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Large Airways

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Pediatric Body MRI

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Abstract

In recent years, magnetic resonance (MR) imaging has become the preferred noninvasive method to assess various congenital and acquired pediatric large airway disorders. Recent technical advances have made MR imaging of the large airways a feasible alternative imaging option to computed tomography (CT). MR imaging provides better contrast-to-noise ratio and soft tissue characterization than CT, facilitating differential diagnosis of soft tissue masses around the large airways in the neck and mediastinal regions. Moreover, MR imaging enables dynamic acquisitions (cine-MR imaging), which are mandatory to assess large airway collapse in children with tracheobronchomalacia. Cine-MR imaging can be performed during specific breathing maneuvers, usually rehearsed in training sessions before the MR imaging, to visualize large airway collapse. Finally, the ability of MR imaging to provide functional information regarding tissue cellularity and inflammation has promoted its use in infectious and inflammatory disorders as well as neoplasms of the large airways. This chapter presents up-to-date imaging techniques for MR imaging of the pediatric large airways followed by characteristic MR imaging findings in a spectrum of pediatric large airway disorders encountered in daily clinical practice.

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Author information

Authors and Affiliations

  1. Department of Radiology and Nuclear Medicine, Department of Pediatric Pulmonology, Sophia Children’s Hospital Erasmus Medical Center, Rotterdam, South-Holland, The Netherlands

    Pierluigi Ciet

  2. Division of Pediatric Radiology, Departments of Radiology and Pediatrics, The Children’s Hospital at Montefiore and Montefiore Medical Center, Bronx, NY, USA

    Mark C. Liszewski

  3. Division of Thoracic Imaging, Department of Radiology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Edward Y. Lee

Authors
  1. Pierluigi Ciet
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  2. Mark C. Liszewski
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  3. Edward Y. Lee
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Correspondence to Pierluigi Ciet .

Editor information

Editors and Affiliations

  1. Division of Thoracic Imaging, Department of Radiology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Edward Y. Lee

  2. Division of Pediatric Radiology, Departments of Radiology and Pediatrics, The Children’s Hospital at Montefiore and Montefiore Medical Center Bronx, New York, NY, USA

    Mark C. Liszewski

  3. Division of Pediatric Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Michael S. Gee

  4. Alta Excelência Diagnóstica and Department of Radiology, Clínica Diagnóstico por Imagem (CDPI), Rio de Janeiro, Brazil

    Pedro Daltro

  5. Department of Interventional Radiology and Body Imaging, Nicklaus Children’s Hospital, Miami, FL, USA

    Ricardo Restrepo

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Ciet, P., Liszewski, M.C., Lee, E.Y. (2020). Large Airways. In: Lee, E., Liszewski, M., Gee, M., Daltro, P., Restrepo, R. (eds) Pediatric Body MRI. Springer, Cham. https://doi.org/10.1007/978-3-030-31989-2_2

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