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The probability of a radiologist interpreting a disease correctly is not only influenced by their training and experience but also on the knowledge of a particular entity.This editorial reviews certain myths and realities associated with radiological manifestations of allergic bronchopulmonary aspergillosis(ABPA).ABPA is a hypersensitivity disorder against the antigens of Aspergillus fumigatus.Although commonly manifesting with central bronchiectasis(CB),the disorder can present without any abnormalities on high-resolution computed tomography(HRCT) of the chest,so-called serologic ABPA(ABPA-S).HRCT of the chest should not be used in screening or in the initial diagnostic work up of asthmatics,as asthma without ABPA can manifest with findings of CB.High-attenuation mucus(HAM) is the pathognomonic sign of ABPA and is very helpful in the diagnosis of ABPA complicating asthma and cystic fibrosis.Instead of classifying ABPA based on the presence and absence of CB into ABPA-CB and ABPA-S respectively,ABPA should be classif ied as ABPA-S,ABPACB and ABPA-CB-HAM.The classif ication scheme based on HAM not only identifies an immunologically severe disease but also predicts a patient with increased risk of recurrent relapses.
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篇名 过敏 bronchopulmonary 麴菌病: 为忙放射线学者的课
来源期刊 世界放射学杂志:英文版(电子版) 学科 医学
关键词 ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS ASPERGILLUS Asthma CYSTIC f ibrosis
年,卷(期) 2011,(7) 所属期刊栏目
研究方向 页码范围 178-181
页数 4页 分类号 R519
字数 语种
DOI
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研究主题发展历程
节点文献
ALLERGIC
BRONCHOPULMONARY
ASPERGILLOSIS
ASPERGILLUS
Asthma
CYSTIC
f
ibrosis
研究起点
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研究分支
研究去脉
引文网络交叉学科
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期刊影响力
世界放射学杂志:英文版(电子版)
月刊
1949-8470
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
785
总下载数(次)
1
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0
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