ACR–SPR–STR PRACTICE PARAMETER FOR THE PERFORMANCE OF HIGH-RESOLUTION COMPUTED TOMOGRAPHY (HRCT) OF THE LUNGS

PREAMBLE

I. INTRODUCTION

II. INDICATIONS AND CONTRAINDICATIONS

III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

IV. SPECIFICATIONS AND PERFORMANCE OF THE EXAMINATION

V. DOCUMENTATION

VI. EQUIPMENT SPECIFICATIONS

VII. RADIATION SAFETY IN IMAGING

VIII. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

REFERENCES

1. [24032382] Travis WD, Costabel U, Hansell DM, et al. An official American Thoracic Society/European Respiratory Society statement: Update of the international multidisciplinary classification of the idiopathic interstitial pneumonias. American Journal of Respiratory & Critical Care Medicine. 188(6):733-48, 2013 Sep 15.
2. [23131960] Baughman RP, Meyer KC, Nathanson I, et al. Monitoring of nonsteroidal immunosuppressive drugs in patients with lung disease and lung transplant recipients: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 142(5):e1S-e111S, 2012 Nov.
3. [-3197832] Webb WR, Muller NL, Naidich DP. High-resolution CT of the Lung. Fourth ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008.
4. [23220902] Watadani T, Sakai F, Johkoh T, et al. Interobserver variability in the CT assessment of honeycombing in the lungs. Radiology. 2013;266(3):936-944.
5. [15987960] Lynch DA, Travis WD, Muller NL, et al. Idiopathic interstitial pneumonias: CT features. Radiology. 2005; 236(1):10-21.
6. [29140122] Gupta N, Finlay GA, Kotloff RM, et al. Lymphangioleiomyomatosis Diagnosis and Management: High-Resolution Chest Computed Tomography, Transbronchial Lung Biopsy, and Pleural Disease Management. An Official American Thoracic Society/Japanese Respiratory Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2017 Nov 15;196(10):1337-1348.
7. [29154106] Lynch DA, Sverzellati N, Travis WD, et al. Diagnostic criteria for idiopathic pulmonary fibrosis: a Fleischner Society White Paper. [Review]. Lancet Respir Med. 6(2):138-153, 2018 02.
8. [16543587] Webb WR. Thin-section CT of the secondary pulmonary lobule: anatomy and the image--the 2004 Fleischner lecture. Radiology. 2006 May;239(2):322-38.
9. [11517038] Kazerooni EA. High-resolution CT of the lungs. AJR Am J Roentgenol. 2001 Sep;177(3):501-19.
10. [23672718] Hodnett PA, Naidich DP. Fibrosing interstitial lung disease. A practical high-resolution computed tomography-based approach to diagnosis and management and a review of the literature. Am J Respir Crit Care Med 2013;188:141-9.
11. [22992597] Honda O, Takenaka D, Matsuki M, et al. Image quality of 320-detector row wide-volume computed tomography with diffuse lung diseases: comparison with 64-detector row helical CT. J Comput Assist Tomogr 2012;36:505-11.
12. [11418423] Schoepf UJ, Bruening RD, Hong C, et al. Multislice helical CT of focal and diffuse lung disease: comprehensive diagnosis with reconstruction of contiguous and high-resolution CT sections from a single thin-collimation scan. AJR Am J Roentgenol 2001;177:179-84.
13. [23239063] Prosch H, Schaefer-Prokop CM, Eisenhuber E, Kienzl D, Herold CJ. CT protocols in interstitial lung diseases--a survey among members of the European Society of Thoracic Imaging and a review of the literature. Eur Radiol 2013;23:1553-63.
14. [16120906] Studler U, Gluecker T, Bongartz G, Roth J, Steinbrich W. Image quality from high-resolution CT of the lung: comparison of axial scans and of sections reconstructed from volumetric data acquired using MDCT. AJR Am J Roentgenol 2005;185:602-7.
15. [28060414] Chen-Mayer HH, Fuld MK, Hoppel B, et al. Standardizing CT lung density measure across scanner manufacturers. Medical Physics. 44(3):974-985, 2017 Mar.
16. [9465875] Arakawa H, Webb WR. Expiratory high-resolution CT scan. Radiol Clin North Am. 1998 Jan;36(1):189-209.
17. [7735737] Padley S, Gleeson F, Flower CD. Review article: current indications for high resolution computed tomography scanning of the lungs. Br J Radiol. 1995 Feb;68(806):105-9.
18. [16428702] Brown KK. Chronic cough due to nonbronchiectatic suppurative airway disease (bronchiolitis): ACCP evidence-based clinical practice guidelines. Chest. 2006 Jan;129(1 Suppl):S0012-3692(15)52841-9.
19. [22993219] Hackx M, Bankier AA, Gevenois PA. Chronic obstructive pulmonary disease: CT quantification of airways disease. Radiology. 2012 Oct;265(1):34-48.
20. [24267715] Litmanovich DE, Hartwick K, Silva M, Bankier AA. Multidetector computed tomographic imaging in chronic obstructive pulmonary disease: emphysema and airways assessment. Radiol Clin North Am. 52(1):137-54, 2014 Jan.
21. [18096541] Silva CI, Muller NL, Lynch DA, et al. Chronic hypersensitivity pneumonitis: differentiation from idiopathic pulmonary fibrosis and nonspecific interstitial pneumonia by using thin-section CT. Radiology. 246(1):288-97, 2008 Jan.
22. [17242239] Silva CI, Churg A, Müller NL. Hypersensitivity pneumonitis: spectrum of high-resolution CT and pathologic findings. AJR Am J Roentgenol. 2007 Feb;188(2):334-44.
23. [19703875] Saavedra MT, Lynch DA. Emerging roles for CT imaging in cystic fibrosis. Radiology. 2009 Aug;252(2):327-9.
24. [24481766] Walsh SL, Hansell DM. High-resolution CT of interstitial lung disease: a continuous evolution. [Review]. Seminars in Respiratory & Critical Care Medicine. 35(1):129-44, 2014 Feb.
25. [15847814] Gotway MB, Reddy GP, Webb WR, Elicker BM, Leung JW. High-resolution CT of the lung: patterns of disease and differential diagnoses. Radiol Clin North Am. 2005 May;43(3):513-42, viii.
26. [-3120926] American College of Radiology. ACR-SPR Practice Parameter for Imaging Pregnant or Potentially Pregnant Patients with Ionizing Radiation. Available at: https://gravitas.acr.org/PPTS/GetDocumentView?docId=23+&releaseId=2.
27. [-3197700] American College of Radiology. ACR-ASER-SABI-SPR Practice Parameter for the Performance of Pediatric Computed Tomography (CT). Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=77+&releaseId=2
28. [-3197742] American College of Radiology. ACR–SPR Practice Parameter for Performing and Interpreting Diagnostic Computed Tomography (CT). Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=132+&releaseId=2
29. [8638013] Bankier AA, Fleischmann D, Mallek R, et al. Bronchial wall thickness: appropriate window settings for thin-section CT and radiologic-anatomic correlation. Radiology. 1996 Jun;199(3):831-6.
30. [19935222] Mayo JR. CT evaluation of diffuse infiltrative lung disease: dose considerations and optimal technique. J Thorac Imaging. 2009 Nov;24(4):252-9.
31. [23122673] Christe A, Charimo-Torrente J, Roychoudhury K, Vock P, Roos JE. Accuracy of low-dose computed tomography (CT) for detecting and characterizing the most common CT-patterns of pulmonary disease. Eur J Radiol. 82(3):e142-50, 2013 Mar.
32. [-3197655] American College of Radiology. ACR–AAPM–SPR Practice Parameter for Diagnostic Reference Levels and Achievable Doses in Medical X-Ray Imaging. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=16+&releaseId=2
33. [26583761] Pontana F, Billard AS, Duhamel A, et al. Effect of Iterative Reconstruction on the Detection of Systemic Sclerosis-related Interstitial Lung Disease: Clinical Experience in 55 Patients. Radiology. 279(1):297-305, 2016 Apr.
34. [28865170] Winslow J, Zhang Y, Samei E. A method for characterizing and matching CT image quality across CT scanners from different manufacturers. Med Phys. 2017 Nov;44(11):5705-5717.
35. [-3197722] American College of Radiology. ACR-SABI-SPR-STR Practice Parameter for the Performance of Thoracic Computed Tomography (CT). Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=13+&releaseId=2
36. [-3197621] American College of Radiology. ACR Practice Parameter for Communication of Diagnostic Imaging Findings. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=74+&releaseId=2
37. [18195376] Hansell DM, Bankier AA, MacMahon H, McLoud TC, Muller NL, Remy J. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008; 246(3):697-722.
38. [-3197634] American College of Radiology. ACR–AAPM Technical Standard for Diagnostic Medical Physics Performance Monitoring of Computed Tomography (CT) Equipment. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=131+&releaseId=2