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특발성 간질성 폐렴의 영상 소견
Radiologic Findings of Idiopathic Interstitial Pneumonia 원문보기

Tuberculosis and respiratory diseases : TRD = 결핵 및 호흡기 질환, v.58 no.4 = no.243, 2005년, pp.330 - 343  

박재성 (순천향대학교 의과대학 방사선과학교실)

초록
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특발성 간질성 폐렴은 폐포보다는 폐간질을 주로 침범하는 미만성 염증성 섬유화 병변으로 병변의 분류에 임상적 및 병리학적으로 많은 혼동과 변화를 겪어왔다. 최근에는 미국흉부학회와 유럽호흡기학회의 공동 모임에서 이 질환 군에 해당되는 모든 임상과들이 모여서 7가지의 병변으로 재분류 하였는데, 이는 Idiopathic pulmonary fibrosis, Nonspecific interstitial pneumonia, Cryptogenic organizing pneumonia, Acute interstitial pneumonia, Respiratory bronchiolitis interstitial lung disease, Desquamative interstitial pneumonia, Lymphocytic interstitial pneumonia 등이다. 이에 저자는 최근 분류에 의한 특발성 간질성 폐렴의 7가지 병변을 영상 소견을 중심으로 기술하고자 한다.

AI 본문요약
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* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

대상 데이터

  • Figure 8. Acute interstitial pneumonia in a 57-yearold woman. (A) Chest radiograph shows extensive and patchy areas of consolidation in both lungs.
  • Figure 7. Cryptogenic organizing pneumonia in a 42-year-old woman. (A) Initial HRCT scan at level of liver dome shows patchy areas of ground glass opacity with inner reticular opacities in both lower lobes.
  • Figure 2. Idiopathic pulmonary fibrosis in a 45-year-old woman. (A) The initial HRCT scan obtained at level of bronchus intermedius shows subpleural reticular opacities and subtle areas of ground glass opacity or small consolidation in the periphery of both lower lobes.
  • Figure 4. Nonspecific interstitial pneumonia (group 1, cellular pattern) in a 48-year-old woman. (A) Initial chest radiograph shows peripheral increased opacities in both lower lung zones.
  • Figure 10. Respiratory bronchiolitis-associated interstitial lung disease in a 43-year-old woman. (A) Initial HRCT scan at level of bronchus intermedius shows extensive ground glass opacity and centrilobular nodules with bronchial wall thickening.
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참고문헌 (57)

  1. Groskin S. Chronic interstitial lung disease. In: Heitzmans' the lung: radiologic-pathologic correlation. St Louis: Mosby-Year Book; 1983. p. 235-359 

  2. American Thoracic Society, European Respiratory Society. American Thoracic Society and the European Respiratory Society International Multidisciplinary Consensus Classification of Idiopathic Interstitial Pneumonia. Am J Respir Crit Care Med 2002;165:277-304 

    상세보기 crossref

  3. American Thoracic Society. Idiopathic pulmonary fibrosis: diagnosis and treatment. Am J Respir Crit Care Med 2000;161:646-64 

    상세보기 crossref

  4. Turner-Warwick M. Burrows B, Johnson A. Cryptogenic fibrosing alveolitis: clinical features and their influence on survival. Thorax 1980;35:171-80 

    상세보기 crossref

  5. Nagai S, Kitaichi M, Hamada K, Nagao T, Hoshino Y, Miki H, et al. Hospital-based historical cohort study of 234 histologically proven Japanese patients with IPF. Sarcoidosis Vasc Diffuse Lung Dis 1999;16:209-14 

  6. Selman M, King TE, Pardo A. Idiopathic pulmonary fibrosis: prevailing and evolving hypotheses about its pathogenesis and implications for therapy. Ann Intern Med 2001;134:136-51 

    상세보기 crossref

  7. Wells AU, Hansell DM, Rubens MB, Cullinan P, Haslam PL, Black CM, et al. Fibrosing alveolitis in systemic sclerosis: bronchoalveolar lavage findings in relation to computed tomographic appearance. Am J Repir Crit Care Med 1994;150:462-8 

    상세보기 crossref

  8. Cushley MJ, Davison AG, du Bois RM, Egan J, Flower CD, Gibson GJ, et al. The diagnosis, assessment and treatment of diffuse parenchymal lung disease in adults. Thorax 1999;54:S1-14 

    상세보기 crossref

  9. The BAL Cooperative Group Steering Committee. Bronchoalveolar lavage constituents in healthy Individuals, idiopathic pulmonary fibrosis, and selected comparison groups. Am Rev Respir Dis 190;141:S169-202 

  10. Katzenstein AL, Myers JL. Idiopathic pulmonary fibrosis: clinical relevance of pathologic classification. Am J Respir Crit Care Med 1998;157:1301-15 

    상세보기 crossref

  11. Staples CA, Muller NL, Vedal S, Abboud R, Ostrow D, Miller RR. Usual interstitial pneumonia: cor- relation of CT with clinical, functional, and radiologic findings, Radiology 1987;162:377-81 

    상세보기 crossref

  12. Akira M, Sakatani M, Ueda E. Idiopathic pulmonary fibrosis: progression of honeycombing at thin-section CT. Radiology 1993;189:687-91 

    상세보기 crossref

  13. Muller NL, Miller RR, Webb WR, Evans KG, Ostrow DN. Fibrosing alveolitis: CT-pathologic correlaton. Radiology 1986;160:585-8 

    상세보기 crossref

  14. Nishimura K, Kitaichi M, Izumi T, Nagai S, Kanaoka M, Itoh H. Usual interstitial pneumonia: histologic correlation with high-resolution CT. Radiology 1992;182-337-42 

  15. Hunninghake GW, Zimmerman MB, Schwarts DA, King TE Jr, Lynch D, Hegele R, et al. Utility of a lung biopsy for the diagnosis of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 2001:164:193-6 

    상세보기 crossref

  16. Raghu G, Mageto YN, Lockhart D, Scmidt RA, Wood DE, Godwin JD. The accuracy of the clinical diagnosis of new-onset idiopathic pulmonary fibrosis and other interstitial lung disease: a prospective study. Chest 1999:116:1168-74 

    상세보기 crossref

  17. Kondoh Y, Taniguchi H, Kawabata Y, Yokoi T, Suzuki K, Takagi K. Acute exacerbation in idiopathic pulmonary fibrosis: analysis of clinical and pathologic findings in three cases. Chest 1993;103:1808-12 

    상세보기 crossref

  18. Akira M, Hamada H, Sakatani M, Kobayashi C, Nishioka M, Yamamoto S. CT findings during phase of accelerated deterioration in patients with idiopathic pulmonary fibrosis. Am J Roentgenol 1997;168:79-83 

    상세보기 crossref

  19. Kitaichi M. Pathologic features and the classification of interstitial pneumonia of unknown etiology. Bull Chest Dis Res Inst Kyoto Univ 1990;23:1-18 

    상세보기

  20. Katsenstein AL, Fiorelli RF. Nonspecific interstitial pneumonia/fibrosis: histologic features and clinical significance. Am J Surg Pathol 1994;18:136-47 

    상세보기 crossref

  21. Park JS, Lee KS, Kim JS, Park CS, Choi DL, Kim KJ, et al. Nonspecific interstitial pneumonia with fibrosis: radiographic and CT findings in seven patients. Radiology 1995;195:645-8 

    상세보기 crossref

  22. Kim TS, Lee KS, Chung MP, Park JS, Hwang JH, Kwon OJ, et al. Nonspecific interstitial pneumonia with fibrosis: high-resolution CT and pathologic findings. Am J Roentgenol 1998;171:1645-50 

    상세보기 crossref

  23. Park CS, Chung SW, Lim GI, Uh ST, Kim YH, Park JS, et al. Increased levels of interleukin-6 are associated with lymphocytosis in bronchoalveolar lavage fluids of idiopathic nonspecific interstitial pneumonia. Am J Respir Crit Care Med 2000:162:1162-8 

    상세보기 crossref

  24. Hartman TE, Swensen SJ, Hansell DM, Colby TV, Myers JL, Tazelaar HD, et al. Nonspecific interstitial pneumonia: variable appearance at high-resolution chest CT. Radiology 2000;217:701-5 

    상세보기 crossref

  25. MacDonald SL, Rubens MB, Hansell DM, Colby TV, du Bois RM, Nicholson AG, et al. Nonspecific inter-stitial pneumonia and usual interstitial pneumonia:comparative appearances and diagnostic accuracy of high-resolution computed tomography. Radiology 2001;221:600-5 

    상세보기 crossref

  26. King TE Jr, Mortenson RL. Cryptogenic organizing pneumonitis. Chest 1992;102:8S-13S. 

    상세보기 crossref

  27. Izumi T, Kitaichi M, Nishimura K, Nagai S. Bronchiolitis obliterans organizing pneumonia. Chest 1992;102:715-9 

    상세보기 crossref

  28. Costabel U, Teschler H, Guzman J. Bronchiolitis obliterans organizing pneumonia (BOOP): the cytological and immunocytologic profile of bronchoalveolar lavage. Eur Respir J 1992;5:791-7 

    상세보기

  29. Muller NL, Guerry-Force ML, Staples CA, Wright JL, Wiggs B, Coppin C, et al. Differential diagnosis of bronchilitis obliterans with organizing pneumonia and usual interstitial pneumonia: clinical, functional and radiologic findings. Radiology 1987;162:151-6 

    crossref

  30. Cordier JF, Loire R, Brune J. Idiopathic bronchiolitis obliterans organizing pneumonia: definition of characteristic clinical profiles in a series of 16 patients. Chest 1989;96:999-1004 

    상세보기 crossref

  31. Lee KS, Kulling P, Hartman TE, Muller NL. Cryptogenic organizing pneumonia: CT findings in 43 patients. Am J Roentgenol 1994;162:543-6 

    상세보기 crossref

  32. Muller NL, Staples CA, Miller RR. Bronchiolitis obli- terans organizing pneumonia: CT features in 14 patients. Am J Roentgenol 1990;154:983-7 

    상세보기 crossref

  33. Nishimura K, Itoh H. High-resolution computed tomographic features of bronchiolitis obliterans organizing pneumonia. Chest 1992;102:26S-31S 

    상세보기 crossref

  34. Akira M, Yamamoto S, Sakatani M. Bronchiolitis obliterans organizing pneumonia manifesting as multiple large nodules or masses. Am J Roentgenol 1998;170:291-5 

    상세보기 crossref

  35. Olson J, Colby TV, Elliott CG. Hamman-Rich syndrome revisited. Mayo Clin Proc 1990;65:1538-48 

  36. Katzenstein AL, Myers JL, Mazur MT. Acute interstitial pneumonia: a clinicopathlogic, ultrastructural, and cell kinetic study. Am J Surg Pathol 1986;10:256-67 

    상세보기 crossref

  37. Primack SL, Hartman TE, Ikezoe J, Akira M, Sakatani M, Muller NL. Acute interstitial pneumonia: radio-graphic and CT findings in nine patients. Radiology 1993;188:817-20 

    상세보기 crossref

  38. Primack SL, Hartman TE, Ikezoe J, AkiraM, Sakatani M, Muller NL. Acute interstitial pneumonia: radio-graphic and CT findings in nine patients. Radiology 1993;188:817-20 

    상세보기 crossref

  39. Desai SR, Wells AU, Rubens MB, Evans TW, Hansell DM. Acute respiratory distress syndrome: CT abnormalities at long-term follow-up. Radiology 1999;210:29-35 

    상세보기 crossref

  40. King TE Jr. Respiratory bronchiolitis-associated inter-stitial lung disease. Clin Chest Med 1993;14:693-8 

  41. Heyneman LE, Ward S, Lynch DA, Remy-Jardin M, Johkoh T, Muller NL. Respiratory bronchiolitis, respiratory bronchiolitis-associated interstitial lung disease, and desquamative interstitial pneumonia: different entities or part of the spectrum of the same disease process? Am J Roentgenol 1999;173:1617-22 

    상세보기 crossref

  42. Gruden JF, Webb WR. CT findings in a proved case of respiratory bronchiolitis. Am J Roentgenol 1993; 161:44-6 

    상세보기 crossref

  43. Park JS, Brown KK, Tuder RM, Hale VA, King TE Jr, Lynch DA. Respiratory bronchiolitis-associated interstitial lung disease: radiologic features with clinical and pathologic correlation. J Comput Assist Tomogr 2002;26:13-20 

    상세보기 crossref

  44. Liebow AA, Steer A, Billingsley JG. Desquamative interstitial pneumonia. Am J Med 1965;39:369-404 

    상세보기 crossref

  45. Tubbs RR, Benjamin SP, Reich NE, McCormack LJ, van Ordstrand HS. Desquamative interstitial pneumonitis: cellular phase of fibrosing alveolitis. Chest 1977;72:159-65 

    상세보기 crossref

  46. Carrington CB, Gaensler EA, Coutu RE, FitzGerald MX, Gupta RG. Natural history and treated course of usual and desquamative interstitial pneumonia. N Engl J Med 1978;298:801-9 

    상세보기 crossref

  47. Yousem SA, Colby TV, Gaensler EA. Respiratory bronchiolitis-associated interstitial lung disease and its relationship to desquamative interstitial pneumonia. Mayo Clin Proc 1989;64:1373-80 

  48. Feigin DS, Friedman PJ. Chest radiography in desquamative interstitial pneumonitis: a review of 37 patients. Am J Roentgenol 1980;134:91-9 

    상세보기 crossref

  49. Hartman TE, Primack SL, Swensen SJ, Hansell D, McGuinness G, Muller NL. Desquamative interstitial pneumonia: thin-section CT findings in 22 patients. Radiology 1993;187:787-90 

    상세보기 crossref

  50. Hartman TE, Primack SL, Kang EY, Swensen SJ, Hansell DM, McGuinness G, et al. Disease progression in usual interstitial pneumonia compared with desquamative interstitial pneumonia: assessment with serial CT. Chest 1996;110:378-82 

    상세보기 crossref

  51. Liebow AA, Carrington CB. The interstitial pneumonias. In: Simon M, Potchen EJ, LeMay M, editors. Frontiers of pulmonary radiology, 1st ed. New York: Grune & Stratton; 1969. p. 102-41 

  52. Kradin RL, Young RH, Kradin LA, Mark EJ. Immunoblastic lymphoma arising in chronic lymphoid hyperplasia of the pulmonary interstitium. Cancer 1982;50:1339-43 

    상세보기 crossref

  53. Yousem SA, Colby TV, Carrington CB. Follicular bronchiolitis/bronchiolitis. Hum Pathol 1985;16:700-6 

    상세보기 crossref

  54. Strimlan CV, Rosenow EC 3rd, Weiland LH, Brown LR. Lymphocytic interstitial pneumonitis: review of 13 cases. Ann Intern Med 1978;88:616-21 

    상세보기 crossref

  55. Julsrud PR, Brown LR, Li CY, Rosenow EC 3rd, Crowe JK. Pulmonary processes of mature-appearing lymphocytes: pseudolymphoma, well-differentiated lymphocytic lymphoma, and lymphocytic interstitial pneumonitis. Radiology 1978;127:289-96 

    상세보기 crossref

  56. Johkoh T, Muller NL, Pickford HA, Hartman TE, Ichikado K, Akira M, et al. Lymphocytic interstitial pneumonia: thin-section CT findings in 22 patients. Radiology 1999;212:567-72 

    상세보기 crossref

  57. Ichikawa Y, Kinoshita M, Koga T, Oizumi K, Fujimoto K, Hayabuchi N. Lung cyst formation in lymphocytic interstitial pneumonia: CT features. J Comput Assist Tomogr 1994;18:745-8 

    상세보기 crossref

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