Magnetic resonance imaging of lung infections in children

Peltola, Ville; Ruuskanen, Olli; Svedström, Erkki

doi:10.1007/s00247-008-0987-6

Cited by 36 publications

(25 citation statements)

References 28 publications

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“…65 Evidence for the accuracy of MRI and interobserver agreement in interpreting pneumonia in children is agreement in the interpretation of chest radiographs is poor. [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] In a recent review, 10 of 12 pediatric studies showed only fair to moderate interobserver agreement. 38 Agreement is worse for reporting of an "infiltrate" in children under 5 years, 23 and it remains moderate even when using WHO standardized radiological criteria for pneumonia.…”

Section: Rapid Sequence Mrimentioning

confidence: 99%

“…Ultrasound has several advantages over other imaging modalities: it can be performed at POC, it is feasible and less costly than chest radiography, it is less affected by movement or crying than other imaging modalities, it can be done in sleeping children, 35 and it is free of ionizing radiation. [24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] Although ultrasound performed by non-radiologists is controversial, it has become a useful tool for physicians, emergency medicine doctors, and intensivists. 44 Lung ultrasound involves scanning a child in the anterior, lateral, and posterior areas of each hemithorax.…”

Section: Advances In Radiological Diagnosismentioning

confidence: 99%

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Advances in the diagnosis of pneumonia in children

Zar

Andronikou

Nicol

2017

BMJ

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Pneumonia remains a major cause of childhood mortality and morbidity globally. Accurate diagnosis and attribution of the causes of pneumonia are important for measuring the burden of disease, implementing appropriate preventive or treatment strategies, and developing more effective interventions. This review summarizes recent diagnostic advances in radiological techniques, specimen collection, and laboratory methods. Although chest ultrasound and chest magnetic resonance imaging are promising modalities for radiological diagnosis, their role in clinical management and their impact on outcomes need further study. Rapid, highly sensitive, multiplex laboratory tests performed on upper respiratory tract samples or induced sputum can detect nucleic acid from potential pathogens in most children with pneumonia. However, it may be difficult to attribute causality because it is often impossible to distinguish between organisms colonizing or infecting the upper respiratory tract and those causing pneumonia. Currently available host biomarkers lack accuracy for distinguishing bacterial or mixed bacterial-viral infections from viral infections. New biomarkers derived from host transcriptional profile analysis may be more accurate but require validation. Prospective studies with appropriate control populations, including studies of clinical impact, are needed to improve our understanding of the role of tests. Although progress has been made in radiological techniques and laboratory testing, current methods for diagnosing and attributing the causes of pneumonia are suboptimal.

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Section: Rapid Sequence Mrimentioning

confidence: 99%

Section: Advances In Radiological Diagnosismentioning

confidence: 99%

Advances in the diagnosis of pneumonia in children

Zar

Andronikou

Nicol

2017

BMJ

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“…Magnetic resonance imaging (MRI) can detect loculi and differentiates between inflammatory and noninflammatory changes if contrast enhancement is used [21]. At present, the restricted availability of MRI together with logistic problems limits it use in acutely sick children.…”

Section: Imagingmentioning

confidence: 99%

Clinical practice: treatment of childhood empyema

Proesmans

Boeck

2009

Eur J Pediatr

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“…Lodi et al. detail a 48 year old male with several lymph nodes up to 50mm [9], whilst the remaining reports detail paediatric cases with lymph nodes up to 18mm [4], [12].…”

Section: Discussionmentioning

confidence: 99%

Mycoplasma pneumonia with persistent lymphadenopathy and severe cold agglutinin haemolysis

Shah

Khan

Chan

2016

Respiratory Medicine Case Reports

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Mycoplasma pneumonia is an atypical pneumonia commonly affecting young patients with generally mild clinical course. We present a case of a 66-year-old female presenting with weight loss, night sweats and low-grade pyrexia. She acquired symptomatic haemolytic anaemia requiring blood transfusion, markedly raised erythrocyte sedimentation rate (ESR) to 114 mm/hr and extensive peri-hilar lymphadenopathy on computed tomography (CT) scan. After excluding malignancy and granulomatous diseases, she made good recovery although a 4 week follow-up CT scan showed persistent but resolving lymphadenopathy. We discuss the considerations for blood transfusion in cold agglutinin disease, and the investigations for immunological manifestations in Mycoplasma pneumonia.

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Magnetic resonance imaging of lung infections in children

Cited by 36 publications

References 28 publications

Advances in the diagnosis of pneumonia in children

Advances in the diagnosis of pneumonia in children

Clinical practice: treatment of childhood empyema

Mycoplasma pneumonia with persistent lymphadenopathy and severe cold agglutinin haemolysis

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