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Zusammenfassung

Das Thoraxtrauma ist zwar im Kindesalter selten, jedoch mit einer hohen Mortalität und Morbidität verbunden. Fremdkörperaspirationen sind die häufigsten Unfälle bei Kleinkindern im häuslichen Umfeld und können eine vermehrte oder verminderte Transparenz im Röntgenbild zur Folge haben. Radiologische Befunde des Asthmas bronchiale sind überblähte Lungenareale, Bronchiektasien, Bronchialwandverdickungen und Schleimretentionen. Auch die Zystische Fibrose ist typischerweise durch diese Befunde charakterisiert; langfristig können irreversible Lungenparenchymdestruktionen entstehen. Die wichtigste bildgebende Methodik bei der Diagnostik einer pulmonalen Tuberkulose ist die Röntgenaufnahme. Weitere bakterielle Erreger im Kindesalter sind Streptokokken, Staphylokokken und Hämophilus influenzae. Interstitielle atypische Pneumonien sind oft bei Kindern durch RS-Viren verursacht. Chronische interstitielle Lungenerkrankungen umfassen seltene Pathologien, darunter diffuse Entwicklungsstörungen, alveoläre Wachstumsstörungen und Surfactantdysfunktionen.

Die Originalversion dieses Kapitels wurde revidiert: Aufgrund eines Versehens wurde die Nennung der Koautorin versäumt. Zu diesem Kapitel ist ein Erratum online unter https://doi.org/10.1007/978-3-662-57814-8_18 verfügbar.

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Literatur

  • Agarwal R, Khan A, Garg M, et al. Chest radiographic and computed tomographic manifestations in allergic bronchopulmonary aspergillosis. World J Radiol 2012; 4(4): 141-150

    Article  PubMed  PubMed Central  Google Scholar 

  • Agarwal R. Allergic bronchopulmonary aspergillosis. Chest 2009; 135(3): 805-826

    Article  PubMed  Google Scholar 

  • Agarwal R. High attenuation mucoid impaction in allergic bronchopulmonary aspergillosis. World J Radiol 2010; 2(1): 41-43

    Article  PubMed  PubMed Central  Google Scholar 

  • Altuntas B, Aydın Y, Eroglu A. Foreign Bodies in Trachea: A 25-years of Experience. Eurasian J Med. 2016 Jun;48(2):119-23. doi: 10.5152/eurasianjmed.2015.109

    Article  PubMed  PubMed Central  Google Scholar 

  • Alzen G, Benz-Bohm G. Kinderradiologie – Besonderheiten des Strahlenschutzes. Dtsch Arztebl Int 2011; 108(24): 407-414

    Google Scholar 

  • Asher MI, Montefort S, Björkstén B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet 2006; 368(9537): 733-743

    Article  Google Scholar 

  • Bacharier LB1, Boner A, Carlsen KH, et al. Diagnosis and treatment of asthma in childhood: a PRACTALL consensus report. Allergy 2008; 63(1): 5-34

    Article  Google Scholar 

  • Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO (1999) Tracheobronchial foreign bodies: presentation and management in children and adults. Chest 115:1357–1362. doi:10.1378/chest.115.5.1357

    CAS  Google Scholar 

  • Beschluss des Gemeinsamen Bundesausschusses über eine Änderung des Beschlusses zur Neufassung der Richtlinie über die Früherkennung von Krankheiten bei Kindern bis zur Vollendung des 6. Lebensjahres (Kinder-Richtlinie): Screening auf Mukoviszidose (Zystische Fibrose). Gemeinsamer Bundesausschuss, 2015

    Google Scholar 

  • Bhalla M, Turcios N, Aponte V, et al. Cystic fibrosis: scoring system with thin-section CT. Radiology 1991; 179(3): 783-788

    Article  CAS  PubMed  Google Scholar 

  • Biederer J, Beer M, Hirsch W, et al. MRI of the lung (2/3). Why … when … how? Insights Imaging 2012; 3(4): 355-371

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bliss D, Silen M: Pediatric thoracic trauma Crit Care Med. 2002 Nov;30(11 Suppl):S409-15. Durant

    Google Scholar 

  • Bransom RT, Griscom NT, Cleveland RH. Interpretation of chest radiographs in children with cough and fever. Radiology 236: 22-29. 2005

    Article  PubMed  Google Scholar 

  • Brody AS, Kosorok MR, Li Z, et al. Reproducibility of a scoring system for computed tomography scanning in cystic fibrosis. J Thorac Imaging 2006; 21(1): 14-21

    Article  PubMed  Google Scholar 

  • Brody AS, Sucharew H, Campbell JD, et al. Computed tomography correlates with pulmonary exacerbations in children with cystic fibrosis. Am J Respir Crit Care Med 2005; 172(9): 1128-1132

    Article  PubMed  Google Scholar 

  • Caffey’s Pediatric Diagnostic Imaging, 2-Volume Set, 12th Edition, Hrsg. Coley, B.D., Saunders

    Google Scholar 

  • Carr DH, Oades P, Trotman-Dickenson B, et al. Magnetic resonance scanning in cystic fibrosis: comparison with computed tomography. Clin Radiol 1995; 50(2): 84-89

    Article  CAS  PubMed  Google Scholar 

  • Chrispin AR, Norman AP. The systematic evaluation of the chest radiograph in cystic fibrosis. Pediatr Radiol 1974; 2(2): 101–105

    Article  CAS  PubMed  Google Scholar 

  • Ciet P, Serra G4, Bertolo S, et al. Assessment of CF lung disease using motion corrected PROPELLER MRI: a comparison with CT. Eur Radiol 2016; 26(3): 780-787

    Article  PubMed  Google Scholar 

  • Daltro P, Santos EN, Gasparetto TD, et al.: Pulmonary infections. Pediatr Radiol. 41 (suppl 1):S69-S82 2011

    Article  PubMed Central  Google Scholar 

  • de Jong PA, Achterberg JA, Kessels OA, et al. Modified Chrispin-Norman chest radiography score for cystic fibrosis: observer agreement and correlation with lung function. Eur Radiol 2011; 21(4): 722-729

    Google Scholar 

  • Demirkazik FB, Ariyürek OM, Ozçelik U, et al. High resolution CT in children with cystic fibrosis: correlation with pulmonary functions and radiographic scores. Eur J Radiol 2001; 37(1): 54-59

    Google Scholar 

  • Donnellyl F, Frush DP, Risset GS, The multiple presentations of foreign bodies in children. Am J Roentgenol 1998; 170: 471-477

    Article  CAS  PubMed  Google Scholar 

  • Dournes G, Berger P, Refait J, et al. Allergic bronchopulmonary aspergillosis in cystic fibrosis: MR imaging of airway mucus contrasts as a tool for diagnosis. Radiology 2017; 285(1): 261-269

    Article  PubMed  Google Scholar 

  • Dournes G, Menut F, Macey J, et al. Lung morphology assessment of cystic fibrosis using MRI with ultra-short echo time at submillimeter spatial resolution. Eur Radiol 2016; 26(11): 3811-3820

    Article  PubMed  Google Scholar 

  • Eichinger M, Heussel CP, Kauczor HU, et al. Computed tomography and magnetic resonance imaging in cystic fibrosis lung disease. J Magn Reson Imaging 2010; 32(6): 1370-1378

    Article  PubMed  Google Scholar 

  • Eichinger M, Optazaite DE, Kopp-Schneider A, et al. Morphologic and functional scoring of cystic fibrosis lung disease using MRI. Eur J Radiol 2012; 81(6): 1321-1329

    Article  PubMed  Google Scholar 

  • Even L, Heno N, Talmon Y, Samet E, Zonis Z, Kugelman A. Diagnostic evaluation of foreign body aspiration in children: a prospective study. J Pediatr Surg 2005; 40: 1122-1127

    Google Scholar 

  • Fiel SB, Friedman AC, Caroline DF, et al. Magnetic resonance imaging in young adults with cystic fibrosis. Chest 1987; 91(2): 181-184

    Article  CAS  PubMed  Google Scholar 

  • Garg MK, Gupta P, Agarwal R, et al. MRI: a new paradigm in imaging evaluation of allergic bronchopulmonary aspergillosis? Chest 2015; 147(2): e58-e59

    Article  PubMed  Google Scholar 

  • Garg MK, Sharma M, Agarwal R, et al. Allergic bronchopulmonary aspergillosis: all a radiologist needs to know. Curr Pediatr Rev 2016; 12(3): 179-189

    Google Scholar 

  • Harmanci E, Kebapci M, Metintas M, et al. High-resolution computed tomography findings are correlated with disease severity in asthma. Respiration 2002; 69(5): 420-426

    Article  PubMed  Google Scholar 

  • Helbich TH, Heinz-Peer G, Eichler I, et al. Cystic fibrosis: CT assessment of lung involvement in children and adults. Radiology 1999; 213(2): 537-544

    Article  CAS  PubMed  Google Scholar 

  • Hong SJ, Goo HW, Roh JL. Utility of Spiral and cine CT scans in pediatric patients suspected of aspirating radiolucent foreign bodies. Otolaryngol Head Neck Surg 2008; 138: 576-580

    Article  PubMed  Google Scholar 

  • John SD, Ramanathan J, Swischuk LE: Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia. Radiographics. 21:121-131 2001

    Article  CAS  PubMed  Google Scholar 

  • Johnson K, Linnaus M, Notrica D. Pediatr Surg Int. 2016 Oct 13. [Epub ahead of print] Airway foreign bodies in pediatric patients: anatomic location of foreign body affects complications and outcomes

    Google Scholar 

  • Johnson KM, Fain SB, Schiebler ML, et al. Optimized 3D ultrashort echo time pulmonary MRI. Magn Reson Med 2013; 70(5): 1241-1250

    Article  PubMed  PubMed Central  Google Scholar 

  • Kaur M, Sudan DS. Allergic bronchopulmonary aspergillosis (ABPA) – the high resolution computed tomography (HRCT) chest imaging scenario. J Clin Diagn Res 2014; 8(6): RC05-RC07

    Google Scholar 

  • Kerem E, Conway S, Elborn S, et al. Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros 2005; 4(1): 7-26

    Article  PubMed  Google Scholar 

  • Knowlton RG, Cohen-Haguenauer O, Van Cong N, et al. A polymorphic DNA marker linked to cystic fibrosis is located on chromosome 7. Nature 1985; 318(6044): 380-382

    Article  CAS  PubMed  Google Scholar 

  • Laurent F, Tunon de Lara M. Assessment of imaging techniques for evaluating small-airway disease in asthma. Rev Mal Respir 2011; 28(6): e7-e10

    Article  CAS  PubMed  Google Scholar 

  • Lee, Edward Y. (et al.) Interstitial Lung Disease in Infants and Children: New Classification System with Emphasis on Clinical, Imaging, and Pathological Correlation in Imaging in Pediatric Pulmonology, Hrsg Cleveland,R.H. 2011 Springer-Verlag New York

    Google Scholar 

  • Liu L, Pan Y, Zhu Y, et al. Association between rhinovirus wheezing illness and the development of childhood asthma: a meta-analysis. BMJ Open 2017; 7(4): e013034

    Article  PubMed  PubMed Central  Google Scholar 

  • Macfarlane J, Rose D: Radiographic features of staphylococcal pneumonia in adults and children. Thorax. 51:539-540 1996

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Machado D, Pereira C, Teixeira L, et al. Thoracic high resolution computed tomography (HRCT) in asthma. Eur Ann Allergy Clin Immunol 2009; 41(5): 139-145

    Google Scholar 

  • Mastella G, Rainisio M, Harms HK, et al. Allergic bronchopulmonary aspergillosis in cystic fibrosis. A European epidemiological study. Epidemiologic Registry of Cystic Fibrosis. Eur Respir J 2000; 16(3): 464-471

    Google Scholar 

  • Mutius v E, Gappa M, Eber E. 2013 Pädiatrische Pneumologie. Springer- Verlag Berlin Heidelberg 3. Auflage

    Google Scholar 

  • Nakano Y, Van Tho N, Yamada H, et al. Radiological approach to asthma and COPD – the role of computed tomography. Allergol Int 2009; 58(3): 323-331

    Article  PubMed  Google Scholar 

  • National Safety Council. Report on injuries in America, 2002. http://www.nsc.org/library/report_injury_usa.htm. Published January 14, 2002. Accessed August 28, 2014

  • Occelli A, Soize S, Ranc C, et al. Bronchocele density in cystic fibrosis as an indicator of allergic broncho-pulmonary aspergillosis: a preliminary study. Eur J Radiol 2017; 93: 195-199

    Article  PubMed  Google Scholar 

  • Paganin F, Trussard V, Seneterre E, et al. Chest radiography and high resolution computed tomography of the lungs in asthma. Am Rev Respir Dis 1992; 146(4): 1084-1087

    Article  CAS  PubMed  Google Scholar 

  • Park JW, Hong YK, Kim CW, et al. High-resolution computed tomography in patients with bronchial asthma: correlation with clinical features, pulmonary functions and bronchial hyperresponsiveness. J Investig Allergol Clin Immunol 1997; 7(3): 186-192

    Google Scholar 

  • Puderbach M, Eichinger M, Haeselbarth J, et al. Assessment of morphological MRI for pulmonary changes in cystic fibrosis (CF) patients: comparison to thin-section CT and chest x-ray. Invest Radiol 2007; 42(10): 715-725

    Article  PubMed  Google Scholar 

  • Renz DM, Scholz O, Böttcher J, et al. Comparison between magnetic resonance imaging and computed tomography of the lung in patients with cystic fibrosis with regard to clinical, laboratory, and pulmonary functional parameters. Invest Radiol 2015; 50(10): 733-742

    Article  PubMed  Google Scholar 

  • Riordan JR, Rommens JM, Kerem B, et al. Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA. Science 1989; 245(4922): 1066-1073

    Article  CAS  PubMed  Google Scholar 

  • Rommens JM, Iannuzzi MC, Kerem B, et al. Identification of the cystic fibrosis gene: chromosome walking and jumping. Science 1989; 245(4922): 1059-1065

    Article  CAS  PubMed  Google Scholar 

  • Rowe SM, Miller S, Sorscher EJ. Cystic fibrosis. N Engl J Med 2005; 352(19): 1992-2001

    Article  CAS  PubMed  Google Scholar 

  • S2-Konsensus-Leitlinie „Diagnose der Mukoviszidose“ (AMWF 026-023) unter Federführung der Gesellschaft für Pädiatrischen Pneumologie. AWMF, Stand 06/2013

    Google Scholar 

  • S3-Konsensus-Leitlinie „Lungenerkrankung bei Mukoviszidose“ (AMWF 026-022). AWMF, Stand 06/2013

    Google Scholar 

  • Saki N, Nikakhlagh S, Heshmati S (2015) 25-year review of the abundance and diversity of radiopaque airway foreign bodies in children. Indian J Otolaryngol Head Neck Surg 67:261-266

    Article  Google Scholar 

  • Samarasekera SP, Mikocka-Wlaus A, Butt W, et al.: Epidemiology of major pediatric chest trauma. J J Paediatr Child Health. 2009 Nov;45(11):676-80. doi: 10.1111/j.1440-1754.2009.01594.x. Epub 2009 Oct 19

    Article  PubMed  Google Scholar 

  • Schmidt H, Posselt HG. Bildgebung bei zystischer Fibrose. Radiologie up2date 2008; 8(2): 159-177

    Article  Google Scholar 

  • Scholz O, Denecke T, Böttcher J, et al. MRI of cystic fibrosis lung manifestations: sequence evaluation and clinical outcome analysis. Clin Radiol 2017; 72(9): 754-763

    Article  CAS  PubMed  Google Scholar 

  • Sens B, Stern M. Qualitätssicherung Mukoviszidose 2011. Zentrum für Qualität und Management im Gesundheitswesen, Mukoviszidose e.V. und Mukoviszidose Institut gGmbH. Bad Honnef. Hippocampus Verlag 2012

    Google Scholar 

  • Shah A, Panjabi C. Allergic bronchopulmonary aspergillosis: a perplexing clinical entity. Allergy Asthma Immunol Res 2016; 8(4): 282-297

    Article  CAS  Google Scholar 

  • Sly PD, Brennan S, Gangell C, et al. Lung disease at diagnosis in infants with cystic fibrosis detected by newborn screening. Am J Respir Crit Care Med 2009; 180(2): 146-152

    Article  PubMed  Google Scholar 

  • Stern EJ, Müller NL, Swensen SJ, et al. CT mosaic pattern of lung attenuation: etiologies and terminology. J Thorac Imaging 1995; 10(4): 294-297

    Article  CAS  PubMed  Google Scholar 

  • Sung A, Naidich D, Belinskaya I, et al. The role of chest radiography and computed tomography in the diagnosis and management of asthma. Curr Opin Pulm Med 2007; 13(1): 31-36

    Article  PubMed  Google Scholar 

  • Svenningsen S, Kirby M, Starr D, et al. Hyperpolarized (3) He and (129) Xe MRI: differences in asthma before bronchodilation. J Magn Reson Imaging 2013; 38(6): 1521-1530

    Google Scholar 

  • Tabori H, Arnold C, Jaudszus A, et al. Abdominal symptoms in cystic fibrosis and their relation to genotype, history, clinical and laboratory findings. PLoS One 2017; 12(5): e0174463

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Tan H, Brown K, McGill T, Al E (2000) Airway foreign bodies (FB): a 10-year review. Int J Ped Otor 56:91-99

    Article  CAS  PubMed  Google Scholar 

  • Taylor CJ, Hardcastle J, Southern KW. Physiological measurements confirming the diagnosis of cystic fibrosis: the sweat test and measurements of transepithelial potential difference. Paediatr Respir Rev. 2009; 10(4): 220-226

    Article  CAS  PubMed  Google Scholar 

  • Trivedi A, Hall C, Hoffman EA, et al. Using imaging as a biomarker for asthma. J Allergy Clin Immunol 2017; 139(1): 1-10

    Article  PubMed  Google Scholar 

  • Virkki R, Juven T, Mertsola J, et al.: Radiographic follow-up of pneumonia in children. Pediatr Pulmonol. 40:223-227 2005

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wahlgren H, Mortensson W, Eriksson M, et al.: Radiographic patterns and viral studies in childhood pneumonia at various ages. Pediatr Radiol. 25:627-630 1995

    Article  CAS  PubMed  Google Scholar 

  • Walker C, Gupta S, Hartley R, et al. Computed tomography scans in severe asthma: utility and clinical implications. Curr Opin Pulm Med 2012; 18(1): 42-47

    Article  PubMed  PubMed Central  Google Scholar 

  • Wang D, Luo J, Du W, et al. A morphologic study of the airway structure abnormalities in patients with asthma by high-resolution computed tomography. J Thorac Dis 2016; 8(10): 2697-2708

    Article  PubMed  PubMed Central  Google Scholar 

  • Westra SJ, Choy G. What imaging should we perform for the diagnosis and management of pulmonary infections? Pediatr Radiol. 2009 Apr;39 Suppl 2:S178-83. doi: 10.1007/s00247-009-1159-z. Review

    Article  Google Scholar 

  • Wielpütz MO, Eichinger M, Biederer J, et al. Imaging of cystic fibrosis lung disease and clinical interpretation. Fortschr Röntgenstr 2016; 188(9): 834-845

    Article  Google Scholar 

  • Wielpütz MO, Puderbach M, Kopp-Schneider A, et al. Magnetic resonance imaging detects changes in structure and perfusion, and response to therapy in early cystic fibrosis lung disease. Am J Respir Crit Care Med 2014; 189(8): 956-965

    Article  PubMed  Google Scholar 

  • WISQARS Leading causes of death reports, 1999-2001. National Center for Injury Prevention and Control. http://webapp.cdc.gov/sasweb/ncipc/leadcaus10.html. Published June 1, 2010. Accessed August 28, 2014

  • World Health Organization. The molecular genetic epidemiology of cystic fibrosis 2014

    Google Scholar 

  • Yikilmaz A, Koc A, Coskun A, et al.: Evaluation of pneumonia in children: comparison of MRI with fast imaging sequences at 1.5T with chest radiographs. Acta Radiol. 52:914-919 2011

    Article  PubMed  Google Scholar 

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Hahn, G., Renz, D. (2019). Lungenerkrankungen jenseits des Neugeborenenalters. In: Riccabona, M., Beer, M., Mentzel, HJ. (eds) Bildgebung des Thorax bei Neugeborenen und Kleinkindern. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57814-8_16

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