Diagnostic criteria for idiopathic pulmonary fibrosis: A Fleischner Society white paper Journal Article
| Authors: | Lynch, D. A.; Sverzellati, N.; Travis, W. D.; Brown, K. K.; Colby, T. V.; Galvin, J. R.; Goldin, J. G.; Hansell, D. M.; Inoue, Y.; Johkoh, T.; Nicholson, A. G.; Knight, S. L.; Raoof, S.; Richeldi, L.; Ryerson, C. J.; Ryu, J. H.; Wells, A. U. |
| Article Title: | Diagnostic criteria for idiopathic pulmonary fibrosis: A Fleischner Society white paper |
| Abstract: | This Review provides an updated approach to the diagnosis of idiopathic pulmonary fibrosis (IPF), based on a systematic search of the medical literature and the expert opinion of members of the Fleischner Society. A checklist is provided for the clinical evaluation of patients with suspected usual interstitial pneumonia (UIP). The role of CT is expanded to permit diagnosis of IPF without surgical lung biopsy in select cases when CT shows a probable UIP pattern. Additional investigations, including surgical lung biopsy, should be considered in patients with either clinical or CT findings that are indeterminate for IPF. A multidisciplinary approach is particularly important when deciding to perform additional diagnostic assessments, integrating biopsy results with clinical and CT features, and establishing a working diagnosis of IPF if lung tissue is not available. A working diagnosis of IPF should be reviewed at regular intervals since the diagnosis might change. Criteria are presented to establish confident and working diagnoses of IPF. © 2018 Elsevier Ltd |
| Keywords: | disease course; review; patient selection; pathophysiology; diagnostic procedure; computer assisted tomography; image analysis; clinical assessment; evidence based practice; practice guideline; histology; clinical evaluation; medical literature; fibrosing alveolitis; thorax radiography; genetic disorder; autoimmune disease; medical information system; general practitioner; lung biopsy; lymphadenopathy; drug induced disease; interstitial pneumonia; allergic pneumonitis; lung parenchyma; ground glass opacity; bronchiectasis; systematic review (topic); interdisciplinary research; human; priority journal; honeycombing; occupational lung disease |
| Journal Title: | The Lancet Respiratory Medicine |
| Volume: | 6 |
| Issue: | 2 |
| ISSN: | 2213-2600 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2018-02-01 |
| Start Page: | 138 |
| End Page: | 153 |
| Language: | English |
| DOI: | 10.1016/s2213-2600(17)30433-2 |
| PROVIDER: | scopus |
| PUBMED: | 29154106 |
| DOI/URL: | |
| Notes: | Review -- Export Date: 1 March 2018 -- Source: Scopus |
