학술논문

Bronchopulmonary dysplasia from chest radiographs to magnetic resonance imaging and computed tomography: adding value
Document Type
Review Paper
Source
Pediatric Radiology. 52(4):643-660
Subject
Bronchopulmonary dysplasia
Chronic lung disease of prematurity
Computed tomography
Infants
Lungs
Magnetic resonance imaging
Preterm
Pulmonary hypertension
Radiography
Tracheobronchomalacia
Language
English
ISSN
0301-0449
1432-1998
Abstract
Bronchopulmonary dysplasia (BPD) is a common long-term complication of preterm birth. The chest radiograph appearance and survivability have evolved since the first description of BPD in 1967 because of improved ventilation and clinical strategies and the introduction of surfactant in the early 1990s. Contemporary imaging care is evolving with the recognition that comorbidities of tracheobronchomalacia and pulmonary hypertension have a great influence on outcomes and can be noninvasively evaluated with CT and MRI techniques, which provide a detailed evaluation of the lungs, trachea and to a lesser degree the heart. However, echocardiography remains the primary modality to evaluate and screen for pulmonary hypertension. This review is intended to highlight the important findings that chest radiograph, CT and MRI can contribute to precision diagnosis, phenotyping and prognosis resulting in optimal management and therapeutics.