Transcription of American Thoracic Society Documents
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American Thoracic Society Documents
American Thoracic Society DocumentsAn Official American Thoracic Society Clinical PracticeGuideline: The Clinical Utility of Bronchoalveolar LavageCellular Analysis in Interstitial Lung DiseaseKeith C. Meyer, Ganesh Raghu, Robert P. Baughman, Kevin K. Brown, Ulrich Costabel, Roland M. du Bois,Marjolein Drent, Patricia L. Haslam, Dong Soon Kim, Sonoko Nagai, Paola Rottoli, Cesare Saltini,Moise s Selman, Charlie Strange, and Brent Wood, on behalf of the American Thoracic SocietyCommittee on BAL in Interstitial Lung DiseaseTHISOFFICIALCLINICALPRACTICEGUIDE LINE OF THEAMERICANTHORACICSOCIETY(ATS)WASAPPROV ED BY THEATS BOARD OFDIRECTORS,JANUARY2012 CONTENTSE xecutive SummaryIntroductionMethodsBAL Cellular Analyses as a Diagnostic Intervention for Patientswith Suspected ILD in the Era of HRCT ImagingPerforming, Handling, and Processing BALPre-Procedure PreparationThe BAL ProcedureHandling of the BAL FluidProcessingBAL Cellular Analysis in the Diagnosis of Specific ILDT echnique of BAL Cell AnalysesInterpretation of BAL Differential Cell CountsConclusions and future directionsBackground.
malignant cell cytology laboratory testing if clinically indicated. 3. For patients with suspected ILD in whom BAL is per-formed, we suggest that lymphocyte subset analysis NOT be a routine component of BAL cellular analysis. III. Summary of the Procedure, Transport, Processing, and Analysis 1. BAL is performed with the fiberoptic bronchoscope in
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