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Lung magnetic resonance imaging with diffusion weighted imaging provides regional structural as well as functional information without radiation exposure in primary antibody deficiencies.
Milito, Cinzia; Pulvirenti, Federica; Serra, Goffredo; Valente, Michele; Pesce, Anna Maria; Granata, Guido; Catalano, Carlo; Fraioli, Francesco; Quinti, Isabella.
Afiliación
  • Milito C; Department of Molecular Medicine, Sapienza University of Rome, Viale dell'Università 37, Rome, Italy.
J Clin Immunol ; 35(5): 491-500, 2015 Jul.
Article en En | MEDLINE | ID: mdl-26067227
ABSTRACT

PURPOSE:

Primary antibody deficiency patients suffer from infectious and non-infectious pulmonary complications leading over time to chronic lung disease. The complexity of this pulmonary involvement poses significant challenge in differential diagnosis in patients with long life disease and increased radio sensitivity. We planned to verify the utility of chest Magnetic Resolution Imaging with Diffusion-Weighted Imaging as a radiation free technique.

METHODS:

Prospective evaluation of 18 patients with Common Variable Immunodeficiency and X-linked Agammaglobulinemia. On the same day, patients underwent Magnetic Resonance Imaging with Diffusion Weighted Imaging sequences, High Resolution Computerized Tomography and Pulmonary Function Tests, including diffusing capacity factor for carbon monoxide. Images were scored using a modified version of the Bhalla scoring system.

RESULTS:

Magnetic Resonance Imaging was non-inferior to High Resolution Computerized Tomography in the capacity to identify bronchial and parenchymal abnormalities. HRCT had a higher capacity to identify peripheral airways abnormalities, defined as an involvement of bronchial generation up to the fifth and distal (scores 2-3). Bronchial scores negatively related to pulmonary function tests. One third of consolidations and nodules had Diffusion Weighted Imaging restrictions associated with systemic granulomatous disease and systemic lymphadenopathy. Lung Magnetic Resolution Imaging detected an improvement of bronchial and parenchymal abnormalities, in recently diagnosed patients soon after starting Ig replacement.

CONCLUSIONS:

Magnetic Resonance Imaging with Diffusion Weighted Imaging was a reliable technique to detect lung alterations in patients with Primary Antibody Deficiencies.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inmunodeficiencia Variable Común / Enfermedad Pulmonar Obstructiva Crónica / Agammaglobulinemia / Enfermedades Genéticas Ligadas al Cromosoma X / Imagen de Difusión por Resonancia Magnética / Pulmón Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Clin Immunol Año: 2015 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inmunodeficiencia Variable Común / Enfermedad Pulmonar Obstructiva Crónica / Agammaglobulinemia / Enfermedades Genéticas Ligadas al Cromosoma X / Imagen de Difusión por Resonancia Magnética / Pulmón Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Clin Immunol Año: 2015 Tipo del documento: Article País de afiliación: Italia