Zusammenfassung
Die hochauflösende Computertomographie (HRCT) ermöglicht die optimierte und überlagerungsfreie Darstellung von Erkrankungen des Lungenparenchyms und eine Zuordnung morphologischer Muster zu den entsprechenden Krankheitsbildern. Voraussetzungen sind die optimierte Untersuchungstechnik und die Kenntnis der HRCT-typischen Muster. Im Folgenden werden die technischen Untersuchungsparameter zur Durchführung der HRCT der Lunge bei Kindern genannt, typische HRCT-Muster zusammengefasst und häufigen pädiatrischen Krankheitsbilder zugeordnet.
Abstract
High-resolution computed tomography (HRCT) of the lung is a very valuable method in the evaluation of children with acute and chronic lung disease due to the high spatial resolution and precise display of anatomy and pathology without superposition. The following publication will describe an optimized HRCT technique in order to reduce dose, explain various HRCT pattern and explain typical pediatric lung diseases.
Literatur
Ambrosino MM, Genieser NB, Roche KJ, Kaul A,Lawrence RM (1994) Feasilbility of high resolution, low-dose chest CT in evaluating the pediatric chest. Pediatr Radiol 24:6–10
Bhalla M, Turcios N, Aponte V et al. (1991) Cystic fibrosis: scoring system with thin-section CT. Radiology 179:783–788
Boiselle PM, Crans CA jr, Kaplan MA (1999) The changing face of pneumocystis carinii pneumonia in AIDS patients. AJR 172:1301–1309
Bouchardy LM, Kuhlman JE, Ball WC et al. (1993) CT findings in bronchiolitis obliterans organizing pneumonia (BOOP) with radiographic, clinical, and histologic correlation. J Comput Assist Tomogr 17:352–367
Brauner MW, Grenier P, Tijani K et al. (1997) Pulmonary Langerhans cell histiocytosis: evolution of lesions on CT scans. Radiology 204:497–502
Cartier Y, Kavanagh PV, Johkoh T et al. (1999) Bronchiectasis: accuracy of high-resolution CT in the differentiation of specific diseases. AJR 173:47–52
Cheah FK, Sheppard MN, Hansell DM (1993) Computed tomography of diffuse pulmonary haemorrhage with pathological correlation. Clin Radiol 48:89–93
Collins J, Blankenbaker D, Stern EJ (1998) CT patterns of bronchiolar disease: what is tree-in-bud? AJR 171:365–370
Copley SJ, Padley SP (2001) High-resolution CT of pediatric lung disease. Eur Radiol 11(12):2564–2575
Helbich T, Stiglbauer R, Breitenseher M, Eichler I, Götz M (1993) Hochauflösende Computertomographie der Lunge bei jungen Patienten mit zystischer Fibrose. Radiologe 33:142–146
Heyneman LE, Johkoh T, Ward S et al. (2000) Pulmonary leukemic infiltrates: high-resolution CT findings in 10 patients. AJR 174:517–521
Hruban RH, Meziane MA, Zerhouni EA et al. (1987) Radiologic-pathologic correlation of the CT halo sign in invasive pulmonary aspergillosis. J Comput Assist Tomogr 11:534–536
Huggosson CO, Riff EJ, Moore CC et al. (1991) Lipoid pneumonia in infants: a radiological-pathological study. Pediatr Radiol 21:193–197
Kauczor HU, Heußel CP, Mildenberger P, Thelen M (1996) Was heißt wie? Ansatz und Glossar zur Befundung und Verständnis in der HRCT der Lunge. Fortschr Röntgenstr 165:428–437
Kennedy CD, Habibi P, Matthew DJ et al. (1991) Lobar emphysema: long-term imaging follow-up. Radiology 180:189–193
Lucaya J, Ducou Le Pointe H (2002) High-resolution CT of the lung in children. In: Lucaya J, Strife JL (eds) Pediatric chest imaging. Springer, Berlin Heidelberg New York, pp 55–91
Lynch DA, Brasch RC, Hardy KA, Webb WR (1992) Pediatric pulmonary disease: assessment with high-resolution ultrafast CT. Radiology 176:243–248
Marti-Bonmati L, Ruiz PF, Catala F et al. (1989) CT findings in Swyer-James syndrome. Radiology 172:477–480
Müller NL, Miller PR (1995) Diseases of the bronchioles: CT and histopathologic findings. Radiology 196:3–12
Oppenheim C, Mamou-Mani T, Sayegh N et al. (1999) Bronchopulmonary dysplasia: value of CT in identifying pulmonary sequelae. AJR 1963:169–172
Stein MG, Mayo J, Müller N et al. (1987) Pulmonary lymphangitic spread of carcinoma: appearance on CT scans. Radiology 162:371–375
Reittner P, Fotter R, Tillich M, Popper H, Lindbichler F, Reiterer F (1998) High-resolution CT findings in Wilson-Mikity syndrome: a case report. Pediatr Radiol 28:691–693
Reuter M, Oppermann HC, Ankermann T, Biederer J, Heller M (2002) High-resolution computed tomography of the lungs in pediatric patients. Fortschr Röntgenstr 174(6):684–695
Waitches GM, Stern EJ (2002) High-resolution CT of peripheral airways diseases. Radiol Clin North Am 40(1):21–29
Webb WR, Müller NL, Naidich DP (2001) High-resolution CT of the lung, 3rd edn. Lippincott Williams & Wilkins, Philadelphia
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Unsinn, K.M., Freund, M.C., Rieger, M. et al. Hochauflösende Computertomographie der Lunge bei Kindern und Jugendlichen. Radiologe 43, 1069–1074 (2003). https://doi.org/10.1007/s00117-003-0986-4
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DOI: https://doi.org/10.1007/s00117-003-0986-4