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Volume 41 Issue 2
May  2018
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Article Navigation >  Journal of Molecular Imaging  > 2018  >  41(2): 169-171
Lin LI, Chunhua DONG, Minggang YI, Xin GAO, Guangyong YANG, Ke YU, Changyou MA, Jianshe ZHAO. HRCT in the treatment of bronchiolitis obliterans in children[J]. Journal of Molecular Imaging, 2018, 41(2): 169-171. doi: 10.3969/j.issn.1674-4500.2018.02.08
Citation: Lin LI, Chunhua DONG, Minggang YI, Xin GAO, Guangyong YANG, Ke YU, Changyou MA, Jianshe ZHAO. HRCT in the treatment of bronchiolitis obliterans in children[J]. Journal of Molecular Imaging, 2018, 41(2): 169-171. doi: 10.3969/j.issn.1674-4500.2018.02.08
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HRCT in the treatment of bronchiolitis obliterans in children

doi: 10.3969/j.issn.1674-4500.2018.02.08

  • Department of Radiology, Qilu Children’s Hospital of Shandong University, Jinan 250022, China

  • Received Date: 2018-02-22
  • Publish Date: 2018-04-01
    Abstract
  • Objective To explore the applicative value of high resolution CT (HRCT) in the treatment of bronchiolitis obliterans (BO) in children. Methods The pulmonary HRCT findings of 38 cases with clinically confirmed BO were retrospectively analyzed. Results All the 38 cases had " mosaic” perfusion signs to different degrees, which displayed a diffuse and patchy distribution, and some cases showed clear boundary, some fuzzy, while in other cases both conditions exist. Blood perfusion in 35 cases decreased, and pulmonary air trapping, bronchial wall thickening, and bronchial dilatation were found in 35, 21 and 23 cases respectively, the latter two of which have a higher incidence in the lower lobe. 7 cases had unilateral hyperlucent lung, and 25 cases had pulmonary parenchyma, including 11 cases of atelectasis, 13 cases of pneumonia, and 11 cases of pulmonary consolidation. Lung nodules were found in 16 cases, subpleural nodules in 7 cases, and bronchial mucus plugs 3 cases. Conclusion HRCT could directly display all sorts of signs of BO in children, wherein the most typical symptom and the primary imaging feature of these diseases is the " mosaic” perfusion pattern. Therefore, HRCT can provide the basis for earlier clinical treatment, and it is an indispensable imaging examination method in children BO treatment.

     

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    • References(17)
  • [1]
    Kurland G, Michelson P. Bronchiolitis obliterans in children[J]. Pediatr Pulmonol, 2005, 39（3）: 193-208. doi: 10.1002/(ISSN)1099-0496
    [2]
    Yalcin E, Dogru D, Haliloglu M, et al. Postinfectious bronchiolitis obliterans in children:clinical and radiological, profile and prognostic factors[J]. Respiration, 2003, 70（4）: 371-5. doi: 10.1159/000072900
    [3]
    Yu RK, Seok JH, Yoon GP. Lung transplantation for bron-chiolitis obliterans after allogeneic hematopoietic stem cell trans-plantation[J]. Yonsei Med, 2012, 53（5）: 1054-7. doi: 10.3349/ymj.2012.53.5.1054
    [4]
    戎冬冬, 李坤成, 杜祥颖, 等. 慢性阻塞性肺疾病气道病变的64层MSCT与肺功能的相关性研究[J]. 医学影像学杂志, 2009, 19（10）: 1241-5. doi: 10.3969/j.issn.1006-9011.2009.10.009
    [5]
    王宏伟, 李广威, 丁长伟, 等. 肺高分辨力CT" 马赛克”衰减的表现及其诊断价值[J]. 中国医学影像学杂志, 2006, 14（01）: 16-8. doi: 10.3969/j.issn.1005-5185.2006.01.005
    [6]
    Barbosa J, Song G, Tustison NA, et al. Computational analysis of thoracic multidetector row HRCT for segmentation and quantification of small airway air trappin emphysema in obstructive pulmonary disease[J]. Acad Radiol, 2011, 18（10）: 1258-69. doi: 10.1016/j.acra.2011.06.004
    [7]
    于 寰, 江海林, 范 丽, 等. 慢性阻塞性肺疾病与正常志愿者的小气道HRCT定量分析的对照研究[J]. 实用放射学杂志, 2013, 29（5）: 726-9. http://med.wanfangdata.com.cn/Paper/Detail?id=PeriodicalPaper_syfsxzz201305011
    [8]
    赵宝英, 卫宏江, 郝 哲, 等. 肺高分辨率CT" 马赛克”衰减与肺功能的相关性研究[J]. 放射学实践, 2003, 18（07）: 479-82. doi: 10.3969/j.issn.1000-0313.2003.07.007
    [9]
    彭 芸, 马大庆, 孙国强, 等. 儿童闭塞性毛细支气管炎影像学表现[J]. 中华放射学杂志, 2006, 40（7）: 752-5. https://www.wenkuxiazai.com/doc/0f0a7104e87101f69e319556.html
    [10]
    Davies C, Tasker AD, Padley S, et al. Air-trapping in sarcoidesis on computed tomgraphy:correlation with lung function[J]. Clin Radiol, 2000, 55（4）: 217-21. https://www.sciencedirect.com/science/article/pii/S0009926099903665
    [11]
    王文秀, 纪俊雨, 李 雯, 等. 肺高分辨率CT马赛克样灌注与小气道功能指数的相关分析[J]. 河北医药, 2011, 33（3）: 343-5. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=hbyy201103009
    [12]
    李茂胜. 支气管扩张的HRCT征象分析（附38例报告） [J]. 医学影像学杂志, 2011, 21（10）: 1615-6. doi: 10.3969/j.issn.1006-9011.2011.10.066
    [13]
    侯印西, 毕立军, 姜荣兴, 等. 特发性单侧透明肺的影像诊断[J]. 实用放射学杂志, 2006, 22（10）: 1207-10. doi: 10.3969/j.issn.1002-1671.2006.10.013
    [14]
    Akira M, Toyokawa K, Inoue Y, et al. Quantitative CT in chronic obstructive pulmonary disease: inspiratory and expiratory assessment[J]. AJR Am J Roentgenol, 2009, 192（1）: 267-72. doi: 10.2214/AJR.07.3953
    [15]
    Lee YK, Oh YM, Lee JH, et al. Quantitative assessment of emphysema, air trapping, and airway thickening on computed tomography[J]. Lung, 2008, 186（3）: 157-65. doi: 10.1007/s00408-008-9071-0
    [16]
    O'donnell RA, Peebles C, Ward JA, et al. Relationship between peripheral airway dysfunction,airway obstruction,and neutrophilie inflammation in COPD[J]. Thorax, 2004, 59（10）: 837-42. doi: 10.1136/thx.2003.019349
    [17]
    隋昕, 宋伟, 薛华丹, 等. CT双相扫描三维定量分析慢性阻塞性肺疾病CT肺功能与常规肺功能的关系[J]. 中华放射学杂志, 2013, 47（5）: 405-9
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