Department of Emergency Radiology, Careggi University Hospital, L.go Brambilla 3, 50123, Florence, Italy.
SIRM Foundation, Milan, Italy.
Jpn J Radiol. 2022 Feb;40(2):107-119. doi: 10.1007/s11604-021-01190-w. Epub 2021 Aug 16.
Non-neoplastic lesions of central airways are uncommon entities with different etiologies, with either focal or diffuse involvement of the tracheobronchial tree. Clinical symptoms of non-neoplastic tracheobronchial diseases are non-specific, and diagnosis is difficult, especially in the early stages. Three-dimensional computed tomography (3D-CT) is an evaluable tool as it allows to assess and characterize tracheobronchial wall lesions and meanwhile it enables the evaluation of airways surrounding structures. Multiplanar reconstructions (MPR), minimum intensity projections (MinIP), and 3D Volume Rendering (VR) (in particular, virtual bronchoscopy) also provide information on the site and of the length of airway alterations. This review will be discussed about (1) primary airway disorders, such as relapsing polychondritis, tracheobronchophathia osteochondroplastica, and tracheobronchomegaly, (2) airway diseases, related to granulomatosis with polyangiitis, Chron's disease, Behcet's disease, sarcoidosis, amyloidosis, infections, intubation and transplantation, (3) tracheobronchial malacia, and (4) acute tracheobronchial injury. 3D-CT findings, especially with MPR and 3D VR reconstructions, allows us to evaluate tracheobronchial disease morphologically in detail.
中央气道的非肿瘤性病变是一种少见的疾病,具有不同的病因,可导致气管支气管树的局限性或弥漫性受累。非肿瘤性气管支气管疾病的临床症状不具有特异性,诊断困难,尤其是在疾病早期。三维计算机断层扫描(3D-CT)是一种可评估的工具,因为它可以评估和描述气管支气管壁的病变,同时还可以评估气道周围结构。多平面重建(MPR)、最小密度投影(MinIP)和三维容积再现(VR)(特别是虚拟支气管镜)也提供了气道改变的位置和长度的信息。本综述将讨论(1)原发性气道疾病,如复发性多软骨炎、软骨骨化性气管支气管病和气管支气管扩张症,(2)与肉芽肿性多血管炎、克罗恩病、贝赫切特病、结节病、淀粉样变性、感染、插管和移植相关的气道疾病,(3)气管支气管软化症,和(4)急性气管支气管损伤。3D-CT 表现,特别是 MPR 和 3D VR 重建,使我们能够详细评估气管支气管疾病的形态学特征。