rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2018-99-4-216-226rentrad-366Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATURE«ВОЗМОЖНЫЙ» ИЛИ «ВЕРОЯТНЫЙ»: НОВЫЙ ПОДХОД В ДИАГНОСТИКЕ ИДИОПАТИЧЕСКОГО ЛЕГОЧНОГО ФИБРОЗА“POSSIBLE” OR “PROBABLE”. THE NEW APPROACH IN IDIOPATHIC PULMONARY FIBROSIS DIAGNOSIShttps://orcid.org/0000-0002-5815-5895ПетровД. В.PetrovD. V.

ассистент кафедры пропедевтики внутренних болезней. 

ул. Ленина, 12, Омск, 644099.

Assistant of Propaedeutics of Internal Diseases Chair.

ul. Lenina, 12, Omsk, 644099.

https://orcid.org/0000-0002-5999-2150АвдеевС. Н.AvdeevS. N.

 доктор мед. наук, профессор, заведующий кафедрой пульмонологии. 

ул. Трубецкая, 8, стр. 2, Москва, 119991

 Dr. Med. Sc., Professor, Head of Pulmonology Chair.

ul. Trubetskaya, 8, stroenie 2, Moscow, 119991.

https://orcid.org/0000-0001-9370-4768ГаусО. В.GausO. V.

канд. мед. наук, ассистент кафедры факультетской терапии, профессиональных болезней. 

ул. Ленина, 12, Омск, 644099.

Cand. Med. Sc., Assistant of Faculty Therapy, Occupational Diseases Chair.

ul. Lenina, 12, Omsk, 644099.

https://orcid.org/0000-0002-2985-3379СтепанянИ. Э.StepanyanI. E.

 доктор мед. наук, профессор, вед. науч. сотр. 

Яузская аллея, 2, Москва, 107564.

Dr. Med. Sc., Professor, Leading Researcher.

Yauzskaya alleya, 2, Moscow, 107564.

https://orcid.org/0000-0003-3931-1431ТюринИ. Е.TyurinI. E.

доктор мед. наук, профессор, заведующий кафедрой рентгенологии и радиологии. 

ул. Баррикадная, 2/1, Москва, 125993.

Dr. Med. Sc., Professor, Head of Chair of Radiology and Nuclear Medicine.

ul. Barrikadnaya, 2/1, Moscow, 125993.

https://orcid.org/0000-0003-0973-9250ЧерняевА. Л.ChernyaevA. L.

доктор мед. наук, профессор, заведующий отделом фундаментальной пульмонологии.

Ореховый б-р, 28, Москва, 115682; ул. Цюрупы, 3, Москва, 117418; ул. Островитянова, 1, Москва, 117997.

Dr. Med. Sc., Professor, Head of Fundamental Pulmonology Department.

Orekhovyy bul’var, 28, Moscow, 115682; ul. Tsyurupy, 3, Moscow, 117418; ul. Ostrovitaynova, 1, Moscow, 117997.

https://orcid.org/0000-0002-1908-5601ШмелевЕ. И.ShmelevE. I.

доктор мед. наук, профессор, гл. науч. сотр., заведующий отделом дифференциальной диагностики туберкулеза легких и экстракорпоральных методов лечения. 

Яузская аллея, 2, Москва, 107564.

Dr. Med. Sc., Professor, Chief Researcher, Head of Differential Diagnosis of Tuberculosis of the Lung and Extracorporeal Methods of Treatment Department.

Yauzskaya alleya, 2, Moscow, 107564.

ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России.РоссияOmsk State Medical University, Ministry of Health of the Russian Federation.Russian FederationФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России.РоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation.Russian FederationФГБНУ «Центральный научно-исследовательский институт туберкулеза».РоссияCentral Scientific Research Institute of Tuberculosis.Russian FederationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России.РоссияRussian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation.Russian FederationФГБУ «Научно-исследовательский институт пульмонологии Федерального медико-биологического агентства»; ФГБНУ «Научно-исследовательский институт морфологии человека»; ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России.РоссияPulmonology Scientific Research Institute under Federal Medical and Biological Agency of Russian Federation; Research Institute of Human Morphology; Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation.Russian Federation201831082018994216226Copyright © Петров Д.В., Авдеев С.Н., Гаус О.В., Степанян И.Э., Тюрин И.Е., Черняев А.Л., Шмелев Е.И., 20182018Петров Д.В., Авдеев С.Н., Гаус О.В., Степанян И.Э., Тюрин И.Е., Черняев А.Л., Шмелев Е.И.Petrov D.V., Avdeev S.N., Gaus O.V., Stepanyan I.E., Tyurin I.E., Chernyaev A.L., Shmelev E.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/366

Неспецифичность симптомов, вариабельность рентгенологической и гистологической картины в легких, отсутствие достаточного опыта у врачей затрудняют диагностику идиопатического легочного фиброза (ИЛФ) в реальной клинической практике. Определенную сложность представляет отсутствие четких диагностических критериев данного заболевания, которые являются предметом постоянных дискуссий. Вданной статье изложены современные подходы к диагностике ИЛФ. В основу обзора положен согласительный документ «White paper» Флейшнеровского сообщества, опубликованный в 2017 г. в журнале «The Lancet Respiratory Medicine».

The absence of any specific symptoms, variety of radiologic and histologic changes in lungs and often poor physicians experience are the reasons for difficulties in diagnostics of idiopathic pulmonary fibrosis. The diagnostic criteria are constantly being discussed. The basis of this article is The White paper of Fleischner Society (published in “The Lancet Respiratory Medicine” 2017).

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The authors declare that there are no conflicts of interest present.