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Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians
Imaging of pulmonary invasive mould diseases (IMDs), which represents a cornerstone in their work-up, is mainly based on computed tomography (CT). The purpose of this review is to discuss their CT features, mainly those related to aspergillosis and mucormycosis. We will especially focus on atypical...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Respiratory Society
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10523149/ https://www.ncbi.nlm.nih.gov/pubmed/37758271 http://dx.doi.org/10.1183/16000617.0086-2023 |
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author | Casutt, Alessio Lamoth, Frédéric Lortholary, Olivier Prior, John O. Tonglet, Andrea Manuel, Oriol Bergeron, Anne Beigelman-Aubry, Catherine |
author_facet | Casutt, Alessio Lamoth, Frédéric Lortholary, Olivier Prior, John O. Tonglet, Andrea Manuel, Oriol Bergeron, Anne Beigelman-Aubry, Catherine |
author_sort | Casutt, Alessio |
collection | PubMed |
description | Imaging of pulmonary invasive mould diseases (IMDs), which represents a cornerstone in their work-up, is mainly based on computed tomography (CT). The purpose of this review is to discuss their CT features, mainly those related to aspergillosis and mucormycosis. We will especially focus on atypical radiological presentations that are increasingly observed among non-neutropenic emerging populations of patients at risk, such as those receiving novel anticancer therapies or those in the intensive care unit. We will also discuss the interest of other available imaging techniques, mainly positron emission tomography/CT, that may play a role in the diagnosis as well as evaluation of disease extent and follow-up. We will show that any new airway-centred abnormality or caveated lesion should evoke IMDs in mildly immunocompromised hosts. Limitations in their recognition may be due to potential underlying abnormalities that increase the complexity of interpretation of lung imaging, as well as the non-specificity of imaging features. In this way, the differentials of all morphological/metabolic aspects must be kept in mind for the optimal management of patients, as well as the benefit of evaluation of the vascular status. |
format | Online Article Text |
id | pubmed-10523149 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | European Respiratory Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-105231492023-09-28 Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians Casutt, Alessio Lamoth, Frédéric Lortholary, Olivier Prior, John O. Tonglet, Andrea Manuel, Oriol Bergeron, Anne Beigelman-Aubry, Catherine Eur Respir Rev Reviews Imaging of pulmonary invasive mould diseases (IMDs), which represents a cornerstone in their work-up, is mainly based on computed tomography (CT). The purpose of this review is to discuss their CT features, mainly those related to aspergillosis and mucormycosis. We will especially focus on atypical radiological presentations that are increasingly observed among non-neutropenic emerging populations of patients at risk, such as those receiving novel anticancer therapies or those in the intensive care unit. We will also discuss the interest of other available imaging techniques, mainly positron emission tomography/CT, that may play a role in the diagnosis as well as evaluation of disease extent and follow-up. We will show that any new airway-centred abnormality or caveated lesion should evoke IMDs in mildly immunocompromised hosts. Limitations in their recognition may be due to potential underlying abnormalities that increase the complexity of interpretation of lung imaging, as well as the non-specificity of imaging features. In this way, the differentials of all morphological/metabolic aspects must be kept in mind for the optimal management of patients, as well as the benefit of evaluation of the vascular status. European Respiratory Society 2023-09-27 /pmc/articles/PMC10523149/ /pubmed/37758271 http://dx.doi.org/10.1183/16000617.0086-2023 Text en Copyright ©The authors 2023 https://creativecommons.org/licenses/by-nc/4.0/This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions@ersnet.org (mailto:permissions@ersnet.org) |
spellingShingle | Reviews Casutt, Alessio Lamoth, Frédéric Lortholary, Olivier Prior, John O. Tonglet, Andrea Manuel, Oriol Bergeron, Anne Beigelman-Aubry, Catherine Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians |
title | Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians |
title_full | Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians |
title_fullStr | Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians |
title_full_unstemmed | Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians |
title_short | Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians |
title_sort | atypical imaging patterns during lung invasive mould diseases: lessons for clinicians |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10523149/ https://www.ncbi.nlm.nih.gov/pubmed/37758271 http://dx.doi.org/10.1183/16000617.0086-2023 |
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