Radiology of Bronchiectasis

Pakzad, Ashkan; Jacob, Joseph

doi:10.1016/j.ccm.2021.11.004

Cited by 9 publications

(3 citation statements)

References 48 publications

(55 reference statements)

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“…Central bronchiectasis (usually bilateral) is the predominant pattern seen in ABPA, although it is not uncommon to find both central and peripheral bronchiectasis [ 90 , 119 ]. Isolated central bronchiectasis is encountered only in a few conditions, including ABPA and tracheobronchomegaly, and is thus a helpful distinguishing feature [ 120 ]. Previously, Greenberger's group classified ABPA as ABPA with central bronchiectasis (ABPA-CB) or serological ABPA (ABPA-S) based on the presence or absence of bronchiectasis [ 121 , 122 ].…”

Section: Resultsmentioning

confidence: 99%

Revised ISHAM-ABPA working group clinical practice guidelines for diagnosing, classifying and treating allergic bronchopulmonary aspergillosis/mycoses

Agarwal,

Sehgal,

Muthu

et al. 2024

Eur Respir J

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BackgroundThe ISHAM working group proposed recommendations for managing allergic bronchopulmonary aspergillosis (ABPA) nearly a decade ago. There is a need to update these recommendations due to advances in diagnostics and therapeutics.MethodsAn international expert group was convened to develop guidelines for managing ABPA (caused byAspergillusspp.) and allergic bronchopulmonary mycosis (ABPM, fungi other thanAspergillusspp.) in adults and children using a modified Delphi method (two online rounds and one in-person meeting). We defined consensus as ≥70% agreement or disagreement. The terms “recommend” and “suggest” are used when the consensus was ≥70% and <70%.ResultsWe recommend screening forA. fumigatussensitization using fungus-specific IgE in all newly diagnosed adult asthmatics at tertiary care but only difficult-to-treat asthmatic children. We recommend diagnosing ABPA in those with predisposing conditions or compatible clinico-radiological presentation, with a mandatory demonstration of fungal sensitization and serum total IgE ≥500 IU·mL−1and two of the following: fungal-specific IgG, peripheral blood eosinophilia, or suggestive imaging. ABPM is considered in those with an ABPA-like presentation but normalA. fumigatus-IgE. Additionally, diagnosing ABPM requires repeated growth of the causative fungus from sputum.We do not routinely recommend treating asymptomatic ABPA patients. We recommend oral prednisolone or itraconazole monotherapy for treating acute ABPA (newly diagnosed or exacerbation), with prednisolone and itraconazole combination only for treating recurrent ABPA exacerbations. We have devised an objective multidimensional criterion to assess treatment response.ConclusionWe have framed consensus guidelines for diagnosing, classifying, and treating ABPA(M) for patient care and research.

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Section: Resultsmentioning

confidence: 99%

Revised ISHAM-ABPA working group clinical practice guidelines for diagnosing, classifying and treating allergic bronchopulmonary aspergillosis/mycoses

Agarwal,

Sehgal,

Muthu

et al. 2024

Eur Respir J

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“…It offers good sensitivity for the diagnosis of bronchiectasis, and may even provide information regarding lung function. 7 However, few studies have been conducted comparing CT and MRI, and no proper reference data for bronchiectasis are available. 4 Pending thorough validation studies, it is crucial to consider this limitation when interpreting bronchiectasis-related findings in MRI.…”

Section: Are There Any Recent Advancements or Changes In The Diagnost...mentioning

confidence: 99%

Bronchiectasis

Raboso,

Pou,

Abril

et al. 2024

Open Respiratory Archives

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“… 1 4 This pulmonary disorder is diagnosed by identifying the presence of abnormal bronchial dilatation using high-resolution chest CT in the presence of clinical symptoms. 5 7 Children present clinically with a persistent wet cough with or without shortness of breath and poor exercise tolerance. 3 6 8 The pathology can alter mucociliary clearance creating a cycle of inflammation and infection which can lead to pulmonary exacerbations.…”

Section: Introductionmentioning

confidence: 99%

Experiences of children with bronchiectasis and their parents in a novel play-based therapeutic exercise programme: a qualitative analysis

Jones,

Baque,

O'Grady

et al. 2024

BMJ Open

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ObjectivesTo explore the experiences and perceptions of children with bronchiectasis and their parents regarding an 8-week play-based therapeutic exercise programme.DesignQualitative study with inductive content analysis.SettingIndividual semistructured interviews were conducted. Interview recordings were transcribed verbatim, and coding was guided by the content. Content categories were established via consensus moderation.Participants10 parents and 10 children with bronchiectasis aged 5–12 years.ResultsFrom the perspective of children, the most important components of the programme were fun with friends and being active at home as a family. Parents valued the community-based sessions, perceived the programme to be engaging and motivating. Parents perceived improvements in their child’s endurance, coordination and physical activity level. They described the home programme as fun but noted that finding time was difficult. Both parents and children thought that in-person exercise sessions would be better than exercise sessions delivered online.ConclusionsChildren who participated in the play-based exercise programme, found it fun, motivating and accessible. Parents perceived positive impacts on fitness, coordination and physical activity.Trial registration numberThe trial was registered with, Australian and New Zealand Clinical Trials Register (ACTRN12619001008112).

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Radiology of Bronchiectasis

Cited by 9 publications

References 48 publications

Revised ISHAM-ABPA working group clinical practice guidelines for diagnosing, classifying and treating allergic bronchopulmonary aspergillosis/mycoses

Revised ISHAM-ABPA working group clinical practice guidelines for diagnosing, classifying and treating allergic bronchopulmonary aspergillosis/mycoses

Bronchiectasis

Experiences of children with bronchiectasis and their parents in a novel play-based therapeutic exercise programme: a qualitative analysis

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