3 Tesla MRI in diagnosis and follow up of children with pneumonia
| Autor: | Meltem Ceyhan Bilgici, Leman Tomak, Tuğba Ayçiçek, Oguz Salih Dincer, Serap Yucel |
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| Rok vydání: | 2020 |
| Předmět: |
Thorax
Lung Diseases Pleural effusion Radiography 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Child Bronchiectasis medicine.diagnostic_test business.industry Magnetic resonance imaging Pneumonia medicine.disease Magnetic Resonance Imaging Empyema 030220 oncology & carcinogenesis Tomography Nuclear medicine business Tomography X-Ray Computed Follow-Up Studies |
| Zdroj: | Clinical imaging. 79 |
| ISSN: | 1873-4499 |
| Popis: | To investigate the utilization of 3-Tesla (3 T) magnetic resonance imaging (MRI) in detection of pulmonary abnormalities in children with pneumonia.Forty-seven children with pneumonia prospectively underwent 3 T thoracic MRI and posteroanterior (PA) chest radiography (CR). Of these, 15 patients also underwent contrast-enhanced thorax computed tomography (CT) or high-resolution CT (HRCT). The MRI protocol included axial and coronal T2-weighted spectral presaturation with inversion recovery (SPIR) Multivane-XD and axial echo-planar diffusion-weighted imaging (EPI DWI) with respiratory gating. Kappa statistics, Cochran Q, and McNemar tests were used to investigate the results.Agreement between CR and MRI was substantial in detecting consolidation/infiltration (k = 0.64), peribronchial thickening (k = 0.64), and bronchiectasis (k = 1); moderate in detecting cavity (k = 0.54) and pleural effusion (k = 0.44); and fair in detecting empyema (0.32) and bilateral involvement of lungs (k = 0.23). MRI was superior to CR in detecting bilateral involvement (p 0.001), lymph node (p 0.001), pleural effusion (p 0.001), and empyema (p = 0.003). MRI detected all the consolidation/infiltration also detected on CT imaging. A kappa test showed moderate agreement between MRI and CT in detecting pleural effusion and ground-glass opacity (GGO), and substantial or almost perfect agreement for all other pathologies. No statistically significant difference was observed between MRI and CT for detecting pneumonia-associated pathologies by the McNemar test.Thoracic 3 T MRI is an accurate and effective technique for evaluating children with pneumonia. MRI detected more pathologies than CR and had similar results to those of thorax CT. |
| Databáze: | OpenAIRE |
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