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An Official American Thoracic Society Clinical Practice Guideline: The Clinical Utility of Bronchoalveolar Lavage Cellular Analysis in Interstitial Lung Disease

Meyer, Keith C., Raghu, Ganesh, Baughman, Robert P., Brown, Kevin K., Costabel, Ulrich, du Bois, Roland M., Drent, Marjolein, Haslam, Patricia L., Kim, Dong Soon, Nagai, Sonoko, Rottoli, Paola, Saltini, Cesare, Selman, Moisés, Strange, Charlie, Wood, Brent·2012·American Journal of Respiratory and Critical Care Medicine

Abstract

BACKGROUND: The clinical utility of bronchoalveolar lavage fluid (BAL) cell analysis for the diagnosis and management of patients with interstitial lung disease (ILD) has been a subject of debate and controversy. The American Thoracic Society (ATS) sponsored a committee of international experts to examine all relevant literature on BAL in ILD and provide recommendations concerning the use of BAL in the diagnosis and management of patients with suspected ILD. PURPOSE: To provide recommendations for (1) the performance and processing of BAL and (2) the interpretation of BAL nucleated immune cell patterns and other BAL characteristics in patients with suspected ILD. METHODS: A pragmatic systematic review was performed to identify unique citations related to BAL in patients with ILD that were published between 1970 and 2006. The search was updated during the guideline development process to include published literature through March 2011. This is the evidence upon which the committee's conclusions and recommendations are based. RESULTS: Recommendations for the performance and processing of BAL, as well as the interpretation of BAL findings, were formulated by the committee. CONCLUSIONS: When used in conjunction with comprehensive clinical information and adequate thoracic imaging such as high-resolution computed tomography of the thorax, BAL cell patterns and other characteristics frequently provide useful information for the diagnostic evaluation of patients with suspected ILD.

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Metadata

Authors
Meyer, K. C., Raghu, G., Baughman, R. P., Brown, K. K., Costabel, U., du Bois, R. M., Drent, M., Haslam, P. L., Kim, D. S., Nagai, S., Rottoli, P., Saltini, C., Selman, M., Strange, C., & Wood, B.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2012-05-01
Volume
185
Issue
9
Pages
1004-1014
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W2139000046
Cited by
1,134
References
1
FWCI
37.94
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: An Official American Thoracic Society Clinical Practice Guideline: The Clinical Utility of Bronchoalveolar Lavage Cellular Analysis in Interstitial Lung Disease. https://app.cochat.ai/papers/10.1164/rccm.201202-0320st
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Meyer, K. C., Raghu, G., Baughman, R. P., Brown, K. K., Costabel, U., du Bois, R. M., Drent, M., Haslam, P. L., Kim, D. S., Nagai, S., Rottoli, P., Saltini, C., Selman, M., Strange, C., & Wood, B. (2012). An Official American Thoracic Society Clinical Practice Guideline: The Clinical Utility of Bronchoalveolar Lavage Cellular Analysis in Interstitial Lung Disease. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/rccm.201202-0320st

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.