Original Article

Pediatric Radiology

, Volume 40, Issue 10, pp 1663-1669

First online:

Volume-monitored chest CT: a simplified method for obtaining motion-free images near full inspiratory and end expiratory lung volumes

  • Kathryn S. MuellerAffiliated withThe Ohio State University College of Medicine Email author 
  • , Frederick R. LongAffiliated withThe Children’s Radiological Institute, Nationwide Children’s Hospital
  • , Robert L. FluckeAffiliated withDepartment of Pulmonary Medicine, Nationwide Children’s Hospital
  • , Robert G. CastileAffiliated withCenter for Perinatal Research, The Research Institute at Nationwide Children’s Hospital

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Abstract

Background

Lung inflation and respiratory motion during chest CT affect diagnostic accuracy and reproducibility.

Objective

To describe a simple volume-monitored (VM) method for performing reproducible, motion-free full inspiratory and end expiratory chest CT examinations in children.

Materials and methods

Fifty-two children with cystic fibrosis (mean age 8.8 ± 2.2 years) underwent pulmonary function tests and inspiratory and expiratory VM-CT scans (1.25-mm slices, 80–120 kVp, 16–40 mAs) according to an IRB-approved protocol. The VM-CT technique utilizes instruction from a respiratory therapist, a portable spirometer and real-time documentation of lung volume on a computer. CT image quality was evaluated for achievement of targeted lung-volume levels and for respiratory motion.

Results

Children achieved 95% of vital capacity during full inspiratory imaging. For end expiratory scans, 92% were at or below the child’s end expiratory level. Two expiratory exams were judged to be at suboptimal volumes. Two inspiratory (4%) and three expiratory (6%) exams showed respiratory motion. Overall, 94% of scans were performed at optimal volumes without respiratory motion.

Conclusion

The VM-CT technique is a simple, feasible method in children as young as 4 years to achieve reproducible high-quality full inspiratory and end expiratory lung CT images.

Keywords

High-resolution CT Imaging techniques Cystic fibrosis Children