Pediatric Pulmonology and Allergology, Erasmus MC - Sophia Children's Hospital, University Medical Centre, Rotterdam, The Netherlands
Radiology and Nuclear Medicine, Erasmus University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Eur Respir Rev. 2018 Feb 28;27(147). doi: 10.1183/16000617.0097-2017. Print 2018 Mar 31.
Until recently, functional tests were the most important tools for the diagnosis and monitoring of lung diseases in the paediatric population. Chest imaging has gained considerable importance for paediatric pulmonology as a diagnostic and monitoring tool to evaluate lung structure over the past decade. Since January 2016, a large number of papers have been published on innovations in chest computed tomography (CT) and/or magnetic resonance imaging (MRI) technology, acquisition techniques, image analysis strategies and their application in different disease areas. Together, these papers underline the importance and potential of chest imaging and image analysis for today's paediatric pulmonology practice. The focus of this review is chest CT and MRI, as these are, and will be, the modalities that will be increasingly used by most practices. Special attention is given to standardisation of image acquisition, image analysis and novel applications in chest MRI. The publications discussed underline the need for the paediatric pulmonology community to implement and integrate state-of-the-art imaging and image analysis modalities into their structure-function laboratory for the benefit of their patients.
直到最近,功能测试仍是儿科肺部疾病诊断和监测的最重要工具。过去十年间,胸部影像学作为一种诊断和监测工具,在评估肺部结构方面,对儿科肺病学的重要性显著提升。自 2016 年 1 月以来,大量论文发表了有关胸部计算机断层扫描(CT)和/或磁共振成像(MRI)技术、采集技术、图像分析策略及其在不同疾病领域的应用方面的创新。这些论文共同强调了胸部影像学和图像分析在当今儿科肺病学实践中的重要性和潜力。本篇综述的重点是胸部 CT 和 MRI,因为这些是大多数实践中将会越来越多地使用的方式。特别关注图像采集、图像分析和胸部 MRI 新应用的标准化。所讨论的出版物强调了儿科肺病学社区将最先进的成像和图像分析方式纳入其结构-功能实验室的必要性,以造福于患者。