Bronchopulmonary dysplasia from chest radiographs to magnetic resonance imaging and computed tomography: adding value.
Nara S HiganoAlister J BatesChamindu C GunatilakaErik B HysingerPaul J CritserRussel HirschJason C WoodsRobert J FleckPublished in: Pediatric radiology (2022)
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.
Keyphrases
- contrast enhanced
- pulmonary hypertension
- computed tomography
- magnetic resonance imaging
- preterm birth
- dual energy
- pulmonary artery
- positron emission tomography
- diffusion weighted imaging
- magnetic resonance
- image quality
- pulmonary arterial hypertension
- low birth weight
- high throughput
- high resolution
- healthcare
- gestational age
- palliative care
- preterm infants
- coronary artery
- type diabetes
- pain management
- quality improvement
- skeletal muscle
- chronic pain
- mechanical ventilation
- weight loss