Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients
Abstract Background Pediatric chronic lung disease (CLD) represents a heterogeneous group of several distinct clinical entities, with its prevalence increasing over the last decade. The current study aimed to identify the role of chest multidetector computed tomography (MDCT) using modified Bhalla s...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43055-022-00947-1 |
| _version_ | 1828083390874648576 |
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| author | Mona Ahmed Fouad Hafez Chandan Kumar Singh Yasmin Saied Aly Sayed Reham Osama Mahmoud |
| author_facet | Mona Ahmed Fouad Hafez Chandan Kumar Singh Yasmin Saied Aly Sayed Reham Osama Mahmoud |
| author_sort | Mona Ahmed Fouad Hafez |
| collection | DOAJ |
| description | Abstract Background Pediatric chronic lung disease (CLD) represents a heterogeneous group of several distinct clinical entities, with its prevalence increasing over the last decade. The current study aimed to identify the role of chest multidetector computed tomography (MDCT) using modified Bhalla scoring for the early diagnosis of CLD in pediatric patients and determine the most common chest MDCT findings. This prospective study involved 45 pediatric patients with chronic respiratory symptoms, all of whom underwent MDCT. Thereafter, data were analyzed using the modified Bhalla score. Results Chronic lung diseases were classified according to their radiological and clinical criteria. The total CT score, which was the most significant factor for chronic inhalation and chronic recurrent inflammatory lung diseases, varied between 2 and 21 points, with those having autoimmune diseases exhibiting the largest value for the mean CT score. The clinical severity of symptoms was not correlated with CT score. Conclusion Our findings showed that MDCT was a useful tool for diagnosing pediatric CLD and assessing disease extent, severity, and superimposed complications. The modified Bhalla CT scoring system allowed for systematic primary and follow-up assessments of various lung lesions in cases with varying CLD etiologies. |
| first_indexed | 2024-04-11T04:08:18Z |
| format | Article |
| id | doaj.art-3c5ce27f6e2c49fe90e71a77108b3956 |
| institution | Directory Open Access Journal |
| issn | 2090-4762 |
| language | English |
| last_indexed | 2024-04-11T04:08:18Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-3c5ce27f6e2c49fe90e71a77108b39562023-01-01T12:15:40ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622022-12-0153111110.1186/s43055-022-00947-1Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patientsMona Ahmed Fouad Hafez0Chandan Kumar Singh1Yasmin Saied Aly Sayed2Reham Osama Mahmoud3Diagnostic Radiology and Intervention, Kasr-Alainy Hospital, Cairo University Medical SchoolDiagnostic Radiology and Intervention, Kasr-Alainy Hospital, Cairo University Medical SchoolPaediatric Departments, Kasr-Alainy Hospital, Cairo UniversityDiagnostic Radiology and Intervention, Kasr-Alainy Hospital, Cairo University Medical SchoolAbstract Background Pediatric chronic lung disease (CLD) represents a heterogeneous group of several distinct clinical entities, with its prevalence increasing over the last decade. The current study aimed to identify the role of chest multidetector computed tomography (MDCT) using modified Bhalla scoring for the early diagnosis of CLD in pediatric patients and determine the most common chest MDCT findings. This prospective study involved 45 pediatric patients with chronic respiratory symptoms, all of whom underwent MDCT. Thereafter, data were analyzed using the modified Bhalla score. Results Chronic lung diseases were classified according to their radiological and clinical criteria. The total CT score, which was the most significant factor for chronic inhalation and chronic recurrent inflammatory lung diseases, varied between 2 and 21 points, with those having autoimmune diseases exhibiting the largest value for the mean CT score. The clinical severity of symptoms was not correlated with CT score. Conclusion Our findings showed that MDCT was a useful tool for diagnosing pediatric CLD and assessing disease extent, severity, and superimposed complications. The modified Bhalla CT scoring system allowed for systematic primary and follow-up assessments of various lung lesions in cases with varying CLD etiologies.https://doi.org/10.1186/s43055-022-00947-1Computed tomographyMultidetectorPediatric chestChronic lung disease |
| spellingShingle | Mona Ahmed Fouad Hafez Chandan Kumar Singh Yasmin Saied Aly Sayed Reham Osama Mahmoud Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients The Egyptian Journal of Radiology and Nuclear Medicine Computed tomography Multidetector Pediatric chest Chronic lung disease |
| title | Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients |
| title_full | Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients |
| title_fullStr | Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients |
| title_full_unstemmed | Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients |
| title_short | Added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients |
| title_sort | added value of a chest multidetector computed tomography scoring system in the assessment of chronic lung disease among pediatric patients |
| topic | Computed tomography Multidetector Pediatric chest Chronic lung disease |
| url | https://doi.org/10.1186/s43055-022-00947-1 |
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