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.
| Original language | English (US) |
|---|---|
| Journal | The Lancet Respiratory Medicine |
| DOIs | |
| State | Accepted/In press - Jan 1 2017 |
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ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
Cite this
Diagnostic criteria for idiopathic pulmonary fibrosis : A Fleischner Society White Paper. / Lynch, David A.; Sverzellati, Nicola; Travis, William D.; Brown, Kevin K.; Colby, Thomas V.; Galvin, Jeffrey R.; Goldin, Jonathan G.; Hansell, David M.; Inoue, Yoshikazu; Johkoh, Takeshi; Nicholson, Andrew G.; Knight, Shandra L.; Raoof, Suhail; Richeldi, Luca; Ryerson, Christopher J.; Ryu, Jay H; Wells, Athol U.
In: The Lancet Respiratory Medicine, 01.01.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnostic criteria for idiopathic pulmonary fibrosis
T2 - A Fleischner Society White Paper
AU - Lynch, David A.
AU - Sverzellati, Nicola
AU - Travis, William D.
AU - Brown, Kevin K.
AU - Colby, Thomas V.
AU - Galvin, Jeffrey R.
AU - Goldin, Jonathan G.
AU - Hansell, David M.
AU - Inoue, Yoshikazu
AU - Johkoh, Takeshi
AU - Nicholson, Andrew G.
AU - Knight, Shandra L.
AU - Raoof, Suhail
AU - Richeldi, Luca
AU - Ryerson, Christopher J.
AU - Ryu, Jay H
AU - Wells, Athol U.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85034425628&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85034425628&partnerID=8YFLogxK
U2 - 10.1016/S2213-2600(17)30433-2
DO - 10.1016/S2213-2600(17)30433-2
M3 - Article
JO - The Lancet Respiratory Medicine
JF - The Lancet Respiratory Medicine
SN - 2213-2600
ER -