HRCT and the Radiologist's Role in Diagnosing IPF

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Release Date: April 19, 2018
Expiration Date: April 19, 2019

Use of a multidisciplinary team approach to the diagnosis and care of patients with idiopathic pulmonary fibrosis (IPF) has been shown to improve treatment and outcomes. However, patients with IPF continue to suffer unacceptable delays in diagnosis and initiation of optimal treatments. High-resolution computed tomography (HRCT) is recommended for all patients suspected to have idiopathic interstitial pneumonias (IIPs), as it can allow for a confident determination of disease without an invasive, and often risky, lung biopsy. Radiologists are essential for early diagnosis of IPF and improved patient outcomes since clinicians rely on their accurate interpretation of HRCT scans. Thus, it is imperative that radiologists become familiar with the distinguishing features of IPF in an HRCT scan and are able to differentiate IPF from other lung conditions.

*Images courtesy of Dr. Mary Salvatore, MD

Welcome and Introductions
Interpreting HRCT: How to Identify IPF and Other ILDs
Critical Role of Radiologists in IPF Diagnosis and Monitoring


 Jonathan H. Chung, MD
Associate Professor
 Interim Chief of Quality, Department of Radiology
 Section Chief, Thoracic Radiology The University of Chicago Medicine
 Chicago, IL



Jonathan H. Chung, MD has an expertise in interstitial lung disease, occupational lung disease, nontuberculous mycobacterial pneumonia, and diseases of the large and small airways. Through his research, Dr. Chung is studying how imaging can play a more significant role in patients with chronic lung diseases, specifically interstitial lung disease, pulmonary fibrosis, occupational lung disease, and nontuberculous mycobacterial pneumonia. Dr. Chung is also studying the use of pulmonary MRIs to detect and follow lung diseases. He has authored more than 90 peer‐reviewed articles that have been published in scientific journals and co‐authored 5 book chapters and 3 books that focus on chest diagnostics.

In addition to his clinical work and research efforts, Dr. Chung also dedicates himself to educating medical students, residents, and fellows, performing numerous one‐on‐one teaching sessions and mentoring younger physicians. His devotion to education has been recognized several times, including when he received the Radiological Society of North America Honored Educator Award in 2013.


 Stephen Hobbs, MD
Medical Director, UK HealthCare Imaging Informatics
 Medical Director, Radiology Informatics and Information Technology
 Cardiovascular and Thoracic Radiology
 University of Kentucky
 Lexington, KY



Stephen Hobbs, MD serves as a cardiothoracic radiologist in the Department of Radiology at the University of Kentucky. He has lectured at the national and international level on thoracic imaging topics ranging from thoracic surgery complications to diffuse pulmonary nodule patterns. Dr. Hobbs has particular interests in interstitial lung disease and resident education.

He serves as the Co‐editor of the recently released Thoracic Imaging: A Core Review. In addition, he serves as the Imaging Informatics Medical Director for both the Department of Radiology and the entire UK HealthCare enterprise. He completed radiology residency at the University of Kentucky and subspecialty fellowship training in cardiothoracic radiology at the University of Colorado and National Jewish Health in Denver, CO.

This activity is intended for radiologists involved in the diagnosis of lung diseases.

This program is designed to address the following IOM competencies: provide patient-centered care and employ evidence-based practice.                                                          

At the conclusion of this activity, participants should be able to demonstrate the ability to:

  • Differentiate usual interstitial pneumonia (UIP) categories (definite, possible, and inconsistent) in HRCT images, distinguishing IPF from other pulmonary conditions
  • Communicate with referring physicians to gather relevant patient histories, discuss analyses of HRCTs, and ensure accurate diagnoses of ILDs

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Potomac Center for Medical Education and Rockpointe. The Potomac Center for Medical Education is accredited by the ACCME to provide continuing medical education for physicians.

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Program Faculty Disclosures
The program faculty reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Jonathan H. Chung, MD – Consultant: Boehringer Ingelheim, Genentech, Veracyte; Honoraria: Boehringer Ingelheim, Genentech, Veracyte; Speaker's Bureau: Boehringer Ingelheim, Genentech; Other: Elsevier

Stephen Hobbs, MD – Nothing to disclose

Mary M. Salvatore, MD, MBA – Speaker’s Bureau: Boehringer Ingelheim, Genentech

Non-faculty Content Contributors
Non-faculty content contributors and/or reviewers reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Chad  Williamson, MS, MBA, CMPP; Blair St. Amand; Kathy Whyte; Lindsay Scott, PT, DPT, ATC:  Nothing to disclose                                                                                                         

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Jointly provided by Potomac Center for Medical Education and Rockpointe


This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.