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- W2047775567 abstract "Las enfermedades pulmonares intersticiales (EPI) o enfermedades pulmonares infiltrativas difusas (EPID) engloban a un grupo heterogéneo de procesos caracterizados por la aparición de una reacción inflamatoria en la pared alveolar, desencadenada por diferentes antígenos. Este grupo de enfermedades representa un espectro de procesos de etiología diversa y, en ocasiones, nomenclatura confusa. La tomografía computarizada de alta resolución (TCAR) es el método de imagen de elección en la evaluación y el diagnóstico de las EPI, ya que confirma la presencia de patología pulmonar y establece el correcto diagnóstico de las complicaciones asociadas. No obstante, el diagnóstico definitivo de estas enfermedades requiere la concordancia con las manifestaciones clínicas y la comprobación anatomopatológica. Las imágenes radiológicas obtenidas por la TCAR en este grupo de enfermedades son muy ilustrativas, fundamentalmente para evitar la realización de biopsias innecesarias. Por estas razones, el médico clínico debe familiarizarse con los patrones radiológicos básicos asociados a este grupo especial de enfermedades pulmonares: septal, reticular, nodular, en «vidrio deslustrado», quístico y de condensación. En este artículo se describen las características y la forma de presentación de estos patrones, y se revisan algunas de las EPI más frecuentes, haciendo hincapié en los patrones radiológicos predominantes en ellas. Interstitial lung disease (ILD), or diffuse infiltrative lung disease, includes a heterogeneous group of processes characterized by the appearance of an inflammatory reaction in the alveolar wall, triggered by different antigens. This group represents a spectrum of diseases with distinct causes; furthermore, there is confusing variation in the use of nomenclature. The imaging method of choice in the evaluation and diagnosis of ILD is high-resolution computed tomography (HRCT), as it confirms the presence of lung disease and establishes the correct diagnosis of associated complications. However, the definitive diagnosis of these diseases requires consistency between the clinical and pathological findings. The radiologic images obtained by HRCT in this group of diseases are highly useful, especially to avoid unnecessary biopsies. For these reasons, clinicians should be familiar with the basic radiologic patterns associated with this special group of lung diseases: septal, reticular, nodular, ‘ground glass’, cystic, and condensation. This article describes the characteristics and presentation of these patterns and reviews some of the most frequent ILD, with special emphasis on their main radiological patterns." @default.
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- W2047775567 date "2013-10-01" @default.
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- W2047775567 title "Patrones radiológicos en la enfermedad pulmonar intersticial" @default.
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- W2047775567 doi "https://doi.org/10.1016/j.semreu.2013.05.002" @default.
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