Diffuse interstitial lung disease: overlaps and uncertainties.
Histopathological analysis of lung biopsy material allows the diagnosis of idiopathic interstitial pneumonias; however, the strength of this diagnosis is sometimes subverted by interobserver variation and sampling. The American Thoracic Society and European Respiratory Society recommendations of 200...
| Publicado en: | European Radiology Vol. 20; no. 8; pp. 1859 - 1868 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Aug2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104912165&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104912165 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Aug2010 vid: 20 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104912165 51989452 NLM20204644 2010709988 10.1007/s00330-010-1737-3 NLM20204644 104912165 ppf: 1859 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Diffuse interstitial lung disease: overlaps and uncertainties. aug: au: Walsh SL Hansell DM Walsh, Simon L F Hansell, David M affil: Department of Radiology, Royal Brompton Hospital, London, UK sug: subj: Biopsy Methods Lung Pathology Lung Radiography Lung Diseases, Interstitial Classification Lung Diseases, Interstitial Diagnosis Tomography, X-Ray Computed Methods Diagnosis, Differential ab: Histopathological analysis of lung biopsy material allows the diagnosis of idiopathic interstitial pneumonias; however, the strength of this diagnosis is sometimes subverted by interobserver variation and sampling. The American Thoracic Society and European Respiratory Society recommendations of 2002 provide a framework for the diagnosis of interstitial lung disease (ILD) and proposed an integrated clinical, radiological and histopathological approach. These recommendations represent a break with tradition by replacing the 'gold standard' of histopathology with the combined 'silver standards' of clinical, imaging and histopathological information. One of the pitfalls of a rigid classification system for the diagnosis of interstitial lung disease is its failure to accommodate the phenomenon of overlapping disease patterns. This article reviews the various ways that interstitial lung disease may be classified and discusses their applicability. In addition the issue of overlap disease patterns is considered in the context of histopathological interobserver variation and sampling error and how a pigeonhole approach to disease classification may overlook these hybrid entities. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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