2024年12月18日 · Idiopathic pulmonary fibrosis (IPF) is a clinical syndrome and considered the most common and the most lethal form of pulmonary fibrosis corresponding to the histologic and imaging pattern of usual interstitial pneumonia. It is more …

2012年11月23日 · Characteristic high-resolution CT (HRCT) findings of idiopathic pulmonary fibrosis (IPF) include reticulation, architectural distortion, and honeycombing involving mainly the lung periphery and the lower lobes. In 50% of IPF patients, HRCT is nonspecific. This article illustrates the HRCT findings of IPF correlating with the pathology.

2021年1月7日 · The final diagnosis of IPF is based on the findings on HRCT in combination with the histopathology (table). Treatment and follow-up ILD patients are most often followed with PFT and HRCT imaging to assess for disease progression.

High-resolution computed tomography (HRCT) plays a major role in the diagnosis of IPF. In this narrative review, we discuss the importance of early diagnosis, awareness among primary care physicians, lung cancer screening programmes and early IPF detection, and barriers to accessing anti-fibrotic medications.

2013年4月16日 · High-resolution computed tomography (HRCT) imaging has a central role in the diagnosis of interstitial lung diseases, particularly in the evaluation of patients with suspected idiopathic pulmonary fibrosis (IPF). In approximately half of cases, HRCT scans are sufficient to allow a confident IPF diagnosis. Advances in HRCT scanning and ...

Background: This document provides clinical recommendations for the diagnosis of idiopathic pulmonary fibrosis (IPF). It represents a collaborative effort between the American Thoracic Society, European Respiratory Society, Japanese Respiratory Society, and Latin American Thoracic Society.

特发性肺纤维化(idiopathic pulmonary fibrosis，IPF)是一种起病隐匿，病因不明，组织学或影像学表现为普通型间质性肺炎(usual interstitial pneumonia，UIP)，以进行性呼吸困难和肺功能下降为特征的慢性肺疾病。

胸部x片诊断ipf的敏感性和特异性差，胸部hrct是诊断ipf的必要手段。 UIP的胸部HRCT特征性表现为胸膜下、基底部分布为主的网格影和蜂窝影，伴(或不伴)牵拉性支气管扩张，磨玻璃样改变不明显 [ 2 ] ( 图1 ， 图2 )，其中蜂窝影是诊断确定UIP型的重要依据。

特发性肺纤维化(idiopathic pulmonary fibrosis，IPF)是特发性间质性肺炎(idiopathic interstitial pneumonias，IIP)中最重要的亚型，其病因和发病机制不清，目前无有效治疗方法，预后差 [1,2,3] 。IPF的病理诊断一直是病理医师工作的难点。

2018 版 IPF 诊断指南中定义了四种高分辨率计算机断层扫描（high-resolution computed tomography，HRCT）确定的影像学类型：UIP、很可能 UIP、不确定 UIP和其他诊断。 学会考虑将HRCT中UIP和很可能UIP 合并，但考虑到多种原因，2022 版指南仍维持了之前的分类，但对不同类型作了不同程度的修改（表1）。 2022 版指南丰富了 HRCT 中「UIP」类型的定义，并更新了「很可能 UIP」与「不确定 UIP」类型的定义。 在 2018 版指南中，「不确定 UIP」定义为 …