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HRCT Criteria for UIP · 2016. 9. 16. · HRCT CRITERIA FOR UIP • Upper- or mid-lung predominance...

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www.PILOTforIPF.org @PILOTforIPF HRCT CRITERIA FOR UIP Upper- or mid-lung predominance Peribronchovascular predominance Extensive ground glass abnormality (extent > reticular abnormality) Profuse micronodules (bilateral, predominantly upper lobes) Discrete cysts (multiple, bilateral, away from areas of honeycombing) Diffuse mosaic attenuation/air-trapping (bilateral, in ≥ 3 lobes) Consolidation in bronchopulmonary segment(s)/lobe(s) Inconsistant Features Subpleural, basal predominance Reticular abnormality Honeycombing (+/- traction bronchiectasis) Absence of any “inconsistent” feature UIP Pattern + + + + Possible UIP Pattern + + _ + Raghu G, et al, and the ATS/ERS/JRS/ALAT Committee on IPF. Am J Respir Crit Care Med. 2011;183:788-824.
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Page 1: HRCT Criteria for UIP · 2016. 9. 16. · HRCT CRITERIA FOR UIP • Upper- or mid-lung predominance ... Reticular abnormality Honeycombing (+/- traction sbronchiecta i ) Absence of

www.PILOTforIPF.org @PILOTforIPF

HRCT CRITERIA FOR UIP

• Upper- or mid-lung predominance• Peribronchovascular predominance• Extensive ground glass abnormality (extent > reticular abnormality)• Profuse micronodules (bilateral, predominantly upper lobes)• Discrete cysts (multiple, bilateral, away from areas of honeycombing)• Diffuse mosaic attenuation/air-trapping (bilateral, in ≥ 3 lobes)• Consolidation in bronchopulmonary segment(s)/lobe(s)

InconsistantFeatures

Subpleural, basal predominance

Reticular abnormality

Honeycombing (+/- traction bronchiectasis)

Absence of any “inconsistent”feature

UIP Pattern

+

+

+

+

Possible UIP Pattern

+

+

_

+

Raghu G, et al, and the ATS/ERS/JRS/ALAT Committee on IPF. Am J Respir Crit Care Med. 2011;183:788-824.

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