结缔组织病相关间质性肺疾病影像学研究进展  

Advances in Imaging of Interstitial Lung Disease in Connective Tissue Diseases

作　　者：石燕霞 李鸿斌[2,3] 任婷婷 宁荣霞[1] SHI Yanxia;LI Hongbin;REN Tingting;NING Rongxia(Department of Rheumatology and Immunology,the Affiliated Hospital of Inner Mongolia Medical University,Hohot 010050,China;Inner Mongolia Key Laboratory for Pathogenesis and Diagnosis of Rheumatic and Autoimmune Diseases,Hohhot O10050,China)

机构地区：[1]内蒙古医科大学附属医院高压氧科,内蒙古呼和浩特010050 [2]内蒙古医科大学附属医院风湿免疫科,内蒙古呼和浩特010050 [3]内蒙古自治区风湿病发病机制与免疫诊断重点实验室,内蒙古呼和浩特010050

出　　处：《中国医学影像学杂志》2024年第9期961-965,共5页Chinese Journal of Medical Imaging

基　　金：科技百万工程联合项目[YKD2018KJBW(LH)008]。

摘　　要：间质性肺疾病是结缔组织病常见的肺受累疾病,严重影响患者生存率及生存质量。因结缔组织病的全病程中均可并发间质性肺疾病,影像学在结缔组织病相关间质性肺疾病的全疾病周期中均具有重要作用。目前高分辨计算机断层扫描是结缔组织病相关间质性肺疾病筛查、诊断和随访的基石,但电离辐射是其临床应用的潜在限制因素。近年来,新影像学技术发展迅速,在结缔组织病相关间质性肺疾病早期筛查、诊断和疗效评估等方面取得了一些有前景的研究成果,逐步向无创、低辐射、精准的影像学分析技术迈进。本文对结缔组织病相关间质性肺疾病影像学研究进展进行综述,并分析各种新影像学技术的优势、不足及面临的挑战与展望。Interstitial lung disease is a common lung disease of connective tissue disease, which seriously affects the survival rate and quality of life of patients with connective tissue disease. Interstitial lung disease may occur in the whole course of connective tissue disease.Therefore, imaging plays an important role in the whole disease cycle of connective tissue-associated interstitial lung disease. At present, highresolution computed tomography is the cornerstone of screening, diagnosis and follow-up of connective tissue-associated interstitial lung disease, but ionizing radiation is a potential limiting factor in its clinical application. In recent years, new imaging techniques have developed rapidly, and some promising research results have been achieved in the early screening, diagnosis and efficacy evaluation of connective tissueassociated interstitial lung disease, and they are gradually moving towards non-invasive, low-radiation and accurate imaging analysis techniques. This article reviews the advances in imaging research of connective tissue-associated interstitial lung disease, and analyzes the advantages and disadvantages of various new imaging techniques, as well as the challenges and prospects.

关 键 词：结缔组织疾病 肺疾病 间质性 体层摄影术 X线计算机 超声检查 正电子发射断层摄影术 磁共振成像 综述 

分 类 号：R445[医药卫生—影像医学与核医学] R593.2[医药卫生—诊断学] R563[医药卫生—临床医学]