The Diagnostic Approach to Interstitial Lung Disease

AbstractPurpose of ReviewInterstitial lung diseases are a heterogeneous group of disorders characterized by varying degrees of inflammation and scarring of the lung parenchyma. Diagnosis can be challenging and requires careful multidisciplinary appraisal of carefully obtained history, physical examination, serological profile, imaging, and, at times, lung tissue. We aim to provide a roadmap for the diagnosis of ILD.Recent FindingsThe diagnostic criteria for IPF, which is the deadliest form of idiopathic interstitial pneumonia, and HRCT pattern classification have been updated. Transbronchial cryobiopsies are becoming more prevalent but overall diagnostic yield compared to surgical lung biopsy is not known.SummaryA technically adequate high-resolution CAT scan of the chest (HRCT) is a central element but a multidisciplinary evaluation of all available evidence is fundamental for the diagnosis of ILD.
Source: Current Respiratory Care Reports - Category: Respiratory Medicine Source Type: research