高分辨CT对多发性肌炎/皮肌炎相关间质性肺疾病进展及预后的评估  

Application of HRCT in the evaluation of progression and prognosis of interstitial lung disease associated with polymyositis/dermatomyositis

作　　者：蒋思宇 王灵丽 冯馨仪 李睿(审校)[1] JIANG Siyu;WANG Lingli;FENG Xinyi;LI Rui(Department of Radiology,Affiliated Hospital of North Sichuan Medical College,Sichuan Key Laboratory of Medical Imaging,Nanchong 637007,China.)

机构地区：[1]川北医学院附属医院放射科,医学影像四川省重点实验室,南充637007

出　　处：《国际医学放射学杂志》2024年第5期588-593,618,共7页International Journal of Medical Radiology

基　　金：国家自然科学基金(81801674);四川省科技厅应用基础研究(2021YJ0242)。

摘　　要：高分辨CT(HRCT)是目前诊断多发性肌炎/皮肌炎相关间质性肺疾病(PM/DM-ILD)的主要方法,其表现与间质性肺疾病的病理学分型高度一致,并对监测疾病进展具有重要意义。根据HRCT上的影像表现,并结合肌炎特异性抗体、自发性气肿的发生对于预测疾病进展及预后也有一定价值,人工智能对于快速识别预后不良的PM/DM-ILD病人也具有重要价值。综述PM/DM-ILD病人的HRCT表现和HRCT用于评估疾病进展及预后中的价值。High-resolution CT(HRCT)is currently the primary method for polymyositis/dermatomyositis-related interstitial lung disease(PM/DM-ILD).Its imaging features highly consistent with the pathological classification of interstitial lung disease and are crucial for monitoring disease progression.The HRCT imaging characteristics,combined with myositis-specific antibodies and the occurrence of spontaneous pneumomediastinum,provide valuable insights for predicting disease progression and prognosis.Additionally,artificial intelligence plays a significant role in rapidly identifying PM/DM-ILD patients with poor prognosis.This article reviews HRCT manifestations and explores the application value of HRCT in assessing disease progression and prognosis of PM/DM-ILD patients.

关 键 词：多发性肌炎 皮肌炎 肺疾病 间质性 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学] R816.41[医药卫生—放射医学]