A clinical guideline for structured assessment of CT-imaging in congenital lung abnormalities.
Paediatr Respir Rev
; 37: 80-88, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-32178987
ABSTRACT
OBJECTIVES:
To develop a clinical guideline for structured assessment and uniform reporting of congenital lung abnormalities (CLA) on Computed Tomography (CT)-scans. MATERIALS ANDMETHODS:
A systematic literature search was conducted for articles describing CT-scan abnormalities of congenital pulmonary airway malformation (CPAM), bronchopulmonary sequestration (BPS), congenital lobar emphysema (CLE) and bronchogenic cyst (BC). A structured report using objective features of CLA was developed after consensus between a pediatric pulmonologist, radiologist and surgeon.RESULTS:
Of 1581 articles identified, 158 remained after title-abstract screening by two independent reviewers. After assessing full-texts, we included 28 retrospective cohort-studies. Air-containing cysts and soft tissue masses are described in both CPAM and BPS while anomalous arterial blood supply is only found in BPS. Perilesional low-attenuation areas, atelectasis and mediastinal shift may be found in all aforementioned abnormalities and can also be seen in CLE as a cause of a hyperinflated lobe. We have developed a structured report, subdivided into five sections Location & Extent, Airway, Lesion, Vascularization and Surrounding tissue.CONCLUSIONS:
CT-imaging findings in CLA are broad and nomenclature is variable. Overlap is seen between and within abnormalities, possibly due to definitions often being based on pathological findings, which is an unsuitable approach for CT imaging. We propose a structured assessment of CLA using objective radiological features and uniform nomenclature to improve reporting.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Atelectasia Pulmonar
/
Malformação Adenomatoide Cística Congênita do Pulmão
/
Anormalidades do Sistema Respiratório
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Child
/
Humans
Idioma:
En
Revista:
Paediatr Respir Rev
Assunto da revista:
PEDIATRIA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Holanda