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Imaging of Asthma in Children

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Evidence-Based Imaging in Pediatrics

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Key Points

■ Airway inflammation is universal to all asthmatics and the degree of the inflammation corresponds to the severity of disease. Bronchoconstriction plays a limited role in the etiology of asthma (moderate evidence).

■ There has been a sharp rise in the prevalence, morbidity, mortality, and economic burden both within the United States and globally over the past 40 years, particularly in children (moderate evidence).

■ Despite the considerable knowledge with regard to the pathology of asthma, the costs of asthma represent a large burden to society, both nationally and internationally (moderate evidence).

■ The majority of patients presenting with asthma can be diagnosed clinically by medical history and physical examination; the need for chest radiographs in acute asthma is limited to a minority of patients (limited to moderate evidence).

■ Pulmonary function testing underestimates the degree of bronchial inflammation and may be insufficient for surveillance criteria (limited evidence).

■ No data were found in the medical literature that evaluate the cost-effectiveness of imaging in asthma (insufficient evidence).

■ The value of the chest radiograph should be to diagnose complications, to establish a precipitating cause for an asthmatic attack, and to exclude alternate diagnoses that resemble asthma (moderate evidence).

■ High-resolution computed tomography (HRCT) is a non-invasive technique capable of demonstrating and quantifying both the anatomic and physiologic changes in the lungs of asthmatic patients (moderate evidence).

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Author information

Authors and Affiliations

  1. Department of Radiology, The Ohio State University College of Medicine and Public Health, Nationwide Children’s Hospital, 43205, Columbus, OH, USA

    D. Gregory Bates

Authors
  1. D. Gregory Bates
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Editor information

Editors and Affiliations

  1. Dept. Radiology, Miami Children's Hospital, SW 114 Street 7420, Miami , 33156, U.S.A.

    L. Santiago Medina

  2. Dept. Radiology, Riley Children's Hospital, Barnhill Drive 702 , Indianapolis, 46202-5200, U.S.A.

    Kimberly E. Applegate

  3. Harborview Medical Center, University of Washington, Ninth Avenue 325, Seattle, 98104-2499, U.S.A.

    C. Craig Blackmore

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Bates, D.G. (2010). Imaging of Asthma in Children. In: Medina, L., Applegate, K., Blackmore, C. (eds) Evidence-Based Imaging in Pediatrics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0922-0_28

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  • DOI: https://doi.org/10.1007/978-1-4419-0922-0_28

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