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Imaging of the Newborn Chest

  • R. Cleveland
  • V. Donoghue

Abstract

This paper reviews the common spectrum of disorders of the neonatal chest. Emphasis is on radiographic changes that have been produced by the introduction of new therapeutic maneuvers, particularly the use of artificial surfactant in treating hyaline membrane disease and the survival of profoundly premature newborns (less than 650 grams). A discussion of meconium aspiration syndrome, neonatal pneumonia, transient tachypnea of the newborn, congenital lymphangiectasia and congenital heart disease is also included. The effect on the neonatal chest radiograph of extracorporeal membrane oxygenation and high frequency ventilation are also mentioned [1]. A review of’ surgical’ lesions is also included [2].

Keywords

Superior Vena Cava Right Atrium Congenital Diaphragmatic Hernia Pulmonary Hypoplasia Total Anomalous Pulmonary Venous Connection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Cleveland RH (1995) A radiologic update on medical diseases of the newborn chest. Pediatr Radiol 25:631–637PubMedCrossRefGoogle Scholar
  2. 2.
    Donoghue V (ed) (2002) Radiological Imaging of the Neonatal Chest. Springer-Verlag, Berlin Heidelberg New YorkGoogle Scholar
  3. 3.
    Northway WH, Rosan RC, Porter DY (1967) Pulmonary disease following respirator therapy of hyaline-membrane disease: bronchopulmonary dysplasia. N Engl J Med 276:357–368PubMedCrossRefGoogle Scholar
  4. 4.
    Couser RJ, Ferrara TB, Ebert J et al (1990) Effects of exogenous surfactant therapy on dynamic compliance during mechanical breathing in preterm infants with hyaline membrane disease. J Pediatr 116:119–124PubMedCrossRefGoogle Scholar
  5. 5.
    Leichty EA, Donovan E, Purohit D et al (1991) Reduction of neonatal mortality after multiple doses of bovine surfactant in low birth weight neonates with respiratory distress syndrome. Pediatrics 88:19–28Google Scholar
  6. 6.
    Anonymous (1991) Surfactant replacement therapy for respiratory distress syndrome. Pediatrics 87:946–947Google Scholar
  7. 7.
    Jackson JC, Troug WE, Standaert TA et al (1991) Effect of high-frequency ventilation on the development of alveolar edema in premature monkeys at risk for hyaline membrane disease. Am Rev Respir Dis 143:865–871PubMedGoogle Scholar
  8. 8.
    Swischuk LE (1977) Bubbles in hyaline membrane disease. Differentiation of three types. Radiology 122:417–426PubMedGoogle Scholar
  9. 9.
    Brudno DS, Boedy RF, Kanto WP (1990) Compliance, alveolar-arterial oxygen difference, and oxygenation index changes in patients managed with extracorporeal membrane oxygenation. Pediatr Pulmonol 9:19–23PubMedCrossRefGoogle Scholar
  10. 10.
    Gregory GA, Gooding CA, Phibbs RH, Tooley WH (1974) Meconium aspiration in infants — a prospective study. J Pediatr 85:848–852PubMedCrossRefGoogle Scholar
  11. 11.
    Anonymous (1988) Lung function in children after neonatal meconium aspiration Lancet 2:317–318Google Scholar
  12. 12.
    Leonidas JC, Hall RT, Beatty EC et al (1977) Radiographic findings in early onset neonatal group B streptococcal septicemia. Pediatrics 59(Suppl):1006–1011PubMedGoogle Scholar
  13. 13.
    McCarten KM, Rosenberg HK, Borden S, Mandell GA (1981) Delayed appearance of right diaphragmatic hernia associated with group B streptococcal infection in newborns. Radiology 139:385–389PubMedGoogle Scholar
  14. 14.
    Cleveland RH, Weber B (1993) Retained fetal lung liquid in congenital lobar emphysema: a possible predictor of polyalveolar lobe. Pediatr Radiol 23:291–295PubMedCrossRefGoogle Scholar
  15. 15.
    Cleveland R (1993) Total Anomalous Pulmonary Venous Connection: Case 10. In: Siegel MJ, Bisset GS, Cleveland RH et al (eds) ACR Pediatric Disease (4th series) Test and Syllabus. American College of Radiology, Reston, pp 272–302Google Scholar
  16. 16.
    Freed MD (1984) Congenital Cardiac Malformations. In: Avery ME, Taeusch HW (eds) Schaffer’s Diseases of the Newborn, 5th edn. WB Saunders, Philadelphia, pp 243–290Google Scholar
  17. 17.
    Schachter J (1978) Chlamydial infections (first of three parts). N Engl J Med 298:428–435PubMedCrossRefGoogle Scholar
  18. 18.
    Schachter J (1978) Chlamydial infections (second of three parts). N Engl J Med 298:490–495PubMedCrossRefGoogle Scholar
  19. 19.
    Schachter J (1978) Chlamydial infections (third of three parts). N Engl J Med 298:540–549PubMedCrossRefGoogle Scholar
  20. 20.
    Todres ID, deBros F, Kramer SS (1976) Endotracheal tube displacement in the newborn infant. J Pediatr 89:126–127PubMedCrossRefGoogle Scholar
  21. 21.
    Stocker JT, Madewell JE, Drake RM (1977) Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Path 8:155–171PubMedCrossRefGoogle Scholar
  22. 22.
    Garel L (2002). In: Donoghue V (ed) Radiological Imaging of the Neonatal Chest. Springer-Verlag, Berlin Heidelberg New YorkGoogle Scholar
  23. 23.
    Winters WD, Effmann EL, Nghiem HV et al (1997). Disappearing fetal lung masses: importance of postnatal imaging studies. Pediatr Radiol 27: 535–539PubMedCrossRefGoogle Scholar
  24. 24.
    van Leeuwen K, Teitelbaum DH, Hirschl RB et al (1999) Prenatal diagnosis of congenital cystic adenomatoid malformation and its postnatal presentation, surgical indications, and natural history. J Pediatr Surg 34:794–798PubMedCrossRefGoogle Scholar
  25. 25.
    Cass DL, Crombleholme TM, Howell LJ et al (1997) Cystic lung lesions with systemic arterial blood supply: a hybrid of congenital cystic adenomatoid malformation and bronchopulmonary sequestration. J Pediatr Surg 32:986–999PubMedCrossRefGoogle Scholar
  26. 26.
    Samuel M, Burge DM (1999) Management of antenatally diagnosed pulmonary sequestration associated with congenital cystic adenomatoid malformation. Thorax 54:701–706PubMedCrossRefGoogle Scholar
  27. 27.
    Sohaey R, Zwiebel WJ (1996) The fetal thorax: noncardiac chest anomalies. Semin Ultrasound CT MRI 17:34–50CrossRefGoogle Scholar
  28. 28.
    Schwartz DS, Reyes-Mugica M, Keller MS (1999) Imaging of surgical diseases of the newborn chest. Intrapleural mass lesions. Radiol Clin North Am 37:1067–1078PubMedCrossRefGoogle Scholar
  29. 29.
    Tenbrink R, Tibboel D, Gaillaird JI et al (1990) Experimentally induced congenital diaphragmatic hernia in rats. J Pediatr Surg 25:426–429CrossRefGoogle Scholar
  30. 30.
    Harrison MR, Adzick NS, Flake AA et al (1993) Correction of congenital diaphragmatic hernia in utero VI. Hard-earned lessons. J Pediatr Surg 28:1411–1418PubMedCrossRefGoogle Scholar
  31. 31.
    Hedrick MH, Estes JM, Sullivan KM et al (1994) Plug the lung until it grows (PLUG): a new method to treat congenital diaphragmatic hernia in utero. J Pediatr Surg 29:612–617PubMedCrossRefGoogle Scholar
  32. 32.
    Donnelly LF, Sakurai M, Klosterman LA et al (1999) Correlation between findings on chest radiography and survival in neonates with congenital diaphragmatic hernia. AJR Am J Roentgenol 173:1589–1593PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • R. Cleveland
    • 1
  • V. Donoghue
    • 2
  1. 1.Radiology Department, Children’s HospitalHarvard Medical SchoolBostonUSA
  2. 2.Radiology DepartmentChildren’s University HospitalDublinIreland

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