Update on Interstitial Pneumonias - 28/05/24

Doi : 10.1016/j.ccm.2023.08.015

Melissa B. Carroll, MD ^a,^⁎ , Jeffrey P. Kanne, MD ^b, Maria Daniela Martin Rother, MD ^b
^a Department of Radiology, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA
^b Department of Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA

^∗Corresponding author.

Resumen

The American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Asociación Latinoamericana de Tórax 2018 clinical practice guideline and 2022 update provide recommendations to define and diagnose idiopathic pulmonary fibrosis (IPF) in patients with newly diagnosed interstitial lung disease. The guideline emphasizes recognition of usual interstitial pneumonia (UIP) and probable UIP patterns of fibrosis on high-resolution CT, which can obviate the need for surgical lung biopsy and allow timely initiation of antifibrotic pharmacotherapy citing a high correlation with UIP on histopathology. This article reviews the recent 2022 IPF clinical practice guideline with a focus on the imaging updates.

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Keywords : Interstitial lung disease, Idiopathic pulmonary fibrosis, Honeycombing, Usual interstitial pneumonia, Progressive pulmonary fibrosis, Hypersensitivity pneumonitis, CTD-ILD