Imaging of Asthma in Children

  • D. Gregory Bates

Key Points

■ Airway inflammation is universal to all asthmatics and the degree of the inflammation corresponds to the severity of disease. Bronchoconstriction plays a limited role in the etiology of asthma (moderate evidence).

■ There has been a sharp rise in the prevalence, morbidity, mortality, and economic burden both within the United States and globally over the past 40 years, particularly in children (moderate evidence).

■ Despite the considerable knowledge with regard to the pathology of asthma, the costs of asthma represent a large burden to society, both nationally and internationally (moderate evidence).

■ The majority of patients presenting with asthma can be diagnosed clinically by medical history and physical examination; the need for chest radiographs in acute asthma is limited to a minority of patients (limited to moderate evidence).

■ Pulmonary function testing underestimates the degree of bronchial inflammation and may be insufficient for surveillance criteria (limited evidence).

■ No data were found in the medical literature that evaluate the cost-effectiveness of imaging in asthma (insufficient evidence).

■ The value of the chest radiograph should be to diagnose complications, to establish a precipitating cause for an asthmatic attack, and to exclude alternate diagnoses that resemble asthma (moderate evidence).

■ High-resolution computed tomography (HRCT) is a non-invasive technique capable of demonstrating and quantifying both the anatomic and physiologic changes in the lungs of asthmatic patients (moderate evidence).


Chest Radiograph Acute Asthma Bronchial Wall Asthma Prevalence Moderate Evidence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • D. Gregory Bates
    • 1
  1. 1.Department of RadiologyThe Ohio State University College of Medicine and Public Health, Nationwide Children’s HospitalColumbusUSA

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