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HRCT-Muster der wichtigsten interstitiellen Lungenerkrankungen

HRCT patterns of the most important interstitial lung diseases

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Zusammenfassung

Interstitielle Lungenerkrankungen stellen eine gemischte Gruppe diffuser Lungenparenchymerkrankungen dar, die einen akuten oder chronischen Verlauf haben können. Idiopathische Erkrankungen und Erkrankungen mit definierter Ursache (z. B. kollagenvaskuläre Erkrankungen) weisen ein gemeinsames Muster auf. Die Dünnschichtcomputertomographie spielt eine zentrale Rolle in der diagnostischen Abklärung. In dem vorliegenden Beitrag werden die wichtigsten interstitiellen Lungenerkrankungen beschrieben. Dabei gibt es 4 Grundmuster: überwiegend noduläre Verdichtungen, vorwiegend retikuläre Verdichtungen, erhöhte oder erniedrigte Lungenparenchymdichte.

Abstract

Interstitial lung diseases are a mixed group of diffuse parenchymal lung diseases which can have an acute or chronic course. Idiopathic diseases and diseases with an underlying cause (e.g. collagen vascular diseases) share the same patterns. Thin section computed tomography (CT) plays a central role in the diagnostic work-up. The article describes the most important interstitial lung diseases following a four pattern approach with a predominant nodular or reticular pattern or a pattern with increased or decreased lung density.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. C. Schaefer-Prokop gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abt. Radiologie, Meander Medisch Centrum, Amersfoort, Niederlande

    C. Schaefer-Prokop

  2. Abt. Radiologie und Nuklearmedizin, Radboud Universität, Nijmegen, Niederlande

    C. Schaefer-Prokop

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  1. C. Schaefer-Prokop
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Correspondence to C. Schaefer-Prokop.

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Schaefer-Prokop, C. HRCT-Muster der wichtigsten interstitiellen Lungenerkrankungen. Radiologe 54, 1170–1179 (2014). https://doi.org/10.1007/s00117-014-2734-3

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  • DOI: https://doi.org/10.1007/s00117-014-2734-3

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