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ESR Essentials: imaging in fibrotic lung diseases : practice recommendations by the European Society of Thoracic Imaging

Fibrotic lung diseases (FLDs) represent a subgroup of interstitial lung diseases (ILDs), which can progress over time and carry a poor prognosis. Imaging has increased diagnostic discrimination in the evaluation of FLDs. International guidelines have stated the role of radiologists in the diagnosis...

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Main Authors: Larici, Anna Rita (Author) , Biederer, Jürgen (Author) , Cicchetti, Giuseppe (Author) , Franquet Casas, Tomas (Author) , Screaton, Nick (Author) , Rémy-Jardin, Martine (Author) , Parkar, Anagha (Author) , Prosch, Helmut (Author) , Schaefer-Prokop, Cornelia (Author) , Frauenfelder, Thomas (Author) , Ghaye, Benoit (Author) , Sverzellati, Nicola (Author)
Format: Article (Journal)
Language:English
Published: 07 September 2024
In: European radiology
Year: 2024, Pages: 1-11
ISSN:1432-1084
DOI:10.1007/s00330-024-11054-2
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00330-024-11054-2
Verlag, kostenfrei, Volltext: https://link.springer.com/article/10.1007/s00330-024-11054-2
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Author Notes:Anna Rita Larici, Juergen Biederer, Giuseppe Cicchetti, Tomas Franquet Casas, Nick Screaton, Martine Remy-Jardin, Anagha Parkar, Helmut Prosch, Cornelia Schaefer-Prokop, Thomas Frauenfelder, Benoit Ghaye and Nicola Sverzellati
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Summary:Fibrotic lung diseases (FLDs) represent a subgroup of interstitial lung diseases (ILDs), which can progress over time and carry a poor prognosis. Imaging has increased diagnostic discrimination in the evaluation of FLDs. International guidelines have stated the role of radiologists in the diagnosis and management of FLDs, in the context of the interdisciplinary discussion. Chest computed tomography (CT) with high-resolution technique is recommended to correctly recognise signs, patterns, and distribution of individual FLDs. Radiologists may be the first to recognise the presence of previously unknown interstitial lung abnormalities (ILAs) in various settings. A systematic approach to CT images may lead to a non-invasive diagnosis of FLDs. Careful comparison of serial CT exams is crucial in determining either disease progression or supervening complications. This ‘Essentials’ aims to provide radiologists a concise and practical approach to FLDs, focusing on CT technical requirements, pattern recognition, and assessment of disease progression and complications. Hot topics such as ILAs and progressive pulmonary fibrosis (PPF) are also discussed.
Item Description:Gesehen am 11.03.2025
Physical Description:Online Resource
ISSN:1432-1084
DOI:10.1007/s00330-024-11054-2

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