PURPOSE: To determine if there is a subset of patients undergoing surgical biopsy for diffuse lung disease in whom accurate diagnosis can be made with computed tomography (CT) only. MATERIALS AND METHODS: Two chest radiologists retrospectively reviewed the CT scans of 85 patients in whom surgical biopsy for diffuse lung disease was performed. Thin-section CT images were available in 58 (68%) of the 85 cases. By consensus, the radiologists listed the three most likely diagnoses in order of probability and rated their level of confidence in the first choice. RESULTS: Each of 85 patients with diffuse lung disease had one of 16 diseases. In 79 (93%) cases, the correct diagnosis was one of the three choices. In 54 (64%) cases, the correct diagnosis was the radiologists' first choice. A high level of confidence in the first choice was reached in 20 (24%) cases; all 20 cases were forms of chronic lung disease. In 18 (90%) of these 20 cases, the first choice was correct. CONCLUSION: In a subset of patients with diffuse lung disease who undergo surgical biopsy, accurate diagnosis can be made with CT findings only.
PURPOSE: To determine if there is a subset of patients undergoing surgical biopsy for diffuse lung disease in whom accurate diagnosis can be made with computed tomography (CT) only. MATERIALS AND METHODS: Two chest radiologists retrospectively reviewed the CT scans of 85 patients in whom surgical biopsy for diffuse lung disease was performed. Thin-section CT images were available in 58 (68%) of the 85 cases. By consensus, the radiologists listed the three most likely diagnoses in order of probability and rated their level of confidence in the first choice. RESULTS: Each of 85 patients with diffuse lung disease had one of 16 diseases. In 79 (93%) cases, the correct diagnosis was one of the three choices. In 54 (64%) cases, the correct diagnosis was the radiologists' first choice. A high level of confidence in the first choice was reached in 20 (24%) cases; all 20 cases were forms of chronic lung disease. In 18 (90%) of these 20 cases, the first choice was correct. CONCLUSION: In a subset of patients with diffuse lung disease who undergo surgical biopsy, accurate diagnosis can be made with CT findings only.
Authors: Moisés Selman; Victor J Thannickal; Annie Pardo; David A Zisman; Fernando J Martinez; Joseph P Lynch Journal: Drugs Date: 2004 Impact factor: 9.546
Authors: Robert Brownell; Teng Moua; Travis S Henry; Brett M Elicker; Darin White; Eric Vittinghoff; Kirk D Jones; Anatoly Urisman; Carlos Aravena; Kerri A Johannson; Jeffrey A Golden; Talmadge E King; Paul J Wolters; Harold R Collard; Brett Ley Journal: Thorax Date: 2017-01-12 Impact factor: 9.139
Authors: Ganesh Raghu; Harold R Collard; Jim J Egan; Fernando J Martinez; Juergen Behr; Kevin K Brown; Thomas V Colby; Jean-François Cordier; Kevin R Flaherty; Joseph A Lasky; David A Lynch; Jay H Ryu; Jeffrey J Swigris; Athol U Wells; Julio Ancochea; Demosthenes Bouros; Carlos Carvalho; Ulrich Costabel; Masahito Ebina; David M Hansell; Takeshi Johkoh; Dong Soon Kim; Talmadge E King; Yasuhiro Kondoh; Jeffrey Myers; Nestor L Müller; Andrew G Nicholson; Luca Richeldi; Moisés Selman; Rosalind F Dudden; Barbara S Griss; Shandra L Protzko; Holger J Schünemann Journal: Am J Respir Crit Care Med Date: 2011-03-15 Impact factor: 21.405
Authors: Margaret L Salisbury; Jeffrey L Myers; Elizabeth A Belloli; Ella A Kazerooni; Fernando J Martinez; Kevin R Flaherty Journal: Am J Respir Crit Care Med Date: 2017-09-15 Impact factor: 21.405