Skip to main content
Erschienen in: Pädiatrie 6/2016

08.12.2016 | Strahlenschutz | Zertifizierte Fortbildung

Diagnostik bei Lungenerkrankungen

Einsatz der verschiedenen Bildgebungsmethoden

verfasst von: Prof. Dr. med. Meinrad Beer, Bettina Ammann

Erschienen in: Pädiatrie | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die Bildgebung ist entscheidend bei der Erstdiagnose und Verlaufsbeurteilung kindlicher Lungenerkrankungen. Primäre Bildgebung ist die Röntgendiagnostik. Ergänzend werden die Sonografie, CT und MRT sowie in einzelnen Fällen die Fluoroskopie eingesetzt. Sowohl für die Wahl der Untersuchungsmethode wie auch für die Befundung sind Kenntnisse von Besonderheiten kindlicher Lungenerkrankungen wesentlich.
Literatur
1.
Zurück zum Zitat American College of Radiology. ACR standard for performance of pediatric and adult bedside chest radiography (portable chest radiography). In: Standards. American College of Radiology, Reston, 1997; S 31–34 (revised 2011) American College of Radiology. ACR standard for performance of pediatric and adult bedside chest radiography (portable chest radiography). In: Standards. American College of Radiology, Reston, 1997; S 31–34 (revised 2011)
2.
Zurück zum Zitat Oppelt B, Zebedin D. Protokolle bei Kindern am Beispiel kindlicher Thoraxuntersuchungen. Radiopraxis 2009;2:149–64CrossRef Oppelt B, Zebedin D. Protokolle bei Kindern am Beispiel kindlicher Thoraxuntersuchungen. Radiopraxis 2009;2:149–64CrossRef
3.
Zurück zum Zitat Langen HJ, Kohlhauser-Vollmuth C, Muras S et al. Training program for radiologic technologists for performing chest X-rays at inspiration in uncooperative children. Rofo 2009;181:237–41CrossRefPubMed Langen HJ, Kohlhauser-Vollmuth C, Muras S et al. Training program for radiologic technologists for performing chest X-rays at inspiration in uncooperative children. Rofo 2009;181:237–41CrossRefPubMed
4.
Zurück zum Zitat Brenner DJ, Elliston CD, Hall EJ et al. Estimated risks of radiation-induced fatal cancer from pediatric CT. Am J Radiol 2001;176:289–96 Brenner DJ, Elliston CD, Hall EJ et al. Estimated risks of radiation-induced fatal cancer from pediatric CT. Am J Radiol 2001;176:289–96
5.
Zurück zum Zitat Hammer GP, Seidenbusch MC, Regulla DF et al. Childhood cancer risk from conventional radiographic examinations for selected referral criteria: results from a large cohort study. Am J Radiol 2011;197:217–23 Hammer GP, Seidenbusch MC, Regulla DF et al. Childhood cancer risk from conventional radiographic examinations for selected referral criteria: results from a large cohort study. Am J Radiol 2011;197:217–23
6.
7.
Zurück zum Zitat Grum CM, Lynch JP III. Chest radiographic findings in cystic fibrosis. Semin Respir Infect 1992;7:193–209PubMed Grum CM, Lynch JP III. Chest radiographic findings in cystic fibrosis. Semin Respir Infect 1992;7:193–209PubMed
8.
Zurück zum Zitat Cook JV, Kyriou JC, Pettet A et al. Key factors in the optimization of paediatric X-ray practice. Br J Radiol 2001;74:1032–40CrossRefPubMed Cook JV, Kyriou JC, Pettet A et al. Key factors in the optimization of paediatric X-ray practice. Br J Radiol 2001;74:1032–40CrossRefPubMed
9.
Zurück zum Zitat Billinger J, Nowotny R, Homolka P. Diagnostic reference levels in pediatric radiology in Austria. Eur Radiol 2010;20:1572–9CrossRefPubMed Billinger J, Nowotny R, Homolka P. Diagnostic reference levels in pediatric radiology in Austria. Eur Radiol 2010;20:1572–9CrossRefPubMed
10.
Zurück zum Zitat Esposito S, Papa SS, Borzani I et al. Performance of lung ultrasonography in children with community-acquired pneumonia. Ital J Pediatr 2014;40:37CrossRefPubMedPubMedCentral Esposito S, Papa SS, Borzani I et al. Performance of lung ultrasonography in children with community-acquired pneumonia. Ital J Pediatr 2014;40:37CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Sorantin E, Weissensteiner S, Hasenburger G, Riccabona M. CT in children — dose protection and general considerations when planning a CT in a child. Eur J Radiol 2013;82:1043–9CrossRefPubMed Sorantin E, Weissensteiner S, Hasenburger G, Riccabona M. CT in children — dose protection and general considerations when planning a CT in a child. Eur J Radiol 2013;82:1043–9CrossRefPubMed
12.
Zurück zum Zitat Sorantin E, Riccabona M, Stücklschweiger G et al. Experience with volumetric (320 rows) pediatric CT. Eur J Radiol 2013;82:1091–7CrossRefPubMed Sorantin E, Riccabona M, Stücklschweiger G et al. Experience with volumetric (320 rows) pediatric CT. Eur J Radiol 2013;82:1091–7CrossRefPubMed
13.
Zurück zum Zitat Fricke BL, Donnelly LF et al. In-plane bismuth breast shields for pediatric CT: effects on radiation dose and image quality using experimental and clinical data. AJR Am J Roentgenol 2003;180:407–11CrossRefPubMed Fricke BL, Donnelly LF et al. In-plane bismuth breast shields for pediatric CT: effects on radiation dose and image quality using experimental and clinical data. AJR Am J Roentgenol 2003;180:407–11CrossRefPubMed
14.
Zurück zum Zitat Rupprecht T, Böwing B et al. Steady-state free precession projection MRI as a potential alternative to the conventional chest X-ray in pediatric patients with suspected pneumonia. Eur Radiol 2002;12:2752–6PubMed Rupprecht T, Böwing B et al. Steady-state free precession projection MRI as a potential alternative to the conventional chest X-ray in pediatric patients with suspected pneumonia. Eur Radiol 2002;12:2752–6PubMed
16.
17.
Zurück zum Zitat Dasenbrook EC, Lu L, Donnola S et al. Normalized T1 magnetic resonance imaging for assessment of regional lung function in adult cystic fibrosis patients — a cross-sectional study. PLoS One 2013;8:e73286CrossRefPubMedPubMedCentral Dasenbrook EC, Lu L, Donnola S et al. Normalized T1 magnetic resonance imaging for assessment of regional lung function in adult cystic fibrosis patients — a cross-sectional study. PLoS One 2013;8:e73286CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Schneider K, Krüger-Stollfuß I, Ernst G et al. Paediatric fluoroscopy — a survey of children’s hospitals in Europe. I. Staffing, frequency of fluoroscopic procedures and investigation technique. Pediatr Radiol 2001; 31:238–46CrossRefPubMed Schneider K, Krüger-Stollfuß I, Ernst G et al. Paediatric fluoroscopy — a survey of children’s hospitals in Europe. I. Staffing, frequency of fluoroscopic procedures and investigation technique. Pediatr Radiol 2001; 31:238–46CrossRefPubMed
21.
Zurück zum Zitat Valk JW, Plötz FB, Schuerman FA et al. The value of routine chest radiographs in a paediatric intensive care unit: a prospective study. Pediatr Radiol 2001;31:343–7CrossRefPubMed Valk JW, Plötz FB, Schuerman FA et al. The value of routine chest radiographs in a paediatric intensive care unit: a prospective study. Pediatr Radiol 2001;31:343–7CrossRefPubMed
22.
Zurück zum Zitat Trinh AM, Schoenfeld AH, Levin TL. Scatter radiation from chest radiographs: is there a risk to infants in a typical NICU? Pediatr Radiol 2010; 40:704–707CrossRefPubMed Trinh AM, Schoenfeld AH, Levin TL. Scatter radiation from chest radiographs: is there a risk to infants in a typical NICU? Pediatr Radiol 2010; 40:704–707CrossRefPubMed
23.
Zurück zum Zitat Swingler GH, Hussey GD, Zwarenstein M. Randomised controlled trial of clinical outcome after chest radiograph in ambulatory acute lower-respiratory infection in children. Lancet 1998;351:404–8CrossRefPubMed Swingler GH, Hussey GD, Zwarenstein M. Randomised controlled trial of clinical outcome after chest radiograph in ambulatory acute lower-respiratory infection in children. Lancet 1998;351:404–8CrossRefPubMed
24.
Zurück zum Zitat Wiegering V, Schick J, Beer M et al. Varicella-zoster virus infections in immunocompromised patients — a single centre 6-years analysis. BMC Pediatr 2011;11:31CrossRefPubMedPubMedCentral Wiegering V, Schick J, Beer M et al. Varicella-zoster virus infections in immunocompromised patients — a single centre 6-years analysis. BMC Pediatr 2011;11:31CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Don M, Valent F, Korppi M, Canciani M. Differentiation of bacterial and viral community-acquired pneumonia in children. Pediatr Int 2009; 51:91–6CrossRefPubMed Don M, Valent F, Korppi M, Canciani M. Differentiation of bacterial and viral community-acquired pneumonia in children. Pediatr Int 2009; 51:91–6CrossRefPubMed
26.
Zurück zum Zitat Calder A, Owens CM. Imaging of parapneumonic pleural effusions and empyema in children. Pediatr Radiol 2009;39:527–37CrossRefPubMed Calder A, Owens CM. Imaging of parapneumonic pleural effusions and empyema in children. Pediatr Radiol 2009;39:527–37CrossRefPubMed
27.
Zurück zum Zitat Kurian J, Levin TL, Han BK et al. Comparison of ultrasound and CT in the evaluation of pneumonia complicated by parapneumonic effusion in children. AJR Am J Roentgenol 2009;193:1648–54CrossRefPubMed Kurian J, Levin TL, Han BK et al. Comparison of ultrasound and CT in the evaluation of pneumonia complicated by parapneumonic effusion in children. AJR Am J Roentgenol 2009;193:1648–54CrossRefPubMed
28.
Zurück zum Zitat Gorkem SB, Coskun A, Yikilmaz A et al. Evaluation of pediatric thoracic disorders: comparison of unenhanced fast-imaging-sequence 1.5-T MRI and contrast-enhanced MDCT. AJR Am J Roentgenol 2013; 200:1352–7CrossRefPubMed Gorkem SB, Coskun A, Yikilmaz A et al. Evaluation of pediatric thoracic disorders: comparison of unenhanced fast-imaging-sequence 1.5-T MRI and contrast-enhanced MDCT. AJR Am J Roentgenol 2013; 200:1352–7CrossRefPubMed
Metadaten
Titel
Diagnostik bei Lungenerkrankungen
Einsatz der verschiedenen Bildgebungsmethoden
verfasst von
Prof. Dr. med. Meinrad Beer
Bettina Ammann
Publikationsdatum
08.12.2016
Verlag
Springer Medizin
Erschienen in
Pädiatrie / Ausgabe 6/2016
Print ISSN: 1867-2132
Elektronische ISSN: 2196-6443
DOI
https://doi.org/10.1007/s15014-016-0845-1

Weitere Artikel der Ausgabe 6/2016

Pädiatrie 6/2016 Zur Ausgabe