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Pediatric large airway imaging: evolution and revolution

  • Thoracic imaging
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Abstract

Infants and children often present with respiratory symptoms referable to the airway. For these pediatric patients, airway imaging is frequently performed to evaluate for underlying disorders of the large airway. Various imaging modalities have been used to evaluate the pediatric large airway, and pediatric airway imaging techniques have continued to evolve. Therefore, clear understanding of the status and new advances in pediatric large airway imaging is essential for practicing radiologists to make timely and accurate diagnoses, which can lead to optimal pediatric patient management.

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References

  1. Baez JC, Ciet P, Mulkern R et al (2015) Pediatric chest MR imaging: lung and airways. Magn Reson Imaging Clin N Am 23:337–349

    Article  Google Scholar 

  2. Isaiah A, Pereira KD (2017) Laryngotracheal anomalies and airway fluoroscopy in infants. Int J Pediatr Otorhinolaryngol 97:109–112

    Article  Google Scholar 

  3. Wallis C, Alexopoulou E, Antón-Pacheco JL et al (2019) ERS statement on tracheomalacia and bronchomalacia in children. Eur Respir J 54:1900382

    Article  Google Scholar 

  4. Ngerncham M, Lee EY, Zurakowski D et al (2015) Tracheobronchomalacia in pediatric patients with esophageal atresia: comparison of diagnostic laryngoscopy/bronchoscopy and dynamic airway multidetector computed tomography. J Pediatr Surg 50:402–407

    Article  Google Scholar 

  5. Lee EY, Greenberg SB, Boiselle PM (2011) Multidetector computed tomography of pediatric large airway diseases: state-of-the-art. Radiol Clin North Am 49:869–893

    Article  Google Scholar 

  6. Lee EY, Zucker EJ, Restrepo R et al (2013) Advanced large airway CT imaging in children: evolution from axial to 4-D assessment. Pediatr Radiol 43:285–297

    Article  Google Scholar 

  7. Liszewski MC, Ciet P, Lee EY (2019) MR imaging of lungs and airways in children: past and present. Magn Reson Imaging Clin N Am 27:201–225

    Article  Google Scholar 

  8. Liszewski MC, Ciet P, Sodhi KS, Lee EY (2017) Updates on MRI evaluation of pediatric large airways. AJR Am J Roentgenol 208:971–981

    Article  Google Scholar 

  9. Yedururi S, Guillerman RP, Chung T et al (2008) Multimodality imaging of tracheobronchial disorders in children. Radiographics 28:e29

    Article  Google Scholar 

  10. Lee EY, Boiselle PM (2009) Tracheobronchomalacia in infants and children: multidetector CT evaluation. Radiology 252:7–22

    Article  Google Scholar 

  11. Tivnan P, Winant AJ, Johnston PR et al (2021) Thoracic CTA in infants and young children: image quality of dual-source CT (DSCT) with high-pitch spiral scan mode (turbo flash spiral mode) with or without general anesthesia with free-breathing technique. Pediatr Pulmonol 56:2660–2667

    Article  Google Scholar 

  12. Long FR, Castile RG (2001) Technique and clinical applications of full-inflation and end-exhalation controlled-ventilation chest CT in infants and young children. Pediatr Radiol 31:413–422

    Article  CAS  Google Scholar 

  13. Goo HW (2019) Four-dimensional thoracic CT in free-breathing children. Korean J Radiol 20:50–57

    Article  Google Scholar 

  14. Goo HW (2013) Free-breathing cine CT for the diagnosis of tracheomalacia in young children. Pediatr Radiol 43:922–928

    Article  Google Scholar 

  15. Lee EY, Strauss KJ, Tracy DA et al (2010) Comparison of standard-dose and reduced-dose expiratory MDCT techniques for assessment of tracheomalacia in children. Acad Radiol 17:504–510

    Article  Google Scholar 

  16. Greenberg SB, Dyamenahalli U (2014) Dynamic pulmonary computed tomography angiography: a new standard for evaluation of combined airway and vascular abnormalities in infants. Int J Cardiovasc Imaging 30:407–414

    Article  Google Scholar 

  17. Ciet P, Tiddens HA, Wielopolski PA et al (2015) Magnetic resonance imaging in children: common problems and possible solutions for lung and airways imaging. Pediatr Radiol 45:1901–1915

    Article  Google Scholar 

  18. Baez JC, Seethamraju RT, Mulkern R et al (2015) Pediatric chest MR imaging: sedation, techniques, and extracardiac vessels. Magn Reson Imaging Clin N Am 23:321–335

    Article  Google Scholar 

  19. Salamon E, Lever S, Kuo W et al (2017) Spirometer guided chest imaging in children: it is worth the effort! Pediatr Pulmonol 52:48–56

    Article  Google Scholar 

  20. Puderbach M, Hintze C, Ley S et al (2007) MR imaging of the chest: a practical approach at 1.5 T. Eur J Radiol 64:345–355

    Article  CAS  Google Scholar 

  21. Tan JZ, Crossett M, Ditchfield M (2013) Dynamic volumetric computed tomographic assessment of the young paediatric airway: initial experience of rapid, non-invasive, four-dimensional technique. J Med Imaging Radiat Oncol 57:141–148

    Article  Google Scholar 

  22. Faust RA, Remley KB, Rimell FL (2001) Real-time, cine magnetic resonance imaging for evaluation of the pediatric airway. Laryngoscope 111:2187–2190

    Article  CAS  Google Scholar 

  23. Ciet P, Wielopolski P, Manniesing R et al (2014) Spirometer-controlled cine magnetic resonance imaging used to diagnose tracheobronchomalacia in paediatric patients. Eur Respir J 43:115–124

    Article  Google Scholar 

  24. Biyyam DR, Chapman T, Ferguson MR et al (2010) Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics 30:1721–1738

    Article  Google Scholar 

  25. Desir A, Ghaye B (2009) Congenital abnormalities of intrathoracic airways. Radiol Clin North Am 47:203–225

    Article  Google Scholar 

  26. Berdon WE, Muensterer OJ, Zong YM, Backer CL (2012) The triad of bridging bronchus malformation associated with left pulmonary artery sling and narrowing of the airway: the legacy of Wells and Landing. Pediatr Radiol 42:215–219

    Article  Google Scholar 

  27. Hewitt RJ, Butler CR, Maughan EF, Elliott MJ (2016) Congenital tracheobronchial stenosis. Semin Pediatr Surg 25:144–149

    Article  Google Scholar 

  28. Uchida DA, Morgan-Wallace V, Richards K et al (2009) Congenital tracheal stenosis masquerading as asthma in an adolescent: the value of spirometry. Clin Pediatr 48:432–434

    Article  Google Scholar 

  29. Kellenberger CJ, Amaxopoulou C, Moehrlen U et al (2020) Structural and perfusion magnetic resonance imaging of congenital lung malformations. Pediatr Radiol 50:1083–1094

    Article  Google Scholar 

  30. Kussman BD, Geva T, McGowan FX (2004) Cardiovascular causes of airway compression. Paediatr Anaesth 14:60–74

    Article  Google Scholar 

  31. Berdon WE, Baker DH, Wung JT et al (1984) Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: the ring-sling complex. Radiology 152:57–64

    Article  CAS  Google Scholar 

  32. Downing GJ, Kilbride HW (1995) Evaluation of airway complications in high-risk preterm infants: application of flexible fiberoptic airway endoscopy. Pediatrics 95:567–572

    Article  CAS  Google Scholar 

  33. Moser JB, Stefanidis K, Vlahos I (2020) Imaging evaluation of tracheobronchial injuries. Radiographics 40:515–528

    Article  Google Scholar 

  34. Lee EY, Litmanovich D, Boiselle PM (2009) Multidetector CT evaluation of tracheobronchomalacia. Radiol Clin North Am 47:261–269

    Article  Google Scholar 

  35. Carden KA, Boiselle PM, Waltz DA, Ernst A (2005) Tracheomalacia and tracheobronchomalacia in children and adults: an in-depth review. Chest 127:984–1005

    Article  Google Scholar 

  36. Lee EY, Siegel MJ (2007) MDCT of tracheobronchial narrowing in pediatric patients. J Thorac Imaging 22:300–309

    Article  Google Scholar 

  37. Ciet P, Boiselle PM, Heidinger B et al (2017) Cine MRI of tracheal dynamics in healthy volunteers and patients with tracheobronchomalacia. AJR Am J Roentgenol 209:757–761

    Article  Google Scholar 

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Acknowledgments

The authors would like to thank Piotr A. Wielopolski, PhD, for providing information included in Tables 1, 2 and 3.

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Authors and Affiliations

  1. Departments of Radiology and Pediatrics, Montefiore Medical Center and Albert Einstein College of Medicine, 111 East 210th St., Bronx, NY, 10467, USA

    Mark C. Liszewski

  2. Department of Radiology and Nuclear Medicine, Erasmus MC–Sophia Children’s Hospital, Rotterdam, The Netherlands

    Pierluigi Ciet

  3. Department of Pediatric Respiratory Medicine, Erasmus MC–Sophia Children’s Hospital, Rotterdam, The Netherlands

    Pierluigi Ciet

  4. Department of Radiology, University Hospital of Cagliari, Cagliari, Italy

    Pierluigi Ciet

  5. Department of Radiology, Boston Children’s Hospital and Harvard Medical School, Boston, MA, USA

    Abbey J. Winant & Edward Y. Lee

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  1. Mark C. Liszewski
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  2. Pierluigi Ciet
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  3. Abbey J. Winant
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  4. Edward Y. Lee
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Correspondence to Mark C. Liszewski.

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MCL is the recipient of grant funding for unrelated study from Carestream Health, Inc., is an unpaid member of of Carestream Health Medical Advisory Board, and recipient of travel and meal support from Carestream Health.

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Liszewski, M.C., Ciet, P., Winant, A.J. et al. Pediatric large airway imaging: evolution and revolution. Pediatr Radiol 52, 1826–1838 (2022). https://doi.org/10.1007/s00247-022-05377-9

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  • DOI: https://doi.org/10.1007/s00247-022-05377-9

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