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Editorial
. 2019 Nov 1;200(9):1089-1092.
doi: 10.1164/rccm.201907-1324ED.

The 2018 Diagnosis of Idiopathic Pulmonary Fibrosis Guidelines: Surgical Lung Biopsy for Radiological Pattern of Probable Usual Interstitial Pneumonia Is Not Mandatory

Ganesh Raghu  1 , Martine Remy-Jardin  2 , Jeffrey Myers  3 , Luca Richeldi  4 , Kevin C Wilson  5   6
Affiliations
Editorial

The 2018 Diagnosis of Idiopathic Pulmonary Fibrosis Guidelines: Surgical Lung Biopsy for Radiological Pattern of Probable Usual Interstitial Pneumonia Is Not Mandatory

Ganesh Raghu et al. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
Consideration of surgical lung biopsy to determine histological features in patients with high-resolution computed tomography (HRCT) patterns of usual interstitial pneumonia (UIP) and probable UIP. (Top) UIP magnified view of the left lower lobe (transverse computed tomography section) showing typical characteristics of honeycombing, consisting of clustered cystic airspaces with well-defined walls and variable diameters, seen in single or multiple layers (arrows). (Bottom) Probable UIP magnified sagittal view (reconstructed) of the right lower lobe illustrating the presence of a reticular pattern with subpleural, peripheral, and basal predominance of traction bronchiolectasis that appears as tubular (arrows) or cystic (arrowhead) structures. Images reprinted from Reference . IPF = idiopathic pulmonary fibrosis; MDD = multidisciplinary discussion.
See this image and copyright information in PMC

References

    1. Raghu G, Collard HR, Egan JJ, Martinez FJ, Behr J, Brown KK, et al. ATS/ERS/JRS/ALAT Committee on Idiopathic Pulmonary Fibrosis. An official ATS/ERS/JRS/ALAT statement: idiopathic pulmonary fibrosis: evidence-based guidelines for diagnosis and management. Am J Respir Crit Care Med. 2011;183:788–824. - PMC - PubMed
    1. Raghu G, Remy-Jardin M, Meyers JL, Richeldi L, Ryerson CJ, Lederer DJ, et al. Diagnosis of idiopathic pulmonary fibrosis: an official ATS/ERS/JRS/ALAT clinical practice guideline. Am J Respir Crit Care Med. 2018;198:e44–e68. - PubMed
    1. Graham R, Mancher M, Wolman DM, Greenfield S, Steinberg E, editors. Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical practice guidelines we can trust. Washington, DC: National Academies Press; 2011. - PubMed
    1. Raghu G, Rochwerg B, Zhang Y, Garcia CA, Azuma A, Behr J, et al. American Thoracic Society; European Respiratory society; Japanese Respiratory Society; Latin American Thoracic Association. An official ATS/ERS/JRS/ALAT clinical practice guideline: treatment of idiopathic pulmonary fibrosis: an update of the 2011 clinical practice guideline. Am J Respir Crit Care Med. 2015;192:e3–e19. [Published erratum appears in Am J Respir Crit Care Med 192:644.] - PubMed
    1. Lynch DA, Sverzellati N, Travis WD, Brown KK, Colby TV, Galvin JR, et al. Diagnostic criteria for idiopathic pulmonary fibrosis: a Fleischner Society white paper. Lancet Respir Med. 2018;6:138–153. - PubMed

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