Respiratory medicine · 2019
Magnetic resonance imaging of interstitial lung diseases: A state-of-the-art review.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
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Lonzetti Lilian, Zanon Matheus, Pacini Gabriel Sartori, Altmayer Stephan, Martins de Oliveira Diogo, Rubin Adalberto Sperb, Gazzoni Fernando Ferreira, Barros Marcelo Cardoso, Hochhegger Bruno
Аннотация
Magnetic resonance imaging (MRI) has been emerging as an imaging modality to assess interstitial lung diseases (ILD). An optimal chest MRI protocol for ILDs should include non-contrast breath-holding sequences, steady-state free-precession sequences, and contrast-enhanced sequences. One of the main MRI applications in ILDs is the differentiation between areas of active inflammation (i.e. reversible stage) and fibrosis. Alveolitis presents high signal intensity on T2-weighted sequences (WS) and early-enhancement on contrast-enhanced MR sequences, while fibrotic-predominant lesions present low signal and late-enhancement in these sequences, respectively. MRI can be useful in connective tissue diseases, idiopathic pulmonary fibrosis, and sarcoidosis. The aim of this state-of-the-art review was to perform a state-of-the-art review on the use of MRI in ILDs, and propose the optimal MRI protocols for imaging ILDs.