Abstract
In analyzing a chest radiograph, it is important to have an understanding of some of the basic principles of respiratory physiology, and to appreciate how certain pathophysiological processes can cause distinct disease states, each with its own specific clinical signs and symptoms. These can be divided into broad categories, which include obstructive lung disorders, restrictive lung disorders, disorders of gas diffusion, shunts, and ventilation-perfusion abnormalities. For the pediatric radiologist, lung mechanics and in particular those related to changes in lung volume are of crucial significance. The radiograph of the noncooperative young child is never obtained at the optimal full inflation typical for the older person who inhales to full lung capacity (thus, total lung capacity) and breath-holds. The lung volumes reflected in the pediatric radiograph (assuming quiet breathing) span a volume range from FRC (the volume at end expiration) to peak of tidal volume (the volume at end inspiration). Thus, by definition, the volume of the normal pediatric radiograph is always well below the lung volume of the cooperative patient, with all the implications that this has on the quality of the radiograph. Obviously, the lower the lung volume, the less reliable is the interpretation of pathology.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bryan AC, Wohl ME. Respiratory mechanics in children. In: Macklem P, Mead J, editors. Handbook of physiology, Sect. 3, Vol. 111: Part 1: Mechanics of Breathing, Chap. 12. American Physiological Society, Bethesda; 1986.
West JB. Respiratory physiology: the essentials. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2008.
Langston C, Kida K, Reed M, et al. Human lung growth in late gestation and in the neonate. Am Rev Respir Dis. 1984;129(4):607–13.
Gerhardt T, Bancalari E. Chestwall compliance in full-term and premature infants. Acta Paediatr Scand. 1980;69(3):359–64.
Papastamelos C, Panitch HB, England SE, et al. Developmental changes in chest wall compliance in infancy and early childhood. J Appl Physiol. 1995;78(1):179–84.
Kosch PC, Davenport PW, Wozniak JA, et al. Reflex control of expiratory duration in newborn infants. J Appl Physiol. 1985;58(2):575–81.
Kosch PC, Hutchinson AA, Wozniak JA, et al. Posterior cricoarytenoid and diaphragm activities during tidal breathing in neonates. J Appl Physiol. 1988;64(5):1968–78.
Mortola JP, Milic-Emili J, Noworaj A, et al. Muscle pressure and flow during expiration in infants. Am Rev Respir Dis. 1984;129(1):49–53.
Colin AA, Wohl ME, Mead J, et al. Transition from dynamically maintained to relaxed end-expiratory volume in human infants. J Appl Physiol. 1989;67(5):2107–11.
Henderson-Smart DJ, Read DJ. Reduced lung volume during behavioral active sleep in the newborn. J Appl Physiol. 1979;46(6):1081–5.
Gomes RF, Shardonofsky F, Eidelman DH, et al. Respiratory mechanics and lung development in the rat from early age to adulthood. J Appl Physiol. 2001;90(5):1631–8.
Long FR, Castile RG. Technique and clinical applications of full-inflation and end-exhalation controlled-ventilation chest CT in infants and young children. Pediatr Radiol. 2001;31(6):413–22.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Colin, A.A., Rosen, D. (2012). Normal Growth and Physiology. In: Cleveland, R. (eds) Imaging in Pediatric Pulmonology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-5872-3_2
Download citation
DOI: https://doi.org/10.1007/978-1-4419-5872-3_2
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4419-5871-6
Online ISBN: 978-1-4419-5872-3
eBook Packages: MedicineMedicine (R0)