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Radiologie up2date 2005; 5(4): 361-385
DOI: 10.1055/s-2005-921053
Pulmonale und kardiovaskuläre Radiologie
© Georg Thieme Verlag KG Stuttgart · New York

CT-Morphologie und -Diagnostik der Atemwegserkrankungen

CT Morphology and Diagnostics of Respiratory DiseasesClaudia  Grosse,1 , Alexander  A.  Bankier1
  • 1 Universitätsklinik für Radiodiagnostik, Medizinische Universität Wien
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Publication History

Publication Date:
16 December 2005 (online)

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Zusammenfassung

In diesem Beitrag werden zunächst die für die computertomographische (CT) Erfassung von Erkrankungen der großen und kleinen Atemwege optimalen Untersuchungstechniken dargestellt. Anschließend folgt eine Beschreibung der CT-Charakteristika der häufigsten Erkrankungen der großen Atemwege (Haupt- und Segmentbronchien). Zuletzt werden die CT-Veränderungen sowie einzelne histopathologische Subtypen der Erkrankungen kleiner Atemwege zusammenfassend dargestellt.

Abstract

This article first presents the optimal imaging techniques for diagnosing diseases of the large and small airways using computed tomography (CT). This is followed by a description of the computed tomographic features of the most common diseases of the large airways (main and segmental bronchi). Finally, the CT changes and histopathologic subtypes of small airways diseases are summarized.

Key words

lung diseases - chronic bronchitis - bronchiectasis - cystic fibrosis - tumors of the tracheobronchial tree - small airways diseases - bronchiolitis obliterans

Literatur

  • 1 Bhalla M, Naidich D P, McGuinness G, Gruden J F, Leitman B S, McCauley D I. Diffuse lung disease: assessment with helical CT-preliminary observations of the role of maximum and minimum intensity projection images.  Radiology. 1996;  200 341-347
    CrossrefPubMedGoogle Scholar
  • 2 Nishino M, Kuroki M, Boiselle P M, Copeland J F, Raptopoulos V, Hatabu H. Coronal reformations of volumetric expiratory high-resolution CT of the lung.  AJR Am J Roentgenol. 2004;  182 979-982
    PubMedGoogle Scholar
  • 3 Nishino M, Boiselle P M, Copeland J F, Raptopoulos V, Hatabu H. Value of volumetric data acquisition in expiratory high-resolution computed tomography of the lung.  J Comput Assist Tomogr. 2004;  28 209-214
    PubMedGoogle Scholar
  • 4 Arakawa H, Webb W R. Expiratory high-resolution CT scan.  Radiol Clin North Am. 1998;  36 189-209
    CrossrefPubMedGoogle Scholar
  • 5 Lucidarme O, Grenier P A, Cadi M, Mourey-Gerosa I, Benali K, Cluzel P. Evaluation of air trapping at CT: comparison of continuous-versus suspended-expiration CT techniques.  Radiology. 2000;  216 768-772
    PubMedGoogle Scholar
  • 6 Gotway M B, Lee E S, Reddy G P, Golden J A, Webb W R. Low-dose, dynamic, expiratory thin-section CT of the lungs using a spiral CT scanner.  J Thorac Imaging. 2000;  15 168-172
    PubMedGoogle Scholar
  • 7 Choi S J, Choi B K, Kim H J. et al . Lateral decubitus HRCT: a simple technique to replace expiratory CT in children with air trapping.  Pediatr Radiol. 2002;  32 179-182
    CrossrefPubMedGoogle Scholar
  • 8 Remy-Jardin M, Remy J, Boulenguez C, Sobaszek A, Edme J L, Furon D. Morphologic effects of cigarette smoking on airways and pulmonary parenchyma in healthy adult volunteers: CT evaluation and correlation with pulmonary function tests.  Radiology. 1993;  186 107-115
    PubMedGoogle Scholar
  • 9 Muller N L, Coxson H. Chronic obstructive pulmonary disease. 4: imaging the lungs in patients with chronic obstructive pulmonary disease.  Thorax. 2002;  57 982-985
    CrossrefPubMedGoogle Scholar
  • 10 Bick U, Schulze-Everding A, Roos N, Krings W, von Lengerke H J. Lungenveränderungen bei der Mukoviszidose. Möglichkeiten und Nutzen der verschiedenen bildgebenden Verfahren.  Radiologe. 1990;  30 598-605
    PubMedGoogle Scholar
  • 11 Mason A C, Nakielna B E. Newly diagnosed cystic fibrosis in adults: pattern and distribution of bronchiectasis in 12 cases.  Clin Radiol. 1999;  54 507-512
    CrossrefPubMedGoogle Scholar
  • 12 Hansell D M, Wells A U, Rubens M B, Cole P J. Bronchiectasis: functional significance of areas of decreased attenuation at expiratory CT.  Radiology. 1994;  193 369-374
    CrossrefPubMedGoogle Scholar
  • 13 Roberts H R, Wells A U, Milne D G. et al . Airflow obstruction in bronchiectasis: correlation between computed tomography features and pulmonary function tests.  Thorax. 2000;  55 198-204
    CrossrefPubMedGoogle Scholar
  • 14 Bankier A A, Fleischmann D, Mallek R. et al . Bronchial wall thickness: appropriate window settings for thin-section CT and radiologic-anatomic correlation.  Radiology. 1996;  199 831-836
    PubMedGoogle Scholar
  • 15 Kramer S S, Wehunt W D, Stocker J T, Kashima H. Pulmonary manifestations of juvenile laryngotracheal papillomatosis.  AJR Am J Roentgenol. 1985;  144 687-694
    PubMedGoogle Scholar
  • 16 Collins J, Blankenbaker D, Stern E J. CT patterns of bronchiolar disease: what is „tree-in-bud”?.  AJR Am J Roentgenol. 1998;  171 365-370
    CrossrefPubMedGoogle Scholar
  • 17 Worthy S A, Muller N L, Hartman T E, Swensen S J, Padley S P, Hansell D M. Mosaic attenuation pattern on thin-section CT scans of the lung: differentiation among infiltrative lung, airway, and vascular diseases as a cause.  Radiology. 1997;  205 465-470
    CrossrefPubMedGoogle Scholar
  • 18 Lee K W, Chung S Y, Yang I, Lee Y, Ko E Y, Park M J. Correlation of aging and smoking with air trapping at thin-section CT of the lung in asymptomatic subjects.  Radiology. 2000;  214 831-836
    CrossrefPubMedGoogle Scholar
  • 19 Tanaka N, Matsumoto T, Miura G. et al . Air trapping at CT: high prevalence in asymptomatic subjects with normal pulmonary function.  Radiology. 2003;  227 776-785
    PubMedGoogle Scholar
  • 20 Copley S J, Wells A U, Muller N L. et al . Thin-section CT in obstructive pulmonary disease: discriminatory value.  Radiology. 2002;  223 812-819
    PubMedGoogle Scholar
  • 21 Leung A N, Fisher K, Valentine V. et al . Bronchiolitis obliterans after lung transplantation: detection using expiratory HRCT.  Chest. 1998;  113 365-370
    PubMedGoogle Scholar
  • 22 Worthy S A, Park C S, Kim J S, Muller N L. Bronchiolitis obliterans after lung transplantation: high-resolution CT findings in 15 patients.  AJR Am J Roentgenol. 1997;  169 673-677
    PubMedGoogle Scholar
  • 23 Siegel M J, Bhalla S, Gutierrez F R, Hildebolt C, Sweet S. Post-lung transplantation bronchiolitis obliterans syndrome: usefulness of expiratory thin-section CT for diagnosis.  Radiology. 2001;  220 455-462
    PubMedGoogle Scholar
  • 24 Bankier A A, Van Muylem A, Knoop C, Estenne M, Gevenois P A. Bronchiolitis obliterans syndrome in heart-lung transplant recipients: diagnosis with expiratory CT.  Radiology. 2001;  218 533-539
    PubMedGoogle Scholar
  • 25 Konen E, Gutierrez C, Chaparro C. et al . Bronchiolitis obliterans syndrome in lung transplant recipients: can thin-section CT findings predict disease before its clinical appearance?.  Radiology. 2004;  231 467-473
    PubMedGoogle Scholar
  • 26 Park C S, Muller N L, Worthy S A, Kim J S, Awadh N, Fitzgerald M. Airway obstruction in asthmatic and healthy individuals: inspiratory and expiratory thin-section CT findings.  Radiology. 1997;  203 361-367
    PubMedGoogle Scholar
  • 27 Heyneman L E, Ward S, Lynch D A, Remy-Jardin M, Johkoh T, Muller N L. Respiratory bronchiolitis, respiratory bronchiolitis-associated interstitial lung disease, and desquamative interstitial pneumonia: different entities or part of the spectrum of the same disease process?.  AJR Am J Roentgenol. 1999;  173 1617-1622
    PubMedGoogle Scholar
  • 28 Myers J L, Colby T V. Pathologic manifestations of bronchiolitis, constrictive bronchiolitis, cryptogenic organizing pneumonia, and diffuse panbronchiolitis.  Clin Chest Med. 1993;  14 611-622
    PubMedGoogle Scholar
  • 29 Worthy S A, Muller N L. Small airway diseases.  Radiol Clin North Am. 1998;  36 163-173
    CrossrefPubMedGoogle Scholar
  • 30 Hwang J H, Kim T S, Lee K S. et al . Bronchiolitis in adults: pathology and imaging.  J Comput Assist Tomogr. 1997;  21 913-919
    CrossrefPubMedGoogle Scholar

Korrespondenzadresse

Dr. Claudia Grosse

Universitätsklinik für Radiodiagnostik · Medizinische Universität Wien

Währinger Gürtel 18 - 20 · 1090 Wien, Österreich

Email: claudiagrosse@gmx.at