Chronic lung disease in paediatric patients: Does magnetic resonance imaging has a role?

Background Pediatric chronic lung disease (CLD) refers to a range of distinct clinical and pathological disorders that affect children. High-resolution CT (HRCT) is critical for detecting and characterizing parenchymal abnormalities as well as determining their nature and distribution. Although magn...

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Bibliographic Details
Published in:Egyptian journal of radiology and nuclear medicine 2022-04, Vol.53 (1), p.1-7
Main Authors: Ibrahim, Rania S. M, Hafez, Mona A. F
Format: Article
Language:English
Subjects:
Agreements
Chronic lung disease
Computed tomography
CT imaging
Cystic fibrosis
Females
Laboratories
Lung diseases
Lungs
Magnetic resonance imaging
Males
Medical colleges
Pediatric
Pediatrics
Pneumonia
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Summary:Background Pediatric chronic lung disease (CLD) refers to a range of distinct clinical and pathological disorders that affect children. High-resolution CT (HRCT) is critical for detecting and characterizing parenchymal abnormalities as well as determining their nature and distribution. Although magnetic resonance imaging (MRI) shows promising results, however, due to its poor spatial resolution and signal-to-noise ratio, imaging of the lung parenchyma remains a challenge. As a result, in addition to the initial CT, a follow-up MRI is required. The goal of this paper is to highlight the main imaging features of children with CLD and to evaluate the efficacy of MRI lungs in the diagnosis and monitoring of pediatric CLD. Results There was a strong positive correlation between CT and MRI, with a significant P-value. Findings of HRCT and MRI showed a qualitative agreement of 78% complete agreement. MRI helped primary diagnosis in 54% of cases compared to CT in 91% of cases. Conclusion MRI lungs are an equivalent technique to HRCT in assessing pediatric CLD; using the modified Helbich-Bhalla score, a strong correlation is obvious between both in the overall assessment. MRI is beneficial for case surveillance rather than primary diagnosis.
ISSN:0378-603X
2090-4762
DOI:10.1186/s43055-022-00764-6