pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2024-34-4-533-543pulmo-4494Research ArticleОБЗОРЫREVIEWДиагностика и дифференциальная диагностика очаговых образований легкихDiagnosis and differential diagnosis of focal lung formationshttps://orcid.org/0000-0001-9732-7170ЛагкуеваИ. Д.LagkuevaI. D.

Лагкуева Ирина Джабраиловна – к. м. н, заведующая отделением рентгеновской диагностики с кабинетами рентгеновской и магнитно-резонансной компьютерной томографии.

117997, Москва, ул. Профсоюзная, 86

Тел.: (495) 334-81-86

Irina D. Lagkueva - Candidate of Medicine, Head of the X-ray Diagnostics Department with X-ray and Magnetic Resonance Computed Tomography Rooms, Federal State Budgetary Institution Russian Scientific Center of Roentgeno-radiology (RSCRR) of the Ministry of Healthcare of the Russian Federation (Russian Scientific Center of Roentgenoradiology).

Profsoyuznaya ul. 86, Moscow, 117997

Tel.: (495) 334-81-86

ilagkueva@mail.ruhttps://orcid.org/0000-0002-6674-8869ЧерниченкоН. В.ChernichenkoN. V.

Черниченко Наталья Васильевна – д. м. н., ведущий научный сотрудник научно-исследовательского отдела хирургии и хирургических технологий в онкологии.

117997, Москва, ул. Профсоюзная, 86

Тел.: (495) 334-81-86

Author ID 759369

Natalia V. Chernichenko - Doctor of Medical Sciences, Leading Researcher, Research Department of Surgery and Surgical Technologies in Oncology, Federal State Budgetary Institution Russian Scientific Center of Roentgenoradiology (RSCRR) of the Ministry of Healthcare of the Russian Federation (Russian Scientific Center of Roentgenoradiology).

Profsoyuznaya ul. 86, Moscow, 117997

Tel.: (495) 334-81-86

Author ID 759369

avnvma@mail.ruhttps://orcid.org/0000-0003-1940-9175КотляровП. М.KotlyarovP. M.

Котляров Петр Михайлович – д. м. н., профессор, руководитель научно-исследовательского отдела новых технологий и семиотики лучевой диагностики заболеваний органов и систем.

117997, Москва, ул. Профсоюзная, 86

Тел.: (495) 334-81-86

Author ID 194339

Petr M. Kotlyarov - Doctor of Medicine, Professor, Head of the Research Department of New Technologies and Semiotics of Radiation Diagnostics of Diseases of Organs and Systems, Federal State Budgetary Institution Russian Scientific Center of Roentgenoradiology (RSCRR) of the Ministry of Healthcare of the Russian Federation (Russian Scientific Center of Roentgenoradiology).

Profsoyuznaya ul. 86, Moscow, 117997

Tel.: (495) 334-81-86

Author ID 194339

marnad@list.ruhttps://orcid.org/0000-0001-5618-5671СолдатовД. Г.SoldatovD. G.

Солдатов Дмитрий Германович – к. м. н., доцент, доцент кафедры госпитальной терапии педиатрического факультета.

117997, Москва, ул. Островитянова, 1

Тел. (925) 744-72-98

Dmitry G. Soldatov - Candidate of Medicine, Assistant Professor, Associate Professor, Department of Hospital Therapy, Pediatric Faculty, Federal State Autonomous Educational Institution of Higher Education “N.I.Pirogov Russian National Research Medical University” of the Ministry of Health of the Russian Federation.

Ostrovityanova ul. 1, Moscow, 117997

Tel.: (925) 744-72-98

d.g.soldatov@mail.ruhttps://orcid.org/0000-0002-1641-6452СолодкийВ. А.SolodkiyV. A.

Солодкий Владимир Алексеевич – д. м. н., профессор, академик Российской академии наук, директор ФГБУ «РНЦ рентгенорадиологии» МЗ РФ.

117997, Москва, ул. Профсоюзная, 86

Тел.: (495) 334-81-86

Author ID 440543

Vladimir A. Solodkiy - Doctor of Medicine, Professor, Academician of Russian Academy of Sciences, Director, Federal State Budgetary Institution Russian Scientific Center of Roentgenoradiology (RSCRR) of the Ministry of Healthcare of the Russian Federation (Russian Scientific Center of Roentgenoradiology).

Profsoyuznaya ul. 86, Moscow, 117997

Tel.: (495) 334-81-86

Author ID 440543

direktor@rncrr.ruФедеральное государственное бюджетное учреждение «Российский научный центр рентгенорадиологии» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution Russian Scientific Center of Roentgenoradiology (RSCRR) of the Ministry of Healthcare of the Russian Federation (Russian Scientific Center of Roentgenoradiology)Russian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииРоссияFederal State Autonomous Educational Institution of Higher Education “N.I. Pirogov Russian National Research Medical University” of the Ministry of Health of the Russian FederationRussian Federation202418082024344533543Copyright © Лагкуева И.Д., Черниченко Н.В., Котляров П.М., Солдатов Д.Г., Солодкий В.А., 20242024Лагкуева И.Д., Черниченко Н.В., Котляров П.М., Солдатов Д.Г., Солодкий В.А.Lagkueva I.D., Chernichenko N.V., Kotlyarov P.M., Soldatov D.G., Solodkiy V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/4494

Заболевания легких занимают одно из первых мест среди причин смерти. Нередко на момент установления диагноза у пациентов со злокачественными опухолями легких отмечается терминальная стадия заболевания, что обусловлено длительным отсутствием клинических проявлений патологии и своевременной диагностики. Целью обзора явился анализ данных литературы, посвященной проблемам диагностики природы очаговых образований легких и достоверной оценке степени распространения опухолевого процесса, а также оценка значения динамического мониторинга лучевой диагностики в уточнении природы очаговых изменений легких и поиске методов, обладающих большей специфичностью в отношении природы процесса. Заключение. Лучевые методы исследования являются ведущими при скрининге, выявлении опухолевого поражения легких, однако в большинстве случаев для определения природы изменений проводится динамический мониторинг. Актуальны дальнейшие исследования по комплексной оценке данных лучевой диагностики с применением искусственного интеллекта с целью определения природы малых образований легких.

Lung diseases are among the leading causes of death. Patients with malignant lung tumors often have terminal stage of the disease at the time of diagnosis because of long absence of clinical manifestations of the condition and late diagnosis. The aim of the work was to analyze literature devoted to the problems of identifying the nature of focal lung lesions and reliable assessment of the degree of tumor process. The authors also aimed to evaluate the importance of ongoing monitoring with radiology methods for clarification of the nature of focal changes in the lungs and for selection of methods with greater specificity regarding the nature of the process. Conclusion. Radiological methods are crucial in screening and detection of lung tumors, but ongoing monitoring is carried out in most cases to determine the nature of the changes. Further research on a comprehensive assessment of radiological diagnostic data using artificial intelligence (AI) in order to determine the nature of small lung lesions is relevant.

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