参考文献:1. Raghu G, Collard HR, Egan JJ et al (2011) An official ATS/ERS/JRS/ALAT statement: idiopathic pulmonary fibrosis: evidence-based guidelines for diagnosis and management. Am J Respir Crit Care Med 183:788鈥?24 CrossRef 2. Muller NL, Miller RR, Webb WR et al (1986) Fibrosing alveolitis: CT-pathologic correlation. Radiology 160:585鈥?88 CrossRef 3. Bergin C, Muller N, Nichols DM et al (1986) The diagnosis of emphysema. A computed tomographic-pathologic correlation. Am Rev Respir Dis 133:541鈥?46 4. Biederer J, Wildberger JE, Bolte H et al (2008) Protokollempfehlungen f眉r die Computertomographie der Lunge: Konsensus der Arbeitsgemeinschaft Thoraxdiagnostik der DRG. Homepage der AG Thorax 5. Webb WR (2006) Thin-section CT of the secondary pulmonary lobule: anatomy and the image 鈥?the 2004 Fleischner lecture. Radiology 239:322鈥?38 CrossRef 6. Takahashi M, Fukuoka J, Nitta N et al (2008) Imaging of pulmonary emphysema: a pictorial review. Int J Chron Obstruct Pulmon Dis 3:193鈥?04 7. Pipavath SN, Schmidt RA, Takasugi JE, Godwin JD (2009) Chronic obstructive pulmonary disease: radiology-pathology correlation. J Thorac Imaging 24:171鈥?80 CrossRef 8. Takahashi M, Nitta N, Takazakura R et al (2002) 0.5聽mm thickness HRCT: how precisely are the normal and abnormal lung structures demonstrated? II: normal volunteers and clinical studies. Radiology 225:145 9. Remy-Jardin M, Dumont P, Remy J (2003) High-resolution computed tomography techniques in diffuse parenchymal lung disease and their application to clinical practice. Semin Respir Crit Care Med 24:333鈥?46 CrossRef 10. Mayo JR, Webb WR, Gould R et al (1987) High-resolution CT of the lungs: an optimal approach. Radiology 163:507鈥?10 CrossRef 11. Petty TL (1997) Lung cancer and chronic obstructive pulmonary disease. Hematol Oncol Clin North Am 11:531鈥?41 CrossRef 12. Hubbard R, Venn A, Lewis S, Britton J (2000) Lung cancer and cryptogenic fibrosing alveolitis. A population-based cohort study. Am J Respir Crit Care Med 161:5鈥? CrossRef 13. Schoepf UJ, Bruening RD, Hong C et al (2001) Multislice helical CT of focal and diffuse lung disease: comprehensive diagnosis with reconstruction of contiguous and high-resolution CT sections from a single thin-collimation scan. AJR Am J Roentgenol 177:179鈥?84 CrossRef 14. Mehnert F, Pereira PL, Dammann F et al (2000) High resolution multislice CT of the lung: comparison with sequential HRCT slices. Rofo 172:972鈥?77 CrossRef 15. Yanagawa M, Tomiyama N, Sumikawa H et al (2009) Thin-section CT of lung without ECG gating: 64-detector row CT can markedly reduce cardiac motion artifact which can simulate lung lesions. Eur J Radiol 69:102鈥?07 CrossRef 16. Schoepf UJ, Becker CR, Bruening RD et al (1999) Electrocardiographically gated thin-section CT of the lung. Radiology 212:649鈥?54 CrossRef 17. Schertler T, Wildermuth S, Willmann JK et al (2004) Retrospectively ECG-gated multi-detector row CT of the chest: does ECG-gating improve three-dimensional visualization of the bronchial tree? Fortschr R枚ntgenstr 176:513鈥?21 CrossRef 18. Kalender WA (1999) Grundlagen und Technik der Spiral-CT. Radiologe 39:809鈥?19 CrossRef 19. Kalender WA (2001) Computed tomography: fundamentals, system technology, image quality, applications. Wiley & Sons, New York 20. McGuinness G (2002) High-resolution computed tomography: technique and pitfalls. Semin Roentgenol 37:5鈥?6 CrossRef 21. Heussel CP, Kappes J, Hantusch R et al (2010) Contrast enhanced CT-scans are not comparable to non-enhanced scans in emphysema quantification. Eur J Radiol 74:473鈥?78 CrossRef 22. No脽ke D (2010) Bundesamt f眉r Strahlenschutz: Bekanntmachung der aktualisierten diagnostischen Referenzwerte f眉r diagnostische und interventionelle R枚ntgenuntersuchungen 23. DRauE A (2014) Diagnostik und Begutachtung bei berufsbedingten Erkrankungen der Lunge. http://www.ag-draue.drg.de/media/document/鈥?Low-Dose-HRCT-Protokoll.pdf 24. Ley-Zaporozhan J, Ley S, Krummenauer F et al (2010) Low dose multi-detector CT of the chest (iLEAD Study): visual ranking of different simulated mAs levels. Eur J Radiol 73:428鈥?33 CrossRef 25. Zaporozhan J, Ley S, Weinheimer O et al (2006) Multi-detector CT of the chest: influence of dose onto quantitative evaluation of severe emphysema: a simulation study. J Comput Assist Tomogr 30:460鈥?68 CrossRef 26. Christe A, Charimo-Torrente J, Roychoudhury K et al (2013) Accuracy of low-dose computed tomography (CT) for detecting and characterizing the most common CT-patterns of pulmonary disease. Eur J Radiol 82:e142鈥揺150 CrossRef 27. Ebner L, Knobloch F, Huber A et al (2014) Feasible dose reduction in routine chest computed tomography maintaining constant image quality using the last three scanner generations: from filtered back projection to sinogram-affirmed iterative reconstruction and impact of the novel fully integrated detector design minimizing electronic noise. J Clin Imaging Sci 4:38 CrossRef
作者单位:J. Ley-Zaporozhan (1) S. Ley (1) (2)
1. Institut f眉r Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universit盲t, Lindwurmstr. 4, 80337, M眉nchen, Deutschland 2. Diagnostische und Interventionelle Radiologie, Chirurgische Klinik Dr. Rinecker, M眉nchen, Deutschland
ISSN:1432-2102
文摘
Clinical/methodical issue For optimal visualization of the lung parenchyma a dedicated computed tomography (CT) examination protocol has to be selected. Standard radiological methods High resolution CT (HRCT) is the best technique for non-invasive evaluation of the lung parenchyma. Achievements Given the possibility to examine the complete lungs within one breath hold, assessment of disease severity and distribution is easily possible. Various parameters have to be considered to generate optimal image quality and best possible clinical results. Practical recommendations This review article discusses the various image acquisition parameters for HRCT as well as the issue of dose reduction.