Neonatal Intensive Care Unit, Puerta del Mar University Hospital, Cádiz. Spain; Biomedical Research and Innovation Institute of Cádiz (INiBICA). Research Unit, Puerta del Mar University Hospital, Cádiz. Spain.
Neonatology Department, Hospital Clinic Barcelona. BCNatal - Barcelona Center for Maternal-Fetal and Neonatal Medicine. Barcelona, Spain.
Semin Perinatol. 2023 Oct;47(6):151812. doi: 10.1016/j.semperi.2023.151812. Epub 2023 Sep 9.
Bronchopulmonary dysplasia (BPD) is a multifactorial disease with many associated co-morbidities, responsible for most cases of chronic lung disease in childhood. The use of imaging exams is pivotal for the clinical care of BPD and the identification of candidates for experimental therapies and a closer follow-up. Imaging is also useful to improve communication with the family and objectively evaluate the clinical evolution of the patient's disease. BPD imaging has been classically performed using only chest X-rays, but several modern techniques are currently available, such as lung ultrasound, thoracic tomography, magnetic resonance imaging and electrical impedance tomography. These techniques are more accurate and provide clinically meaningful information. We reviewed the most recent evidence published in the last five years regarding these techniques and analyzed their advantages and disadvantages.
支气管肺发育不良(BPD)是一种多因素疾病,伴有许多相关合并症,是儿童慢性肺部疾病的主要病因。影像学检查对于 BPD 的临床护理以及确定候选实验治疗和更密切随访至关重要。影像学检查还有助于与患者家属进行沟通,并客观评估患者疾病的临床演变。BPD 成像传统上仅使用胸部 X 射线进行,但目前有几种现代技术,如肺部超声、胸部计算机断层扫描、磁共振成像和电阻抗断层成像。这些技术更加准确,并提供具有临床意义的信息。我们回顾了过去五年中关于这些技术的最新证据,并分析了它们的优缺点。