Computed tomography in cystic fibrosis lung disease: a focus on radiation exposure.

Autor: Joyce S; Department of Radiology, School of Medicine, University College Cork, Cork, Ireland., Carey BW; Department of Radiology, School of Medicine, University College Cork, Cork, Ireland.; Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland., Moore N; Department of Radiography, University College Cork, Cork, Ireland., Mullane D; Department of Radiology, School of Medicine, University College Cork, Cork, Ireland.; Department of Paediatrics, Cork University Hospital, Cork, Ireland., Moore M; Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland., McEntee MF; Department of Radiography, University College Cork, Cork, Ireland., Plant BJ; Department of Radiology, School of Medicine, University College Cork, Cork, Ireland.; Department of Medicine, Cork University Hospital, Cork, Ireland.; APC Microbiome Institute, University College Cork, Cork, Ireland., Maher MM; Department of Radiology, School of Medicine, University College Cork, Cork, Ireland.; Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland.; APC Microbiome Institute, University College Cork, Cork, Ireland., O'Connor OJ; Department of Radiology, School of Medicine, University College Cork, Cork, Ireland. oj.oconnor@ucc.ie.; Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland. oj.oconnor@ucc.ie.; APC Microbiome Institute, University College Cork, Cork, Ireland. oj.oconnor@ucc.ie.
Jazyk: angličtina
Zdroj: Pediatric radiology [Pediatr Radiol] 2021 Apr; Vol. 51 (4), pp. 544-553. Date of Electronic Publication: 2021 Mar 20.
DOI: 10.1007/s00247-020-04706-0
Abstrakt: Thoracic computed tomography (CT) is the imaging reference method in the diagnosis, assessment and management of lung disease. In the setting of cystic fibrosis (CF), CT demonstrates increased sensitivity compared with pulmonary function tests and chest radiography, and findings correlate with clinical outcomes. Better understanding of the aetiology of CF lung disease indicates that even asymptomatic infants with CF can have irreversible pulmonary pathology. Surveillance and early diagnosis of lung disease in CF are important to preserve lung parenchyma and to optimise long-term outcomes. CF is associated with increased cumulative radiation exposure due to the requirement for repeated imaging from a young age. Radiation dose optimisation, important for the safe use of CT in children with CF, is best achieved in a team environment where paediatric radiologists work closely with paediatric respiratory physicians, physicists and radiography technicians to achieve the best patient outcomes. Despite the radiation doses incurred, CT remains a vital imaging tool in children with CF. Radiologists with special interests in CT dose optimisation and respiratory disease are key to the appropriate use of CT in paediatric imaging. Paediatric radiologists strive to minimise radiation dose to children whilst providing the best possible assessment of lung disease.
Databáze: MEDLINE
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