Abstract:
:Interstitial lung disease (ILD) is a common cause of morbidity and mortality in patients with connective tissue disease (CTD). In a minority of patients the ILD may be the presenting (or only) manifestation of an underlying CTD. Diagnosis of CTD-related ILD relies on a multidisciplinary team including pulmonologists, pathologists, radiologists, and rheumatologists, as the imaging and pathologic findings may be indistinguishable from idiopathic interstitial pneumonias. Moreover, many patients with ILD are suspected of having an underlying CTD but do not meet all of the necessary criteria for a specific disorder. This article provides a pattern-based approach to the imaging of CTD-related ILD and also reviews relevant clinical, pathologic, and serologic data that radiologists should be familiar with as part of a multidisciplinary team.
journal_name
J Thorac Imagingjournal_title
Journal of thoracic imagingauthors
Henry TS,Little BP,Veeraraghavan S,Bhalla S,Elicker BMdoi
10.1097/RTI.0000000000000191subject
Has Abstractpub_date
2016-03-01 00:00:00pages
65-77issue
2eissn
0883-5993issn
1536-0237journal_volume
31pub_type
杂志文章,评审abstract:PURPOSE:Computed tomographic pulmonary angiography (CTPA) is the test of choice for patients with acute chest pain and suspected pulmonary embolism (PE). This examination is excellent for the diagnosis of PE and can also often identify alternative diagnoses. The early phase of contrast, however, may not allow for optim...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000476
更新日期:2020-09-01 00:00:00
abstract::The authors set out to determine how histologic variability in bronchioloalveolar cell carcinoma impacts dominant radiographic patterns shown by computed tomography (CT). Thoracic CT's of all patients with pathologically confirmed bronchioloalveolar cell carcinoma diagnosed over a 36-month period were reviewed without...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200007000-00005
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abstract::Cardiac hemangiomas are rare, benign primary cardiac neoplasms. We describe the CT and MR imaging findings of a cardiac hemangioma arising from the myocardium of the left atrial appendage and protruding into the pericardial cavity. The tumor displayed homogenous density on CT, heterogeneous signal intensity on MR, and...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200307000-00012
更新日期:2003-07-01 00:00:00
abstract::This pictorial essay presents cases of congenital coronary artery anomalies, including congenital anomalies of origin, course, and termination. Familiarity with atypical coronary anatomy and clinical presentation may facilitate appropriate diagnosis and management, particularly as cardiac and thoracic computed tomogra...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000338
更新日期:2018-09-01 00:00:00
abstract::Non-Hodgkin lymphoma (NHL) rarely arises from tuberculous empyema. We report a case in which magnetic resonance (MR) imaging was useful in separating the lymphoma from the chronic empyema. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199501010-00008
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:Cardiac fluorine-18-fluorodeoxyglucose (FDG) uptake is known to be variable in fasting oncologic positron emission tomography computed tomography studies. Increased posterolateral and basal FDG activity have been reported with the basal pattern ascribed to radiation injury. The purpose of this study was to inve...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182176675
更新日期:2012-07-01 00:00:00
abstract::Lung hernia is defined as a protrusion of lung parenchyma beyond the confines of the musculoskeletal thorax. Lung hernias can be classified according to location (i.e., cervical, thoracic, or diaphragmatic) and etiology. Approximately 80% of reported cases of lung hernia are acquired, usually related to trauma or surg...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199601110-00008
更新日期:1996-01-01 00:00:00
abstract::Melioidosis is predominantly a tropical disease caused by Burkholderia pseudomallei, a soil-dwelling gram-negative, aerobic bacillus that is distributed primarily in southeast Asia and northern Australia. In this pictorial essay, we provide an illustrated review and conceptual framework of the protean imaging features...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3182610700
更新日期:2013-05-01 00:00:00
abstract::With more sophisticated medical procedures and treatment for the critically ill patient, iatrogenic damage to the thorax has become increasingly common. But simple radiologic procedures, such as chest radiography and fluoroscopy, permit diagnosis of unsuspected and clinically silent complications. A very important iat...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-198707000-00006
更新日期:1987-07-01 00:00:00
abstract::Cytologic analysis of bronchoalveolar lavage (BAL) fluid is used for lung cancer diagnosis. We describe a patient with a history of rectal carcinoma who presented with a new lung mass. BAL was performed, with positron emission tomography-computed tomography the following day. There was mildly increased fluoro-deoxy-D-...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3181e35ae3
更新日期:2011-08-01 00:00:00
abstract::We report a patient with mediastinal lymphangioma, with plain film and computed tomographic findings that suggested the diagnosis of thymic cyst. The differential diagnosis and magnetic resonance imaging of mediastinal lymphangioma are discussed. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199112000-00012
更新日期:1991-12-01 00:00:00
abstract::It has been stated that chest radiographic features of aortic dissection are a contraindication to intravenous thrombolysis in patients with suspected acute myocardial infarction. Excluding aortic dissection could significantly delay such treatment in patients who would benefit from thrombolysis. Initial chest radiogr...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199321000-00008
更新日期:1993-04-01 00:00:00
abstract::Portable chest radiography is a fundamental and frequently utilized examination in the critically ill patient population. The chest radiograph often represents a timely investigation of new or rapidly evolving clinical findings and an evaluation of proper positioning of support tubes and catheters. Thoughtful consider...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000174
更新日期:2015-11-01 00:00:00
abstract::The purpose of this study was to correlate the extent of computed tomographic (CT) findings with the severity of respiratory dysfunction in lung transplant recipients with bronchiolitis obliterans syndrome (BOS). Eighty-nine conventional and 61 thin-section CT scans performed in 44 transplant recipients (17 bilateral,...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200304000-00003
更新日期:2003-04-01 00:00:00
abstract::Sufficient trauma to the chest can result in injury to the bony thorax and soft tissues of the chest wall, increasing patient morbidity and mortality. Fractured ribs can lacerate the pleura, lung, or abdominal organs. Fractures to upper ribs, clavicle, and upper sternum can signal brachial plexus or vascular injury. P...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-200004000-00006
更新日期:2000-04-01 00:00:00
abstract::On health examination, a nodular opacity of size of 25 mm was detected in a 54-year-old man. High-resolution computed tomography scans showed irregular-shaped ground glass opacity with bubble-like appearance in the right lung. The low-magnified histological findings after right upper lobectomy demonstrated squamous ce...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/01.rti.0000204400.63644.88
更新日期:2006-03-01 00:00:00
abstract::Zygomycosis is a life-threatening fungal infection, and its successful treatment requires early diagnosis. To establish radiologic and clinical criteria for early diagnosis, we reviewed 3 post-mortem cases with zygomycosis secondary to hematological diseases. In all cases, an irregular dilatation of pulmonary veins on...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182282d17
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:We sought to introduce a localization procedure (methylene blue-stained N-butyl cyanoacrylate and N-octyl cyanoacrylate glue) in localizing pulmonary small nodules and ground-glass opacities before thoracoscopic resection, and to evaluate its efficacy. METHODS:A total of 20 patients with pulmonary small nodu...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000479
更新日期:2020-07-01 00:00:00
abstract::Before the advent of fast-scanning multidetector-row computed tomography (CT) technology, thoracic CT studies were exclusively used for the morphologic assessment of thoracic organs, as the concurrent examination of the heart was hampered by image degradation from cardiac motion artifacts. The introduction of fast rot...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181e0f8c9
更新日期:2010-08-01 00:00:00
abstract::It is well known that destruction of the distal capillary bed from extensive fibrosis and honeycombing in the setting of sarcoidosis may lead to pulmonary hypertension. However, we report an unusual manifestation of sarcoidosis where pulmonary hypertension resulted from granulomatous involvement of the pulmonary veins...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3180437e3f
更新日期:2007-08-01 00:00:00
abstract::A pulmonary nodule was incidentally detected in a 50-year-old man during a routine health evaluation. High-resolution computed tomography (HRCT) showed that the lesion had the appearance of a collection of multiple tiny nodules. Histologic examination of the resected specimen revealed a single hamartoma resembling a b...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200401000-00007
更新日期:2004-01-01 00:00:00
abstract::The outcome of treatment in patients with early asymptomatic HIV disease has recently improved. Clinical trials with zidovudine have demonstrated efficacy and greatly reduced toxicity when the drug is used in asymptomatic HIV-infected persons who have fewer than 500 CD4+ cells/mm3, and resistance to this drug in these...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199109000-00004
更新日期:1991-09-01 00:00:00
abstract::This article reviews common and uncommon patterns of thoracic metastatic disease in primary hepatobiliary and pancreatic malignancies that are often overlooked or improperly diagnosed because of atypical location or imaging appearance. An understanding of the pathophysiology and routes of tumor spread aids in tailorin...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000189
更新日期:2015-11-01 00:00:00
abstract::The incidence of fungal pneumonias has increased dramatically since the 1960s, particularly in immunocompromised patients. Fungal infections may be divided into endemic and opportunistic varieties. In general, the truly pathogenic (endemic) fungi infect healthy individuals, and opportunistic fungi usually infect only ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199209000-00003
更新日期:1992-09-01 00:00:00
abstract::Pleural infection by Cryptococcus neoformans is uncommon and when present typically occurs in the immunocompromised host. We report two renal transplant patients who developed pleural cryptococcosis. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199004000-00012
更新日期:1990-04-01 00:00:00
abstract::Thoracic duct cysts are rare lesions presenting as mediastinal or supraclavicular masses. We report a case of a 77-year-old female who presented with a left supraclavicular mass. A cervical thoracic duct cyst was suspected after contrast-enhanced computed tomography (CT) of the neck and chest. Diagnosis was confirmed ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/01.rti.0000148208.74252.84
更新日期:2005-05-01 00:00:00
abstract::Lung cancer is the leading cause of cancer death in the United States and worldwide. However, among the top 4 deadliest cancers, lung cancer is the only one not subject to routine screening. Optimism for an effective lung cancer-screening examination soared after the release of the National Lung Screening Trial result...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000119
更新日期:2015-01-01 00:00:00
abstract::Ehlers-Danlos syndrome (EDS) is an inherited disorder of connective tissue with multiple thoracic manifestations. We present an unusual thoracic manifestation of EDS consisting of parenchymal cysts and fibrous and fibroosseous nodules. These manifestations may be related to an abnormal attempt at repair of parenchymal...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199521000-00012
更新日期:1995-04-01 00:00:00
abstract::Multidetector computed tomography (MDCT) can play a role in diagnosis of coronary artery disease and in the assessment of left ventricle (LV) and right ventricle global function, with initial good correlation results with standard modalities. With the latest scanners, regional LV contractility with both qualitative an...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
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更新日期:2007-02-01 00:00:00
abstract::We analyzed the spatial structure of contact radiographs of barium-filled pulmonary arteries of rats raised in room air and in two environments that induce pulmonary arterial hypertension (PAH)--hypoxia and hyperoxia. We found that the spatial structure of the pulmonary arteries was fractal in both the control and the...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00