1. Articles from Christopher J. Ryerson

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    1. Endobronchial Optical Coherence Tomography for the Diagnosis of Fibrotic Interstitial Lung Disease: A Light at the End of the Tunnel?

      Endobronchial Optical Coherence Tomography for the Diagnosis of Fibrotic Interstitial Lung Disease: A Light at the End of the Tunnel?

      An accurate diagnosis of fibrotic interstitial lung disease (ILD) is critical to inform prognostication and selection of pharmacotherapy. Clinicians are ideally able to integrate the clinical history, laboratory findings, and morphologic features on chest imaging within multidisciplinary discussion (MDD) to achieve a consensus diagnosis. However, despite this process, a confident diagnosis remains elusive in approximately 15% of patients ( 1 ), and there is often a need for additional information to guide management decisions. This diagnostic uncertainty has traditionally prompted consideration of histopathologic evaluation via surgical lung biopsy (SLB), but this procedure is associated with substantial risk of morbidity and mortality ( 2 ...

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