Do chest computed tomography and radiography influence clinical management in children with cystic fibrosis?

Bortoluzzi, Carla Federica; Pontello, Eleonora; Pintani, Emily; Groot, Karin de Winter-de; Assael, B.M.; Tiddens, Harm; Hunink, M. G. Myriam; Caudri, Daan

doi:10.1183/13993003.congress-2016.pa4867

Cited by 1 publication

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“…These include the Brasfield, Chrispin-Norman, and Wisconsin systems. All have been found to correlate well with PFTs [7 ▪ ,8 ▪ ]. Automatization of these scoring systems using machine learning-based techniques is showing promising results and could increase the sensitivity of CR for depicting structural lung changes [9 ▪▪ ].…”

Section: Reviewmentioning

confidence: 95%

“…This is changing however with the arrival of other low-dose imaging options. Given CR is relatively poor for depicting pulmonary changes in the early stages of the disease [3 ▪ ,4 ▪ ,5 ▪▪ ,6 ▪ ] and tends to have little impact on clinical decision making [7 ▪ ], many European CF centres have now replaced routine CR with low-dose computed tomography (LD-CT) based on Cystic Fibrosis Foundation guidelines, with CR being reserved for acute presentations [5 ▪▪ ].…”

Section: Reviewmentioning

confidence: 99%

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The evolving role of radiological imaging in cystic fibrosis

Crowley¹,

Connor²,

Ciet³

et al. 2021

Current Opinion in Pulmonary Medicine

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Purpose of reviewRadiological imaging has a crucial role in pulmonary evaluation in cystic fibrosis (CF), having been shown to be more sensitive than pulmonary function testing at detecting structural lung changes. The present review summarizes the latest published information on established and evolving pulmonary imaging techniques for assessing people with this potentially life-limiting disorder. Recent findingsChest computed tomography (CT) has taken over the predominant role of chest radiography in many centres for the initial assessment and surveillance of CF lung disease. However, several emerging techniques offer a promising means of pulmonary imaging using less ionizing radiation. This is of particular importance given these patients tend to require repeated imaging throughout their lives from a young age. Such techniques include ultra-low-dose CT, tomosynthesis, dynamic radiography and magnetic resonance imaging. In addition, deep-learning algorithms are anticipated to improve diagnostic accuracy.

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Section: Reviewmentioning

confidence: 95%