Semple Thomas, Akhtar Mohammed R, Owens Catherine M
The Royal Brompton Hospital, London, United Kingdon.
Great Ormond Street Hospital, London, United Kingdom.
Front Med (Lausanne). 2017 Jun 29;4:88. doi: 10.3389/fmed.2017.00088. eCollection 2017.
Bronchopulmonary dysplasia is the most common form of infantile chronic lung disease and results in significant health-care expenditure. The roles of chest radiography and computed tomography (CT) are well documented but numerous recent advances in imaging technology have paved the way for newer imaging techniques including structural pulmonary assessment lung magnetic resonance imaging (MRI), functional assessment ventilation, and perfusion MRI and quantitative imaging techniques using both CT and MRI. New applications for ultrasound have also been suggested. With the increasing array of complex technologies available, it is becoming increasingly important to have a deeper knowledge of the technological advances of the past 5-10 years and particularly the limitations of some newer techniques currently undergoing intense research. This review article aims to cover the most salient advances relevant to BPD imaging, particularly advances within CT technology, postprocessing and quantitative CT; structural MRI assessment, ventilation and perfusion imaging using gas contrast agents and Fourier decomposition techniques and lung ultrasound.
支气管肺发育不良是婴儿慢性肺病最常见的形式,会导致大量医疗保健支出。胸部X线摄影和计算机断层扫描(CT)的作用已有充分记录,但成像技术最近的诸多进展为更新的成像技术铺平了道路,包括肺部结构评估——肺部磁共振成像(MRI)、功能评估——通气和灌注MRI,以及使用CT和MRI的定量成像技术。超声的新应用也已被提出。随着可用的复杂技术越来越多,更深入了解过去5至10年的技术进展,尤其是目前正在深入研究的一些新技术的局限性变得越来越重要。这篇综述文章旨在涵盖与支气管肺发育不良成像相关的最显著进展,特别是CT技术、后处理和定量CT方面的进展;结构MRI评估、使用气体造影剂和傅里叶分解技术的通气和灌注成像以及肺部超声。