes it difficult to keep up with the latest understanding. In this review, we describe a practical approach to high-resolution CT diagnosis of diffuse lung disease, emphasizing (1) analysis of "distribution" of the abnormalities, (2) interpretation of "pattern" in relation to distribution, (3) utilization of associated imaging findings and clinical information, and (4) chronicity of the findings. This practical approach will help radiologists establish a way to interpret high-resolution CT, leading to pin-point diagnosis or narrower differential diagnoses of diffuse lung diseases.

KEYWORDS:

CT; Diffuse lung disease; High-resolution CT; Interstitial lung disease; Lung

PMID:
23410907
PMCID:
PMC3745551
DOI:
10.1016/j.ejrad.2012.12.028
[Indexed for MEDLINE]
Free PMC Article

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