Radiation Recall Pneumonitis: Imaging Appearance and Differential Considerations.

IF 4.4 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Nahyun Celina Jo, Girish S Shroff, Jitesh Ahuja, Rishi Agrawal, Melissa C Price, Carol C Wu
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引用次数: 0

Abstract

Radiation recall pneumonitis is an inflammatory reaction of previously radiated lung parenchyma triggered by systemic pharmacological agents (such as chemotherapy and immunotherapy) or vaccination. Patients present with non-specific symptoms such as cough, shortness of breath, or hypoxia soon after the initiation of medication or vaccination. Careful assessment of the patient's history, including the thoracic radiation treatment plan and timing of the initiation of the triggering agent, in conjunction with CT findings, contribute to the diagnosis. Once a diagnosis is established, treatment includes cessation of the causative medication and/or initiation of steroid therapy. Differentiating this relatively rare entity from other common post-therapeutic complications in oncology patients, such as recurrent malignancy, infection, or medication-induced pneumonitis, is essential for guiding downstream clinical management.

放射性休克性肺炎:影像学表现和鉴别考虑。
放射性回忆性肺炎是由全身性药物(如化疗和免疫疗法)或疫苗接种引发的先前接受过放射治疗的肺实质的炎症反应。患者在用药或接种疫苗后不久就会出现咳嗽、气短或缺氧等非特异性症状。仔细评估患者的病史,包括胸部放射治疗计划和开始使用诱发剂的时间,并结合 CT 结果,有助于诊断。一旦确诊,治疗包括停用致病药物和/或开始类固醇治疗。将这种相对罕见的疾病与肿瘤患者常见的其他治疗后并发症(如恶性肿瘤复发、感染或药物诱发的肺炎)区分开来,对于指导下游临床治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Korean Journal of Radiology
Korean Journal of Radiology 医学-核医学
CiteScore
10.60
自引率
12.50%
发文量
141
审稿时长
1.3 months
期刊介绍: The inaugural issue of the Korean J Radiol came out in March 2000. Our journal aims to produce and propagate knowledge on radiologic imaging and related sciences. A unique feature of the articles published in the Journal will be their reflection of global trends in radiology combined with an East-Asian perspective. Geographic differences in disease prevalence will be reflected in the contents of papers, and this will serve to enrich our body of knowledge. World''s outstanding radiologists from many countries are serving as editorial board of our journal.
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