High Resolution Computed Tomography (HRCT) In Diagnosis And Management Of Usual Interstitial Pneumonia

HRCT in Interstitial Pneumonia

Authors

  • Dr. Amar Suri
  • Dr. Dharita Shah

DOI:

https://doi.org/10.70284/njirm.v5i1.2280

Keywords:

Usual Interstitial Pneumonia, Septal Thickening, Honey Combing

Abstract

Abstracts: Background & Objectives: The aim of our article is to explain utility of high resolution CT scan in detection of usual interstitial pneumonia which has grave prognosis .Materials & Methods: Study opulation comprises 19 women and 11 men. Inclusion criteria were patients presenting with breathlessness, reticular patternon chest xray or restrictive pattern on pulmonary function tests. All patients were subjected to high resolution computed tomography (HRCT) examination. Findings of HRCT & chest x-ray were compared. Results: Study showed that (1)Septal thickening with honeycombing is core finding in UIP.(2)Lower lobe involvement, sub pleural & peripheral distribution of lesions were characteristic.(3)Ground glass opacity & traction bronchiectasis were other findings. Conclusion: In conclusion, HRCT is having high degree of accuracy in diagnosing usual interstitial pneumonia. The disease itself is having worst prognosis. Early detection is possible with HRCT, in late stages changes can be picked up easily without need of lung biopsy.

References

1. Scadding JG, Hinson KF: Diffuse fibrosing alveolitis (diffuse interstitial fibrosis of lung.)Correlation of histology at biopsy with prognosis .Thorax 22; 291-304,1967.
2. King T E Jr, Schwartz M I, Brown K et al 2001 Idiopathic Pulmonary Fibrosis: relation between histological features & mortality. Am J Respir Crit Care Med 164:1025-1032
3. Hunningshake GW, Lynch DA, Galvin JR, et al. Radilogical findings are strongly associated with a pathological diagnosis of interstitial pneumonia. Chest 2003;124:1215-23.
4. Flahertty KR, Anderi, AC, King TE Jr, et al: Idiopathic interstitial pneumonia: Do community & academic physician agree on diagnosis? Am J Respir Crit Care Med 25:37-45,2004
5. JohKoh T, Muller NL, Cartier Y, Kavanagh PV, et al: Idiopathic interstitial pneumonias: Diagnostic accuracy of thin section CT in 129 patients, Radiology 2011:555-60,1999
6. Muller NL, Colby TV: Idiopathic interstitial pneumonias: High resolution CT findings & histological findings. Radio graphics 1997; 17:1016-22.
7. G Raghu,F Nyberg and G Morgan: The epidemiology of interstitial lung disease & its association with lung cancer. British Journal of cancer; 91:S3-S10,2004.
8. G.Raghu, A.G.Nicolson, D.Lynch.The classification, natural history & histological appearances of idiopathic pulmonary fibrosis& the other interstitial pneumonias. European Respiratory Review 2008;17:109,108-115.
9. Eun A king,Kyung Soo Lee,Takeshi Johkoh. Interstitial lung disease associated with collagen vascular diseases:Radiological & histopathological findings. Radiographics 2002;22:151-165.
10. Maxwell Smith, Mercedes delurzo, Prasad Pans.UIP-pattern fibrosis in surgical lung biopsies. Clinical, radiological & histopathological clues to diagnosis. BMJ 2013;66:896-903.
11. K.R.Flaherty, E.L.Thwaite, E.L.Kazrooni,B.H.Gross.Radiological vs histlogical diagnosis in UIP & NSIP:survival implications.BMJ 2003;58:143-148
12. Carolina Souza,Nestor Muller,Julia Flint.L.Idiopathic pulmonary fibrosis:Spectrum of HRCT findings.AJR2005;185: 1531-1539.
13. Christina muller, Claudia rosse, Kathrina schmid.What every radiologist should know about idiopathic interstitial pneumonias.2007;27:595-615

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Published

2014-02-28

How to Cite

Suri, D. A., & Shah, D. D. (2014). High Resolution Computed Tomography (HRCT) In Diagnosis And Management Of Usual Interstitial Pneumonia: HRCT in Interstitial Pneumonia. National Journal of Integrated Research in Medicine, 5(1), 60–62. https://doi.org/10.70284/njirm.v5i1.2280

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Section

Original Articles