Postoperative routine computed tomography allows detection of early-stage acute exacerbations of interstitial pneumonia

A single rCT obtained within 1 week of lung resection can reveal radiological IP-AE (rIP-AE) before clinical decline. Using a score ≥9 confines early steroid treatment to patients with near-certain disease, avoiding unnecessary exposure. Prospective studies should confirm whether this high-specificity strategy improves survival and resource utilization.

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Publication Details

Journal
Journal of Thoracic Disease
Published
2025-12-01
DOI
https://doi.org/10.21037/jtd-2025-1798
Primary Topic
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Type
article
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article

Postoperative routine computed tomography allows detection of early-stage acute exacerbations of interstitial pneumonia

Koichiro Kimura, Ukihide Tateishi, M. Kobayashi, Kenichi OKUBO et al.
Journal of Thoracic Disease
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
article

Postoperative routine computed tomography allows detection of early-stage acute exacerbations of interstitial pneumonia

Koichiro Kimura, Ukihide Tateishi, M. Kobayashi, Kenichi OKUBO, Katsutoshi Seto, Ayaka Asakawa, Yuya Ishikawa, Takuya Adachi, Hironori Ishibashi
article en

Abstract

A single rCT obtained within 1 week of lung resection can reveal radiological IP-AE (rIP-AE) before clinical decline. Using a score ≥9 confines early steroid treatment to patients with near-certain disease, avoiding unnecessary exposure. Prospective studies should confirm whether this high-specificity strategy improves survival and resource utilization.

Journal of Thoracic DiseaseVol. 17(12)
Kurashiki Central Hospital (JP), Aichi Cancer Center (JP), Institute of Science Tokyo (JP)
Openalex Percentile: Top 27%
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
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