Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians.

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Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_6BA7EC326862
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Atypical imaging patterns during lung invasive mould diseases: lessons for clinicians.
Journal
European respiratory review
Author(s)
Casutt A., Lamoth F., Lortholary O., Prior J.O., Tonglet A., Manuel O., Bergeron A., Beigelman-Aubry C.
ISSN
1600-0617 (Electronic)
ISSN-L
0905-9180
Publication state
Published
Issued date
30/09/2023
Peer-reviewed
Oui
Volume
32
Number
169
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
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.
Pubmed
Open Access
Yes
Create date
29/09/2023 14:02
Last modification date
25/01/2024 7:37
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