Jonathan H Chung1, David A Lynch2. 1. 1 Department of Radiology, The University of Chicago Medicine, 5841 S Maryland Ave, P210B, Chicago, IL 60637. 2. 2 Department of Radiology, National Jewish Health, Denver, CO.
Abstract
OBJECTIVE: Multidisciplinary discussion is essential in establishing the diagnosis of idiopathic pulmonary fibrosis (IPF) and in determining prognosis. CONCLUSION: The CT and histopathologic correlate for IPF is usual interstitial pneumonitis (UIP). If a high-confidence diagnosis of UIP is made on CT, IPF is almost always the diagnosis, obviating lung biopsy. If a confident diagnosis of UIP cannot be made on CT, further assessment with lung biopsy and multidisciplinary discussion are often necessary to achieve a confident final diagnosis.
OBJECTIVE: Multidisciplinary discussion is essential in establishing the diagnosis of idiopathic pulmonary fibrosis (IPF) and in determining prognosis. CONCLUSION: The CT and histopathologic correlate for IPF is usual interstitial pneumonitis (UIP). If a high-confidence diagnosis of UIP is made on CT, IPF is almost always the diagnosis, obviating lung biopsy. If a confident diagnosis of UIP cannot be made on CT, further assessment with lung biopsy and multidisciplinary discussion are often necessary to achieve a confident final diagnosis.
Authors: Ganesh Raghu; Bernt van den Blink; Mark J Hamblin; A Whitney Brown; Jeffrey A Golden; Lawrence A Ho; Marlies S Wijsenbeek; Martina Vasakova; Alberto Pesci; Danielle E Antin-Ozerkis; Keith C Meyer; Michael Kreuter; Hugues Santin-Janin; Geert-Jan Mulder; Brian Bartholmai; Renu Gupta; Luca Richeldi Journal: JAMA Date: 2018-06-12 Impact factor: 56.272
Authors: Jorie D Budzikowski; Joseph J Foy; Ahmed A Rashid; Jonathan H Chung; Imre Noth; Samuel G Armato Journal: J Med Imaging (Bellingham) Date: 2021-04-19