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High Resolution Computed Tomography of Diffuse Pediatric Pulmonary Diseases

  • Conference paper
Highlights of Pediatric Radiology

Part of the book series: Syllabus ((SYLLABUS))

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Abstract

High resolution computed tomography (HRCT) is used to maximize spatial resolution in the lung. Most authors define this technique as the combined use of images of 1–3 mm collimation and a high spatial frequency (edge-enhancing algorithm), which on many scanners is called the “bone algorithm”. When used together, these two factors result in images of the lung that approximate the appearance of a gross anatomic specimen [1, 2]. Despite intense interest and experience with this technique in diseases affecting adults, there remains little information in the literature regarding application of this technique to diseases of the child’s lung [3–6].

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References

  1. Webb WR, Stein MG, Finkbeiner WE, et al. (1988) Normal and diseased isolated lungs: high-resolution CT. Radiology 166: 81

    PubMed  CAS  Google Scholar 

  2. Bessis L, Callard P, Gotheil C, Biaggi A, Grenier P (1992) High-resolution CT of parenchymal lung disease: precise correlation with histologic findings. Radiographics 12: 45–58

    PubMed  CAS  Google Scholar 

  3. Kuhn JP (1993) High-resolution computed tomography of pediatric pulmonary parenchymal disorders. Radiol Clin North Am 31: 533–551

    PubMed  CAS  Google Scholar 

  4. Moon WK, Kim WS, Kim IO, Im JG, Yeon KM, Han MC (1996) Diffuse pulmonary disease in children: high-resolution CT findings. AJR 167: 1405–1408

    PubMed  CAS  Google Scholar 

  5. Seely JM, Effmann EL, Muller NL (1997) High-resolution CT of pediatric lung disease: imaging findings. AJR 168: 1269–1275

    PubMed  CAS  Google Scholar 

  6. Kuhn JP, Slovis TL, Silverman FN, Kuhns LR (1993) The neck and respiratory system. In: Silverman FN, Kuhn JP (eds) Caffey’s pediatric X-ray diagnosis. Mosby. St. Louis, pp 345–697

    Google Scholar 

  7. Webb WR, Muller NL, Naidich DP (1996) High-resolution CT of the lung, 2nd ed. Lippincott-Raven, New York, pp 4–13

    Google Scholar 

  8. Mayo JR, Webb WR, Gould R, et al. (1987) High-resolution CT of the lungs: an optimal approach. Radiology 163: 507

    PubMed  CAS  Google Scholar 

  9. Murata K, Khan A, Rojas KA, et al. (1988) Optimization of computed tomography technique to demonstrate the fine structure of the lung. Invest Radiol 23: 170

    Article  PubMed  CAS  Google Scholar 

  10. Naidich DP, Marshal CH, Gribbin C, et al. (1990) Low-dose CT of the lungs: preliminary observations. Radiology 175: 729

    PubMed  CAS  Google Scholar 

  11. Ambrosino MM, Genieser NB, Roche KJ, Kaul A, Lawrence RM (1994) Feasibility of high-resolution, low-dose chest CT in evaluating the pediatric chest. Pediatr Radiol 24: 6–10

    Article  PubMed  CAS  Google Scholar 

  12. Naidich DP, Muller NL, Zerhouni EA, Webb WR, Krinsky GA, Siegelman SS, McGuinness G (1999) Computed tomography and magnetic resonance of the thorax. Lippincott-Raven, Philadelphia, pp 1–16

    Google Scholar 

  13. Kuhlman JE, Hruban RH, Fishman EK (1991) Wegener granulomatosis: CT features of parenchymal lung disease. J Comput Assist Tomogr 15: 948–952

    Google Scholar 

  14. Weibel ER, Bachofen H (1991) The fiber scaffold of lung parenchyma. In: Crystal RG, West JB (eds) The lung, Vol. 1. Raven Press, New York, pp 787–794

    Google Scholar 

  15. Weibel ER, Crystal RG (1991) Structural organization of the pulmonary interstitium. In: Crystal RG, West JB (eds) The lung, Vol. 1. Raven Press, New York, pp 369–380

    Google Scholar 

  16. Heitzman ER, Markarian B, Berger I, et al. (1969) The secondary pulmonary lobule: a practical concept for interpretation of chest radiographs. Radiology 93: 507–519

    PubMed  CAS  Google Scholar 

  17. Bergin C, Roggli V, Coblentz C, et al. (1988) The secondary pulmonary lobule: normal and abnormal CT appearances. AJR 151: 21

    PubMed  CAS  Google Scholar 

  18. Galvin JR, Mori M, Stanford W (1992) High-resolution computed tomography and diffuse lung disease. Curr Probl Diag Radiol 21: 31–74

    Article  CAS  Google Scholar 

  19. Lynch DA, Brasch RC, Hardy KA, et al. (1990) Pediatric pulmonary disease: assessment with high-resolution ultrafast CT. Radiology 176: 243

    PubMed  CAS  Google Scholar 

  20. Naidich DP, Zerhouni EA, Hutchins GM, et al. (1985) Computed tomography of the pulmonary parenchyma: Part 2. Interstitial disease. J Thorac Imaging 1: 54

    Google Scholar 

  21. Naidich DP, Zerhouni EA, Hutchins GM, et al. (1985) Computed tomography of the pulmonary parenchyma: Part 1. Distal air-space disease. J Thorac Imaging 1: 39

    Google Scholar 

  22. Kuhn JP (1991) Pediatric thorax In: Naidich DP, Zerhouni EA, Siegelman S (eds) Computed tomography and magnetic resonance of the thorax, 2nd ed. Raven Press, New York, pp 503–555

    Google Scholar 

  23. Collins J, Stern EJ (1997) Ground-glass opacity at CT: the ABCs. AJR 169: 355–367

    PubMed  CAS  Google Scholar 

  24. De Sena S, Rosenfeld DL, Santos S, Keller I (1996) Jugular thrombophlebitis complicating bacterial pharyngitis ( Lemierre’s syndrome ). Pediatr Radio! 26: 141–144

    Google Scholar 

  25. Gudinchet F, Maeder P, Neveceral P, Schnyder P (1997) Lemierre’s syndrome in children. High-resolution CT and color Doppler sonography patterns. Chest 112: 271–273

    Google Scholar 

  26. Helton KJ, Kuhn JP, Fletcher BD, et al. (1992) Bronchiolitis obliterans: organizing pneumonia ( BOOP) in children with malignant disease. Pediatr Radio] 22: 270–274

    Google Scholar 

  27. Akira M, Yamamoto S, Sakatani M (1998) Bronchiolitis obliterans organizing pneumonia manifesting as multiple large nodules or masses. AJR 170: 291–295

    PubMed  CAS  Google Scholar 

  28. Inoue T, Toyoshima K, Kikui M (1996) Idiopathic bronchiolitis obliterans organizing pneumonia (idiopathic BOOP) in childhood. Pediatr Pulmonol 22: 67–72

    Article  PubMed  CAS  Google Scholar 

  29. Arush MWB, Roguin A, Zamir E, El-Hassid R, Pries D, Gaitini D, Dale A, Postovsky S (1997) Bleomycin and cyclophosphamide toxicity simulating metastatic nodules to the lungs in childhood cancer. Pediatr Hematol Oncol 14: 381–386

    Article  PubMed  Google Scholar 

  30. D’Alessandro MP, Kozakewich HPW, Cooke KR, Taylor GA (1996) Radiologic-pathologic conference of children’s hospital Boston: new pulmonary nodules in a child undergoing treatment for a solid malignancy. Pediatr Radiol 26: 19–21

    Article  PubMed  Google Scholar 

  31. Logan PM, Primack SL, Miller RR, Muller NL (1994) Invasive aspergilliosis of the airways: radiographic, CT, and pathologic findings. Radiology 193: 383–388

    Google Scholar 

  32. Pearson ADJ, Kirpalani H, Ashcroft T, Bain H, Craft AW (1983) Lymphomatoid granulomatosis in a 10 year old boy. BMJ 286: 1313–1314

    Article  PubMed  CAS  Google Scholar 

  33. Wadsworth DT, Siegel MJ, Day DL (1994) Wegener’s granulomatosis in children: chest radiographic manifestations. AJR 163: 901–905

    PubMed  CAS  Google Scholar 

  34. Baldree LA, Gaber LW, McKay CP (1991) Anti-neutrophil cytoplasmic autoantibodies in a child with pauciimmune necrotizing and crescentic glomerulonephritis. Pediatr Nephrol 5: 296–299

    Article  PubMed  CAS  Google Scholar 

  35. Brauner MW, Grenier P, Tijani K, Battesti JP, Valeyre D (1997) Pulmonary Langerhans cell histiocystosis: evolution of lesions on CT scans. Radiology 204: 497–502

    PubMed  CAS  Google Scholar 

  36. Ha SY, Helms P, Fletcher M, Broadbent V, Pritchard J (1992) Lung involvement in Langerhans cell histiocytosis: prevalence, clinical features, and outcome. Pediatrics 89: 466469

    Google Scholar 

  37. Kulwiec EL, Lynch DA, Aguayo SM, Schwarz MI, King TE Jr (1992) Imaging of pulmonary histiocytosis X. Radiographics 12: 515–526

    PubMed  CAS  Google Scholar 

  38. Nogee LM, deMello DE, Dehner LP, Cotten HR (1993) Brief report: deficiency of pulmonary surfactant protein B in congenital alveolar proteinosis. N Engl J Med 328: 406–410

    Article  PubMed  CAS  Google Scholar 

  39. Hansell DM, Rubens MB, Padley SP, Wells AU (1997) Obliterative bronchiolitis: individual CT signs of small airways disease and functional correlation. Radiology 203: 721726

    Google Scholar 

  40. Desai SR, Hansell DM (1997) Small airways disease: expiratory computed tomography comes of age. Clin Radiol 52: 332–337

    Article  PubMed  CAS  Google Scholar 

  41. Stern EJ, Muller NL, Swensen SJ, Hartman TE (1995) CT mosaic pattern of lung attenuation: etiologies and terminology. J Thorac Imaging 10: 294–297

    PubMed  CAS  Google Scholar 

  42. Stern EJ, Swensen SJ, Hartman TE, Frank MS (1995) CT mosaic pattern of lung attenuation: distinguishing different cases. AJR 165: 813–816

    PubMed  CAS  Google Scholar 

  43. Gruden JF, Webb WR, Warnock M (1994) Centrilobular opacities in the lung on high-resolution CT: diagnostic considerations and pathologic correlation. AJR 162: 569–574

    PubMed  CAS  Google Scholar 

  44. Aquino SL, Gamsu G, Webb WR, Kee ST (1996) Tree-inbud pattern: frequency and significance on thin section CT. J Comput Assist Tomogr 20: 594–599

    Article  PubMed  CAS  Google Scholar 

  45. Tanaka N, Matsumoto T, Kuramitsu T, Nakaki H, Ito K, Uchisako H, Miura G, Matsunaga N, Yamakawa K (1996) High resolution CT findings in community-acquired pneumonia. J Comput Assist Tomogr 20: 600–608

    Article  PubMed  CAS  Google Scholar 

  46. Jamieson DH, Cremin BJ (1993) High resolution CT of the lungs in acute disseminated tuberculosis and a pediatric radiology perspective of the term “miliary”. Pediatr Radiol 23: 380–383

    Article  PubMed  CAS  Google Scholar 

  47. Kim WS, Moon WK, Kim IO, Lee HJ, Im JG, Yeon KM, Han MC (1997) Pulmonary tuberculosis in children: evaluation with CT. AJR 168: 1005–1009

    PubMed  CAS  Google Scholar 

  48. Santamaria F, Grillo G, Guidi G, Rotondo A, Raia V, de Ritis G, Sarnelli P, Caterino M, Greco L (1998) Cystic fibrosis: when should high-resolution computed tomography of the chest be obtained? Pediatrics 101: 908–913

    Article  PubMed  CAS  Google Scholar 

  49. Nathanson I, Conboy K, Murphy S, Kuhn J (1991) Ultrafast computerized tomography of the chest in cystic fibrosis. Pediatr Pulmonol 11: 81

    Article  PubMed  CAS  Google Scholar 

  50. Bhalla M, Turcios N, Aponte V, et al. (1991) Cystic fibrosis: scoring system with thin-section CT. Radiology 179: 783

    PubMed  CAS  Google Scholar 

  51. Lynch DA, Newell JD, Tschomper BA, Cink TM, Newman LS, Bethel R (1993) Uncomplicated asthma in adults: comparison of CT appearance of the lungs in asthmatic and healthy subjects. Radiology 188: 829–833

    PubMed  CAS  Google Scholar 

  52. Hansell DAM, Rubens MB, Padley SPG, Wells AU (1997) Obliterative bronchiolitis: individual CT signs of small airways disease and functional correlation. Radiology 203: 721726

    Google Scholar 

  53. Marti-Bonmati L, Perales FR, Catala F, et al. (1989) CT findings in Swyer-James syndrome. Radiology 172: 477

    PubMed  CAS  Google Scholar 

  54. Chang AB, Masel JP, Masters B (1998) Post-infectious bronchiolitis obliterans: clinical, radiological and pulmonary function sequelae. Pediatr Radiol 28: 23–29

    Article  PubMed  CAS  Google Scholar 

  55. Sargent MA, Cairns RA, Murdoch MJ, Nadel HR, Wensley D, Schultz KR (1995) Obstructive lung disease in children after allogeneic bone marrow transplantation: evaluation with high-resolution CT. AJR 164: 693–696

    PubMed  CAS  Google Scholar 

  56. Worthy SA, Flint JD, Muller NL (1997) Pulmonary complications after bone marrow transplantation: high-resolution CT and pathologic findings. Radiographics 17: 1359–1371

    PubMed  CAS  Google Scholar 

  57. Garg K, Lynch DA, Newell JD, King TE Jr (1994) Prolifer ative and constrictive bronchiolitis: classification and radio-logic features. AJR 162: 803–808

    PubMed  CAS  Google Scholar 

  58. Stern EJ, Frank MS (1994) Small-airway diseases of the lungs: findings at expiratory CT. AJR 163: 37–41

    PubMed  CAS  Google Scholar 

  59. Hansell DM, Wells AU, Rubens MB, Cole PJ (1994) Bronchiectasis: functional significance of areas of decreased attenuation at expiratory CT. Radiology 193: 369–374

    PubMed  CAS  Google Scholar 

  60. Katzenstein ALA, Gordon LP, Oliphant M, Swender PT (1995) Chronic pneumonitis of infancy. A unique form of interstitial lung disease occurring in early childhood. Am J Surg Pathol 19: 439–447

    Google Scholar 

  61. Fan LL (1994) Evaluation and therapy of chronic interstitial pneumonitis in children. Curr Opin Pediatr 6: 248–254

    Article  PubMed  CAS  Google Scholar 

  62. Muller NL, Coiby TV (1997) Idiopathic interstitial pneumonias: high-resolution CT and histologic findings. Radiographics 17: 1016–1022

    PubMed  CAS  Google Scholar 

  63. Oppenheim C, Mamou-Mani T, Sayegh N, de Blic J, Scheinmann P, Lallemand D (1994) Bronchopulmonary dysplasia: value of CT in identifying pulmonary sequelae. AJR 163: 169–172

    PubMed  CAS  Google Scholar 

  64. Spencer DA, Alton HM, Raafat F, Weller PH (1996) Combined percutaneous lung biopsy and high-resolution computed tomography in the diagnosis and management of lung disease in children. Pediatr Pulmonol 22: 111–116

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Children’s Hospital of Buffalo, Buffalo, New York, USA

    J. P. Kuhn

  2. School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York, USA

    J. P. Kuhn

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  1. J. P. Kuhn
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Editors and Affiliations

  1. Department of Radiology, Hadassah Medical Organization, Kiryat Hadassah, Jerusalem, Israel

    J. Bar-Ziv

  2. Department of Imaging, Schneider Children’s Medical, Center of Israel, Petah-Tikva, Israel

    G. Horev

  3. Service de Radiologie, Hôpital Sain Vincent-de-Paul, Paris, France

    G. Kalifa

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© 1999 Springer-Verlag Italia, Milano

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Kuhn, J.P. (1999). High Resolution Computed Tomography of Diffuse Pediatric Pulmonary Diseases. In: Bar-Ziv, J., Horev, G., Kalifa, G. (eds) Highlights of Pediatric Radiology. Syllabus. Springer, Milano. https://doi.org/10.1007/978-88-470-2253-9_5

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  • DOI: https://doi.org/10.1007/978-88-470-2253-9_5

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0061-2

  • Online ISBN: 978-88-470-2253-9

  • eBook Packages: Springer Book Archive

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