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Erschienen in: Pediatric Radiology 11/2008

01.11.2008 | Pictorial Essay

Magnetic resonance imaging of lung infections in children

verfasst von: Ville Peltola, Olli Ruuskanen, Erkki Svedström

Erschienen in: Pediatric Radiology | Ausgabe 11/2008

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Abstract

The advantages and limitations of MRI in lung infections in children have not been well established. This article illustrates the MRI findings in children with pneumonia caused by Mycoplasma pneumoniae, Streptococcus pneumoniae, and other pathogens. Lung parenchymal, pleural, and lymph node abnormalities are well characterized by MRI. Loculation of pleural fluid is detected in children with empyema. Contrast enhancement may be useful in the differentiation of active inflammation from noninflammatory changes. MRI can be particularly useful in the follow-up of children with chronic pulmonary diseases.
Literatur
1.
Zurück zum Zitat Tan TQ, Mason EO Jr, Wald ER et al (2002) Clinical characteristics of children with complicated pneumonia caused by Streptococcus pneumoniae. Pediatrics 110:1–6PubMedCrossRef Tan TQ, Mason EO Jr, Wald ER et al (2002) Clinical characteristics of children with complicated pneumonia caused by Streptococcus pneumoniae. Pediatrics 110:1–6PubMedCrossRef
2.
Zurück zum Zitat Byington CL, Samore MH, Stoddard GJ et al (2005) Temporal trends of invasive disease due to Streptococcus pneumoniae among children in the Intermountain West: emergence of nonvaccine serogroups. Clin Infect Dis 41:21–29PubMedCrossRef Byington CL, Samore MH, Stoddard GJ et al (2005) Temporal trends of invasive disease due to Streptococcus pneumoniae among children in the Intermountain West: emergence of nonvaccine serogroups. Clin Infect Dis 41:21–29PubMedCrossRef
3.
Zurück zum Zitat Eastham KM, Freeman R, Kearns AM et al (2004) Clinical features, aetiology and outcome of empyema in children in the North East of England. Thorax 59:522–525PubMedCrossRef Eastham KM, Freeman R, Kearns AM et al (2004) Clinical features, aetiology and outcome of empyema in children in the North East of England. Thorax 59:522–525PubMedCrossRef
4.
Zurück zum Zitat Hardie W, Bokulic R, Garcia VF et al (1996) Pneumococcal pleural empyemas in children. Clin Infect Dis 22:1057–1063PubMed Hardie W, Bokulic R, Garcia VF et al (1996) Pneumococcal pleural empyemas in children. Clin Infect Dis 22:1057–1063PubMed
5.
Zurück zum Zitat Chotas HG, Ravin CE (1994) Chest radiography: estimated lung volume and projected area obscured by the heart, mediastinum, and diaphragm. Radiology 193:403–404PubMed Chotas HG, Ravin CE (1994) Chest radiography: estimated lung volume and projected area obscured by the heart, mediastinum, and diaphragm. Radiology 193:403–404PubMed
6.
Zurück zum Zitat Lahti E, Peltola V, Virkki R et al (2007) Development of parapneumonic empyema in children. Acta Paediatr 96:1686–1692PubMedCrossRef Lahti E, Peltola V, Virkki R et al (2007) Development of parapneumonic empyema in children. Acta Paediatr 96:1686–1692PubMedCrossRef
7.
Zurück zum Zitat Wheeler JH, Fishman EK (1996) Computed tomography in the management of chest infections. Clin Infect Dis 23:232–240PubMed Wheeler JH, Fishman EK (1996) Computed tomography in the management of chest infections. Clin Infect Dis 23:232–240PubMed
8.
Zurück zum Zitat Lähde S, Jartti A, Broas M et al (2002) HRCT findings in the lungs of primary care patients with lower respiratory tract infection. Acta Radiol 43:159–163PubMedCrossRef Lähde S, Jartti A, Broas M et al (2002) HRCT findings in the lungs of primary care patients with lower respiratory tract infection. Acta Radiol 43:159–163PubMedCrossRef
9.
Zurück zum Zitat Syrjälä H, Broas M, Suramo I et al (1998) High-resolution computed tomography for the diagnosis of community-acquired pneumonia. Clin Infect Dis 27:358–363PubMedCrossRef Syrjälä H, Broas M, Suramo I et al (1998) High-resolution computed tomography for the diagnosis of community-acquired pneumonia. Clin Infect Dis 27:358–363PubMedCrossRef
11.
Zurück zum Zitat Tan Kendrick AP, Ling H, Subramaniam R et al (2002) The value of early CT in complicated childhood pneumonia. Pediatr Radiol 32:16–21PubMedCrossRef Tan Kendrick AP, Ling H, Subramaniam R et al (2002) The value of early CT in complicated childhood pneumonia. Pediatr Radiol 32:16–21PubMedCrossRef
12.
Zurück zum Zitat Brenner DJ (2002) Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. Pediatr Radiol 32:228–231PubMedCrossRef Brenner DJ (2002) Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. Pediatr Radiol 32:228–231PubMedCrossRef
13.
14.
Zurück zum Zitat de Jong PA, Mayo JR, Golmohammadi K et al (2006) Estimation of cancer mortality associated with repetitive computed tomography scanning. Am J Respir Crit Care Med 173:199–203PubMedCrossRef de Jong PA, Mayo JR, Golmohammadi K et al (2006) Estimation of cancer mortality associated with repetitive computed tomography scanning. Am J Respir Crit Care Med 173:199–203PubMedCrossRef
15.
Zurück zum Zitat Hebestreit A, Schultz G, Trusen A et al (2004) Follow-up of acute pulmonary complications in cystic fibrosis by magnetic resonance imaging. Acta Paediatr 93:414–416PubMedCrossRef Hebestreit A, Schultz G, Trusen A et al (2004) Follow-up of acute pulmonary complications in cystic fibrosis by magnetic resonance imaging. Acta Paediatr 93:414–416PubMedCrossRef
16.
Zurück zum Zitat Wagner M, Böwing B, Kuth R et al (2001) Low field thoracic MRI – a fast and radiation free routine imaging modality in children. Magn Reson Imaging 19:975–983PubMedCrossRef Wagner M, Böwing B, Kuth R et al (2001) Low field thoracic MRI – a fast and radiation free routine imaging modality in children. Magn Reson Imaging 19:975–983PubMedCrossRef
17.
Zurück zum Zitat Zar HJ, Hanslo D, Apolles P et al (2005) Induced sputum versus gastric lavage for microbiological confirmation of pulmonary tuberculosis in infants and young children. Lancet 365:130–134PubMedCrossRef Zar HJ, Hanslo D, Apolles P et al (2005) Induced sputum versus gastric lavage for microbiological confirmation of pulmonary tuberculosis in infants and young children. Lancet 365:130–134PubMedCrossRef
18.
Zurück zum Zitat Geckler RW, Gremillion DH, McAllister CK et al (1977) Microscopic and bacteriological comparison of paired sputa and transtracheal aspirates. J Clin Microbiol 6:396–399PubMed Geckler RW, Gremillion DH, McAllister CK et al (1977) Microscopic and bacteriological comparison of paired sputa and transtracheal aspirates. J Clin Microbiol 6:396–399PubMed
19.
Zurück zum Zitat Kangarloo H (1988) Chest MRI in children. Radiol Clin North Am 26:263–275PubMed Kangarloo H (1988) Chest MRI in children. Radiol Clin North Am 26:263–275PubMed
20.
Zurück zum Zitat Leutner CC, Gieseke J, Lutterbey G et al (2000) MR imaging of pneumonia in immunocompromised patients: comparison with helical CT. AJR 175:391–397PubMed Leutner CC, Gieseke J, Lutterbey G et al (2000) MR imaging of pneumonia in immunocompromised patients: comparison with helical CT. AJR 175:391–397PubMed
21.
Zurück zum Zitat Eibel R, Herzog P, Dietrich O et al (2006) Pulmonary abnormalities in immunocompromised patients: comparative detection with parallel acquisition MR imaging and thin-section helical CT. Radiology 241:880–891PubMedCrossRef Eibel R, Herzog P, Dietrich O et al (2006) Pulmonary abnormalities in immunocompromised patients: comparative detection with parallel acquisition MR imaging and thin-section helical CT. Radiology 241:880–891PubMedCrossRef
22.
Zurück zum Zitat Zapke M, Topf HG, Zenker M et al (2006) Magnetic resonance lung function – a breakthrough for lung imaging and functional assessment? Respir Res 7:1061–1069CrossRef Zapke M, Topf HG, Zenker M et al (2006) Magnetic resonance lung function – a breakthrough for lung imaging and functional assessment? Respir Res 7:1061–1069CrossRef
23.
Zurück zum Zitat Eichinger M, Puderbach M, Fink C et al (2006) Contrast-enhanced 3D MRI of lung perfusion in children with cystic fibrosis. Eur Radiol 16:2147–2152PubMedCrossRef Eichinger M, Puderbach M, Fink C et al (2006) Contrast-enhanced 3D MRI of lung perfusion in children with cystic fibrosis. Eur Radiol 16:2147–2152PubMedCrossRef
24.
Zurück zum Zitat van Beek EJ, Hill C, Woodhouse N et al (2007) Assessment of lung disease in children with cystic fibrosis using hyperpolarized 3-helium MRI: comparison with Shwachman score, Chrispin–Norman score and spirometry. Eur Radiol 17:1018–1024PubMedCrossRef van Beek EJ, Hill C, Woodhouse N et al (2007) Assessment of lung disease in children with cystic fibrosis using hyperpolarized 3-helium MRI: comparison with Shwachman score, Chrispin–Norman score and spirometry. Eur Radiol 17:1018–1024PubMedCrossRef
25.
Zurück zum Zitat Altes TA, Eichinger M, Puderbach M (2007) Magnetic resonance imaging of the lung in cystic fibrosis. Proc Am Thorac Soc 4:321–327PubMedCrossRef Altes TA, Eichinger M, Puderbach M (2007) Magnetic resonance imaging of the lung in cystic fibrosis. Proc Am Thorac Soc 4:321–327PubMedCrossRef
26.
Zurück zum Zitat Puderbach M, Eichinger M, Haeselbarth J et al (2007) Assessment of morphological MRI for pulmonary changes in cystic fibrosis (CF) patients: comparison to thin-section CT and chest x-ray. Invest Radiol 42:715–725PubMedCrossRef Puderbach M, Eichinger M, Haeselbarth J et al (2007) Assessment of morphological MRI for pulmonary changes in cystic fibrosis (CF) patients: comparison to thin-section CT and chest x-ray. Invest Radiol 42:715–725PubMedCrossRef
27.
Zurück zum Zitat Virkki R, Juven T, Rikalainen H et al (2002) Differentiation of bacterial and viral pneumonia in children. Thorax 57:438–441PubMedCrossRef Virkki R, Juven T, Rikalainen H et al (2002) Differentiation of bacterial and viral pneumonia in children. Thorax 57:438–441PubMedCrossRef
28.
Zurück zum Zitat Peltola V, Svedström E, Waris M et al (2007) Pulmonary abscess of viral-bacterial etiology in a neonate. Eur J Pediatr 166:1301–1302PubMedCrossRef Peltola V, Svedström E, Waris M et al (2007) Pulmonary abscess of viral-bacterial etiology in a neonate. Eur J Pediatr 166:1301–1302PubMedCrossRef
Metadaten
Titel
Magnetic resonance imaging of lung infections in children
verfasst von
Ville Peltola
Olli Ruuskanen
Erkki Svedström
Publikationsdatum
01.11.2008
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 11/2008
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-008-0987-6

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