Dettmer Sabine
Hannover Medical School, Institute for Diagnostic and Interventional Radiology, Carl-Neuberg-Str. 1, 30629, Hannover, Deutschland.
Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Centre for Lung Research (DZL), Hannover, Deutschland.
Radiologie (Heidelb). 2024 Nov;64(11):875-884. doi: 10.1007/s00117-024-01375-0. Epub 2024 Oct 15.
Bronchiectasis is an irreversible bronchial dilatation. It is chronically progressive through a vicious circle of secretion retention, infection, inflammation and structural damage. The underlying causes are diverse and the severity of the disease is variable, which makes both the diagnostics and treatment challenging. Computed tomography (CT) is the gold standard in the diagnosis of bronchiectasis and can be helpful in clarifying the etiology. The type of bronchiectasis, the distribution of the bronchiectasis within the lungs and associated findings are particularly relevant. Imaging is also important in monitoring the progression of bronchiectasis. In the usual report of the findings this is carried out visually and descriptively, while semiquantitative scores and computer-aided quantitative analysis of the respiratory tract enable a more precise assessment and are used in particular for clinical studies.
支气管扩张是一种不可逆的支气管扩张。它通过分泌物潴留、感染、炎症和结构破坏的恶性循环而呈慢性进行性发展。其潜在病因多种多样，疾病严重程度各不相同，这使得诊断和治疗都具有挑战性。计算机断层扫描（CT）是支气管扩张诊断的金标准，有助于明确病因。支气管扩张的类型、在肺内的分布以及相关表现尤为重要。影像学检查在监测支气管扩张进展方面也很重要。在通常的检查结果报告中，这是通过视觉观察和描述来进行的，而呼吸道的半定量评分和计算机辅助定量分析能够进行更精确的评估，尤其用于临床研究。
