The Journal of Pediatrics
Volume 152, Issue 1 , Pages 90-95.e3 , January 2008

A New Scoring System for Computed Tomography of the Chest for Assessing the Clinical Status of Bronchopulmonary Dysplasia

  • Masayuki Ochiai, MD

      Affiliations

    • Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • Corresponding Author InformationReprint requests: Masayuki Ochiai, MD, Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
    • ,
  • Shunji Hikino, MD, PhD

      Affiliations

    • Perinatal and Maternity Care Unit, Kyushu University Hospital, Fukuoka, Japan
    • ,
  • Hidetake Yabuuchi, MD, PhD

      Affiliations

    • Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Hideki Nakayama, MD, PhD

      Affiliations

    • Department of Neonatology, Fukuoka Municipal Children’s Hospital and Medical Center for Infectious Disease, Fukuoka, Japan
    • ,
  • Kazuo Sato, MD, PhD

      Affiliations

    • Department of Pediatrics, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
    • ,
  • Shouichi Ohga, MD, PhD

      Affiliations

    • Perinatal and Maternity Care Unit, Kyushu University Hospital, Fukuoka, Japan
    • ,
  • Toshiro Hara, MD, PhD

      Affiliations

    • Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

Received 12 December 2006 ,Revised 6 April 2007 ,Accepted 25 May 2007.

References 

  1. Northway WH, Rosan RC, Porter DY. Pulmonary disease following respirator therapy of hyaline membrane disease. N Eng J Med. 1967;276:357–368
  2. Kazzi SNJ, Romero R, McLaughlin K, Ager J, Janisse J. Serial changes in levels of IL-6 and IL-1β in premature infants at risk for bronchopulmonary dysplasia. Pediatr Pulmonol. 2001;31:220–226
  3. D’Angio CT, Basavegowda K, Avissar NE, Finkelstein JN, Sinkin RA. Comparison of tracheal aspirate and bronchoalveolar lavage specimens from premature infants. Biol Neonate. 2002;82:145–149
  4. MacDonald GM, Mullet MD, Seshia MMK. Neonatology: Pathophysiology and Management of the Newborn. 6. Philadelphia, PA: Lippincott Williams & Wilkins; 2005;
  5. Jobe AH, Bancalari E. NICHD/NHLBI/ORD workshop summary: bronchopulmonary dysplasia. Am J Respir Crit Care Med. 2001;163:1723–1729
  6. Toce SS, Farrell PM, Leavit LA, Samuels DP, Edwards DK. Clinical and roentgenographic scoring systems for assessing bronchopulmonary dysplasia. Am J Dis Child. 1984;138:581–585
  7. Edwards DK. Lung Development: Biological and Clinical Perspectives. In:  Farrell PM editors. Radiology of hyaline membrane disease, transient tachypnea of the newborn, and bronchopulmonary dysplasia. New York: Academic Press; 1982;p. 47–89
  8. Oppenheim C, Mamou-Mani T, Sayegh N, Scheinmann P, Lallemand D. Bronchopulmonary dysplasia: value of CT in identifying pulmonary sequelae. Am J Roentgenol. 1994;163:169–172
  9. Howling SJ, Northway WH, Hansel DM, Ward S, Muller NL. Pulmonary sequelae of bronchopulmonary dysplasia survivors: high-resolution CT findings. Am J Roentgenol. 2000;174:1323–1326
  10. Kubota J, Ohki Y, Inoue T, Sakurai M, Shigeta M, Mochizuki H, et al. Ultrafast CT scoring system for assessing bronchopulmonary dysplasia: reproducibility and clinical correlation. Radiat Med. 1998;16:167–174
  11. Aquino SL, Schechter MS, Chiles C, Ablin DS, Chipps B, Webb WR. High-resolution inspiratory and expiratory CT in older children and adult with bronchopulmonary dysplasia. Am J Roentgenol. 1999;173:963–967
  12. Aukland SM, Halvorsen T, Fosse KR, Daltveit AK, Rosendahl K. High-resolution CT of the chest in children and young adults who were born prematurely: findings in a population based study. Am J Roentgenol. 2006;187:1012–1018
  13. Pages J, Buls N, Osteaux M. CT dose in children: a multicentre study. Br J Radiol. 2003;76:803–811
  14. McLean D, Malitz N, Lewis S. Survey of effective dose levels from typical paediatrc CT protocols. Aust Radiol. 2003;47:135–142
  15. Armpilia CI, Fife IAJ, Croasdale PL. Radiation dose quantities and risk in neonate in a special care unit. Br J Radiol. 2002;75:590–595
  16. Brenner DJ, Elliston CD, Hall EJ, Berdon WE. Estimated risks of radiation-induced fatal cancer from pediatric CT. Am J Roentgenol. 2001;176:289–296
  17. Brenner DJ, Elliston CD, Hall EJ. Estimations of cancer risks from pediatric CT radiation are not merely theoretical (Comment on “Point/counterpoint: in x-ray computed tomography, technique factors should be selected appropriate to patient size. Against the proportion.”). Med Phys. 2001;28:2387–2388
  18. Frush DP, Donnely LF, Rosen NS. Computed tomography and radiation risk: what pediatric health care provides should know. Pediatrics. 2003;112:951–957
  19. Vock P. CT dose reduction in children. Eur Radiol. 2005;15:2330–2340

PII: S0022-3476(07)00547-1

doi: 10.1016/j.jpeds.2007.05.043

The Journal of Pediatrics
Volume 152, Issue 1 , Pages 90-95.e3 , January 2008

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