The argument for utilising magnetic resonance imaging as a tool for monitoring lung structure and function in pediatric patients.

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM Expert Review of Respiratory Medicine Pub Date : 2023-07-01 Epub Date: 2023-07-28 DOI:10.1080/17476348.2023.2241355
Brandon Zanette, Mary-Louise C Greer, Theo J Moraes, Felix Ratjen, Giles Santyr
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Abstract

Introduction: Although historically challenging to perform in the lung, technological advancements have made Magnetic Resonance Imaging (MRI) increasingly applicable for pediatric pulmonary imaging. Furthermore, a wide array of functional imaging techniques has become available that may be leveraged alongside structural imaging for increasingly sensitive biomarkers, or as outcome measures in the evaluation of novel therapies.

Areas covered: In this review, recent technical advancements and modern methodologies for structural and functional lung MRI are described. These include ultrashort echo time (UTE) MRI, free-breathing contrast agent-free, functional lung MRI, and hyperpolarized gas MRI, amongst other techniques. Specific examples of the application of these methods in children are provided, principally drawn from recent research in asthma, bronchopulmonary dysplasia, and cystic fibrosis.

Expert opinion: Pediatric lung MRI is rapidly growing, and is well poised for clinical utilization, as well as continued research into early disease detection, disease processes, and novel treatments. Structure/function complementarity makes MRI especially attractive as a tool for increased adoption in the evaluation of pediatric lung disease. Looking toward the future, novel technologies, such as low-field MRI and artificial intelligence, mitigate some of the traditional drawbacks of lung MRI and will aid in improving access to MRI in general, potentially spurring increased adoption and demand for pulmonary MRI in children.

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利用磁共振成像作为监测儿科患者肺部结构和功能的工具的论点。
引言:尽管在历史上对肺部成像具有挑战性,但技术进步使磁共振成像(MRI)越来越适用于儿科肺部成像。此外,一系列广泛的功能成像技术已经可用,这些技术可以与结构成像一起用于越来越敏感的生物标志物,或者作为评估新疗法的结果指标。涵盖的领域:在这篇综述中,描述了结构和功能性肺MRI的最新技术进步和现代方法。其中包括超短回波时间(UTE)MRI、无自由呼吸造影剂、功能性肺MRI和超极化气体MRI等技术。提供了这些方法在儿童中应用的具体例子,主要来源于最近对哮喘、支气管肺发育不良和囊性纤维化的研究。专家意见:儿童肺部MRI正在迅速发展,并已做好临床应用的准备,以及对早期疾病检测、疾病过程和新治疗方法的持续研究。结构/功能的互补性使得MRI作为一种工具在评估儿童肺部疾病中越来越受欢迎。展望未来,低场MRI和人工智能等新技术将缓解肺部MRI的一些传统缺点,并将有助于改善MRI的普及率,这可能会刺激儿童对肺部MRI的采用和需求增加。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
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