High-Resolution Computed Tomography: Lights and Shadows in Improving Care for SSc-ILD Patients

被引：29

作者：

Ruaro, Barbara ^{[1
]}

Baratella, Elisa ^{[2
]}

Confalonieri, Paola ^{[1
]}

Wade, Barbara ^{[3
]}

Marrocchio, Cristina ^{[2
]}

Geri, Pietro ^{[1
]}

Busca, Annalisa ^{[1
]}

Pozzan, Riccardo ^{[1
]}

Andrisano, Alessia Giovanna ^{[1
]}

Cova, Maria Assunta ^{[2
]}

Confalonieri, Marco ^{[1
]}

Salton, Francesco ^{[1
]}

机构：

[1] Univ Hosp Cattinara, Dept Pulmonol, Trieste, Italy

[2] Univ Trieste, Cattinara Hosp, Dept Radiol, I-34149 Trieste, Italy

[3] Univ Torino, Dept Sci Publ Hlth & Pediat, AOU City Hlth & Sci Turin, I-34149 Trieste, Italy

来源：

DIAGNOSTICS | 2021年 / 11卷 / 11期

关键词：

systemic sclerosis-associated interstitial lung disease (SSc-ILD); interstitial lung disease (ILD); systemic sclerosis (SSc); high-resolution computed tomography (HRTC); pulmonary function tests (PFT); usual interstitial pneumonia (UIP); INTERSTITIAL LUNG-DISEASE; IDIOPATHIC PULMONARY-FIBROSIS; EULAR SCLERODERMA TRIALS; SYSTEMIC-SCLEROSIS; FUNCTION TESTS; RADIATION-EXPOSURE; FLEISCHNER-SOCIETY; QUANTITATIVE CT; ULTRASOUND; HRCT;

D O I：

10.3390/diagnostics11111960

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The diagnosis and classification of systemic sclerosis-associated interstitial lung disease (SSc-ILD) is essential to improve the prognosis of systemic sclerosis (SSc) patients. The risk-stratification of disease severity and follow-up requires a multidisciplinary approach, integrating high-resolution computed tomography (HRTC) of the lung, pulmonary function tests (PFT), along with clinical and symptomatic evaluations. The use of HRCT in detecting SSc-ILD is not so much based on a definitive validation, but rather reflects the widespread clinician recognition of dissatisfaction with other modalities. However, due to the heterogeneity of SSc-ILD and the potential absence of symptoms in early or mild disease, it is prudent to consider as many parameters as possible in the assessment and monitoring of newly diagnosed patients. An early diagnosis meets the primary goal, i.e., the prevention of disease progression. The current first line treatment regimens are mainly centered on immunosuppressive therapy. This review assesses the role HRCT plays in optimizing care and improving clinical outcomes in SSc-ILD patients.

引用

页数：16

共 109 条

[11] Radiation risks potentially associated with low-dose CT screening of adult smokers for lung cancer [J].