Intro; Contents; 1: Rapid On-Site Evaluation (ROSE) in Diagnostic Interventional Pulmonology: Introduction and Detailed Methods; 1.1 Definition and Work Content of Diagnostic Interventional Pulmonology ROSE; 1.2 Historic Evolution and Prospect Forecast of ROSE Clinical Practice; 1.3 Basic Working Conditions and Equipment Requirements of ROSE; 1.3.1 ROSE Cytological Microscope; 1.3.2 Graphic Imaging and Photographic System; 1.3.3 ROSE for Infectious Diseases; 1.3.4 Location Requirements; 1.3.5 Preparation for ROSE; 1.3.6 Conservation of Stained Slides
1.4 The Detailed Work Process for ROSE1.4.1 The Preparation of Cytological Slides for ROSE; 1.4.1.1 Imprinting (Rolling); 1.4.1.2 Brushing; 1.4.1.3 Spraying; 1.4.1.4 Leaving; 1.4.2 Rapid Staining of ROSE Cytological Slides (Staining); 1.4.3 To Interpret ROSE Cytological Slides Promptly and Comprehensively; 1.5 ROSE Implications for Disease/Disease Status; 1.6 Consensus and Controversy in Clinical Practice of ROSE; 1.6.1 ROSE and Histopathology/Laboratory Medicine Are Mutual Complementation, Rather than Mutual Repulsion
1.6.2 Obtaining Target Lesion Is the Basis of ROSE Interpretation1.6.3 ROSE Is Not Exactly "Observe the Pathogenic Microorganism Itself"; 1.6.4 It Is Still Controversial Whether ROSE Can Increase the Yield Rate of Diagnostic Interventional Pulmonology; 1.6.5 Applying ROSE May Benefit More to the Following Interventional Procedures; 1.6.6 Who Will Interpret ROSE Slides?; References; 2: Anatomic Distribution and Morphology of Common Tracheal/Bronchial/Pulmonary Cells; 2.1 Native Tracheal/Bronchial/Pulmonary Cells; 2.1.1 Cell Components of Proximal Airways
2.1.2 Cell Components of Terminal Airways (Bronchioli)2.1.3 Cell Components of Gas Exchange Areas; 2.1.4 Other Native Cell Components; 2.2 Common Nonnative Tracheal/Bronchial/Pulmonary Cells; 2.3 Native Tracheal/Bronchial/Pulmonary Cell Morphology; 2.3.1 Cell Morphology of Proximal Airways; 2.3.2 Cell Morphology of Terminal Airways (Bronchioli); 2.3.3 Cell Morphology of Gas Exchange Areas; 2.3.4 Other Native Cell Morphology; 2.4 Common Nonnative Tracheal/Bronchial/Pulmonary Cell Morphology; 2.4.1 Mononuclear Cell-Derived Non-epithelial Cells; 2.4.1.1 Monocyte-Macrophage
2.5 The Labeling of Cell Types and Cell States in this Book3: Clustering (Categorizing) Analysis in ROSE Interpretation of Common Nonneoplastic Disease States of Lung/Mediastinum; 3.1 Poorly Prepared ROSE Slides May Result in Meaningless Interpretations; 3.2 "Inflammatory Changes"; 3.3 Approximately Normal/Mild Non-specific Inflammatory Response; 3.4 Suppurative Infections (with or without Visible Pathogens); 3.5 May Conform to Viral Infections; May Conform to Mycoplasma Infections; 3.6 Granulomatous Inflammation; 3.7 May Conform to Organization
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This book provides a comprehensive overview of the "real-time accompany technique" for diagnostic interventional pulmonology, known as rapid on-site evaluation (ROSE). It also offers readers a detailed understanding of how to interpret ROSE cytological slides, which is key to the interventional procedure itself and valuable in the analysis of the infectious disease status. The first part discusses the ROSE procedure, clarifying the role of ROSE in the diagnosis of respiratory diseases, while further sections address correct work processes and the implications of ROSE, incorporating multidisciplinary perspectives on respiratory diseases, interventional pulmonology, pathology, clinical microbiology and infectious diseases. This helps practitioners, such as pulmonologists, interventional physicians, radiologists, critical care physicians, haematologists and rheumatologists, establish standardized clinical practices. The book also covers detailed clinical workups, including presentations of lesions, which are of interest to physicians from other specialties.