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Chronic cystic lung disease: diagnostic accuracy of high-resolution CT in 92 patients
- Source :
- AJR. American journal of roentgenology. 180(3)
- Publication Year :
- 2003
-
Abstract
- The objective of this study was to determine whether the various chronic cystic lung diseases can be differentiated on the basis of the pattern and distribution of abnormalities on high-resolution CT.High-resolution CT scans in 92 patients with chronic cystic lung diseases (18 with pulmonary Langerhans cell histiocytosis, 18 with pulmonary lymphangioleiomyomatosis, 17 with usual interstitial pneumonia, 16 with lymphocytic interstitial pneumonia, 15 with emphysema, and eight with desquamative interstitial pneumonia or respiratory bronchiolitis interstitial lung disease) were retrospectively assessed by two independent observers without knowledge of the clinical or pathologic data. The observers recorded the abnormalities, the most likely diagnosis, and the degree of confidence in that diagnosis.The two observers made a correct first-choice diagnosis in 148 (80%) of 184 interpretations. The correct diagnosis was made in 100% of interpretations of usual interstitial pneumonia, 81% of desquamative interstitial pneumonia or respiratory bronchiolitis interstitial lung disease, 81% of lymphocytic interstitial pneumonia, 77% of emphysema, 72% of lymphangioleiomyomatosis, and 72% of Langerhans cell histiocytosis. The two observers made a diagnosis with a high degree of confidence in 105 (57%) of 184 interpretations. The confident diagnosis was correct in 98 (93%) of 105 interpretations.Although various chronic cystic lung diseases often have a characteristic appearance that allows their distinction on high-resolution CT, considerable overlap exists among the CT findings. Therefore, lung biopsy is often required for a definitive diagnosis.
- Subjects :
- Adult
Lung Diseases
Male
medicine.medical_specialty
Pathology
Adolescent
Desquamative interstitial pneumonia
Diagnosis, Differential
Usual interstitial pneumonia
Biopsy
medicine
Humans
Radiology, Nuclear Medicine and imaging
Lymphocytic interstitial pneumonia
Aged
Retrospective Studies
Aged, 80 and over
Lung
medicine.diagnostic_test
business.industry
Cysts
Respiratory disease
Reproducibility of Results
Retrospective cohort study
General Medicine
Middle Aged
medicine.disease
respiratory tract diseases
medicine.anatomical_structure
Respiratory bronchiolitis interstitial lung disease
Chronic Disease
Female
Radiology
business
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 0361803X
- Volume :
- 180
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- AJR. American journal of roentgenology
- Accession number :
- edsair.doi.dedup.....a90805918076eadf7913a959dd8edbd8