Skip to main content
SpringerLink
Log in

Bronchiectasis

  • Chapter
CT of the Airways

Part of the book series: Contemporary Medical Imaging ((CMI))

Summary

Bronchiectasis is defined as the permanent dilatation of bronchi. The Reid classification includes three grades of progressively more severe bronchial injury: cylindrical, varicose, and cystic. Clinically, bronchiectasis is usually classified into either cystic fibrosis (CF)-related bronchiectasis or non-CF-related bronchiectasis. Physiologically, bronchiectasis is characterized by airflow obstruction. Significant complications that occur in bronchiectasis include hemoptysis, recurrent pneumonia, empyema, pneumothorax, and abscesses. Multidetectorrow CT scanning is used in the assessment of obstructive airway disease where bronchiectasis is one component of lung injury that needs to be assessed on every study. Disease entities with a high association with bronchiectasis include CF, non-tuberculous mycobacterial infection, allergic bronchopulmonary aspergillosis (ABPA), alpha-1 antitrypsin deficiency, immunodeficiencies, and primary ciliary dyskinesia.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Reid LM. Reduction in bronchial subdivision in bronchiectasis. Thorax 1950;5(3):233–47.

    Article  PubMed  Google Scholar 

  2. King P, Holdsworth S, Freezer N, Holmes P. Bronchiectasis. Int Med J 2006;36(11):729–37.

    Article  CAS  Google Scholar 

  3. Barker AF. Bronchiectasis. N Engl J Med 2002;346(18):1383–93.

    Article  PubMed  Google Scholar 

  4. King PT, Holdsworth SR, Freezer NJ, Villanueva E, Holmes PW. Characterization of the onset and presenting clinical features of adult bronchiectasis. Respir Med 2006;100(12):2183–39.

    Article  PubMed  Google Scholar 

  5. Newell JDJ, Chan ED, Martin RJ. Imaging of airway disease. In: Lynch DA, Newell JDJ, Lee JS, Eds. Imaging of Diffuse Lung Disease, 1 Ed. Hamilton: B.C. Deeker Inc; 2000:171–97.

    Google Scholar 

  6. King PT, Freezer NJ, Holmes PW, Holdsworth SR, Forshaw K, Sart DD. Role of CFTR mutations in adult bronchiectasis. Thorax 2004;59(4):357–58.

    Article  PubMed  CAS  Google Scholar 

  7. Divac A, Nikolic A, Mitic-Milikic M, et al. CFTR mutations and polymorphisms in adults with disseminated bronchiectasis: a controversial issue. Thorax 2005;60(1):85.

    PubMed  CAS  Google Scholar 

  8. Sumikawa H, Johkoh T, Ichikado K, et al. Usual interstitial pneumonia and chronic idiopathic interstitial pneumonia: analysis of CT appearance in 92 patients. Radiology 2006;241(1):258–66.

    Article  PubMed  Google Scholar 

  9. Mcguinness G, Naidich DP. CT of airways disease and bronchiectasis. Radiol Clin North Am 2002;40(1):1–19.

    Article  PubMed  Google Scholar 

  10. Fraser RS, Muller NL, Colman N, Pare PD. Bronchiectasis and other bronchial abnormalities. In: Fraser RS, Muller NL, Colman N, Pare PD, Eds. Diagnosis of Diseases of the Chest, 4 Ed. Philadelphia: W.B. Saunders Company; 1999:2265–97.

    Google Scholar 

  11. Dodd JD, Souza CA, Muller NL. Conventional high-resolution CT versus helical high-resolution MDCT in the detection of bronchiectasis. AJR 2006;187(2):414–20.

    Article  PubMed  Google Scholar 

  12. Naidich DP, Mccauley DI, Khouri NF, Stitik FP, Siegelman SS. Computed tomography of bronchiectasis. J Comput Assist Tomogr 1982;6(3):437–44.

    Article  PubMed  CAS  Google Scholar 

  13. Brody AS, Kosorok MR, Li Z, et al. Reproducibility of a scoring system for computed tomography scanning in cystic fibrosis. J Thor Imag 2006;21(1):14–21.

    Article  Google Scholar 

  14. Brody AS, Klein JS, Molina PL, Quan J, Bean JA, Wilmott RW. High-resolution computed tomography in young patients with cystic fibrosis: distribution of abnormalities and correlation with pulmonary function tests. J Pediatr 2004;145(1):32–38.

    Article  PubMed  Google Scholar 

  15. Sibtain NA, Ujita M, Wilson R, Wells AU, Hansell DM. Interlobular septal thickening in idiopathic bronchiectasis: a thin-section CT study of 94 patients. Radiology 2005;237(3):1091–96.

    Article  PubMed  Google Scholar 

  16. Hansell DM. Bronchiectasis. Radiol Clin North Am 1998;36(1):107–28.

    Article  PubMed  CAS  Google Scholar 

  17. Reiff DB, Wells AU, Carr DH, Cole PJ, Hansell DM. CT Findings in bronchiectasis: limited value in distinguishing between idiopathic and specific types. AJR 1995;165(2):261–67.

    PubMed  CAS  Google Scholar 

  18. Fraser RS, Muller NL, Colman N, Pare PD. Cystic fibrosis. In: Fraser RS, Muller NL, Colman N, Pare PD, Eds. Diagnosis of diseases of the chest, 4 Ed. Philadelphia: W.B. Saunders Company; 1999:2298–315.

    Google Scholar 

  19. Mccolley SA. Cystic fibrosis lung disease: when does it start, and how can it be prevented? J Pediatr 2004;145(1):6–7.

    Article  PubMed  Google Scholar 

  20. Kim JS, Tanaka N, Newell JD, et al. Nontuberculous mycobacterial infection: CT scan findings, genotype, and treatment responsiveness. Chest 2005;128(6):3863–69.

    Article  PubMed  Google Scholar 

  21. Brody AS, Sucharew H, Campbell JD, et al. Computed tomography correlates with pulmonary exacerbations in children with cystic fibrosis. Am J Respir Crit Care Med 2005;172(9):1128–32.

    Article  PubMed  Google Scholar 

  22. Wickremasinghe M, Ozerovitch LJ, Davies G, et al. Non-tuberculous mycobacteria in patients with bronchiectasis. Thorax 2005;60(12):1045–51.

    Article  PubMed  CAS  Google Scholar 

  23. Wittram C, Weisbrod GL. Mycobacterium avium complex lung disease in immunocompetent patients: radiography-CT correlation. Br J Radiol 2002;75(892):340–44.

    PubMed  CAS  Google Scholar 

  24. Kim TS, Koh WJ, Han J, et al. Hypothesis on the evolution of cavitary lesions in nontuberculous mycobacterial pulmonary infection: thin-section CT and histopathologic correlation. AJR 2005;184(4):1247–52.

    PubMed  Google Scholar 

  25. Mitchell TA, Hamilos DL, Lynch DA, Newell JD. Distribution and severity of bronchiectasis in allergic bronchopulmonary aspergillosis (ABPA). J Asthma 2000;37(1):65–72.

    PubMed  CAS  Google Scholar 

  26. Angus RM, Davies ML, Cowan MD, Mcsharry C, Thomson NC. Computed tomographic scanning of the lung in patients with allergic bronchopulmonary aspergillosis and in asthmatic patients with a positive skin test to Aspergillus fumigatus. Thorax 1994;49(6):586–89.

    PubMed  CAS  Google Scholar 

  27. Neeld DA, Goodman LR, Gurney JW, Greenberger PA, Fink JN. Computerized tomography in the evaluation of allergic bronchopulmonary aspergillosis. Am Rev Respir Dis 1990;142(5):1200–05.

    PubMed  CAS  Google Scholar 

  28. King MA, Stone JA, Diaz PT, Mueller CF, Becker WJ, Gadek JE. Alpha 1-antitrypsin deficiency: evaluation of bronchiectasis with CT. Radiology 1996;199(1):137–41.

    PubMed  CAS  Google Scholar 

  29. Guest PJ, Hansell DM. High resolution computed tomography (HRCT) in emphysema associated with alpha-1-antitrypsin deficiency. Clin Radiol 1992;45(4):260–66.

    Article  PubMed  CAS  Google Scholar 

  30. Mcmahon MA, O’Mahony MJ, O’Neill SJ, Mcelvaney NG, Logan PM. Alpha-1 antitrypsin deficiency and computed tomography findings. J Comput Assist Tomogr 2005;29(4):549–53.

    Article  PubMed  Google Scholar 

  31. Mcguinness G, Naidich DP, Garay S, Leitman BS, Mccauley DI. AIDS Associated bronchiectasis: CT features. J Comput Assist Tomogr 1993;17(2):260–66.

    Article  PubMed  CAS  Google Scholar 

  32. Obregon RG, Lynch DA, Kaske T, Newell JD, Jr., Kirkpatrick CH. Radiologic findings of adult primary immunodeficiency disorders. Contribution of CT. Chest 1994;106(2):490–95.

    Article  PubMed  CAS  Google Scholar 

  33. Mcguinness G, Gruden JF, Bhalla M, Harkin TJ, Jagirdar JS, Naidich DP. AIDS-related airway disease. AJR 1997;168(1):67–77.

    PubMed  CAS  Google Scholar 

  34. Tanaka N, Kim JS, Bates CA, et al. Lung diseases in patients with common variable immunodeficiency: chest radiographic and computed tomographic findings. J Comput Assist Tomogr 2006;30(5):828–38.

    Article  PubMed  Google Scholar 

  35. Carlen B, Stenram U. Primary ciliary dyskinesia: a review. Ultrastruct Pathol 2005;29(3–4):217–20.

    Article  PubMed  Google Scholar 

Download references

Authors
  1. John D. Newell Jr.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA

    Phillip M. Boiselle MD

  2. Department of Radiology, National Jewish Medical and Research Center, Denver, CO

    David A. Lynch MB

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Humana Press

About this chapter

Cite this chapter

Newell, J.D. (2008). Bronchiectasis. In: Boiselle, P.M., Lynch, D.A. (eds) CT of the Airways. Contemporary Medical Imaging. Humana Press. https://doi.org/10.1007/978-1-59745-139-0_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-139-0_9

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-848-5

  • Online ISBN: 978-1-59745-139-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation