Zusammenfassung
In diesem Beitrag werden zunächst die für die computertomographische (CT) Erfassung
von Erkrankungen der großen und kleinen Atemwege optimalen Untersuchungstechniken
dargestellt. Anschließend folgt eine Beschreibung der CT-Charakteristika der häufigsten
Erkrankungen der großen Atemwege (Haupt- und Segmentbronchien). Zuletzt werden die
CT-Veränderungen sowie einzelne histopathologische Subtypen der Erkrankungen kleiner
Atemwege zusammenfassend dargestellt.
Abstract
This article first presents the optimal imaging techniques for diagnosing diseases
of the large and small airways using computed tomography (CT). This is followed by
a description of the computed tomographic features of the most common diseases of
the large airways (main and segmental bronchi). Finally, the CT changes and histopathologic
subtypes of small airways diseases are summarized.
Key words
lung diseases - chronic bronchitis - bronchiectasis - cystic fibrosis - tumors of
the tracheobronchial tree - small airways diseases - bronchiolitis obliterans
Literatur
- 1
Bhalla M, Naidich D P, McGuinness G, Gruden J F, Leitman B S, McCauley D I.
Diffuse lung disease: assessment with helical CT-preliminary observations of the role
of maximum and minimum intensity projection images.
Radiology.
1996;
200
341-347
- 2
Nishino M, Kuroki M, Boiselle P M, Copeland J F, Raptopoulos V, Hatabu H.
Coronal reformations of volumetric expiratory high-resolution CT of the lung.
AJR Am J Roentgenol.
2004;
182
979-982
- 3
Nishino M, Boiselle P M, Copeland J F, Raptopoulos V, Hatabu H.
Value of volumetric data acquisition in expiratory high-resolution computed tomography
of the lung.
J Comput Assist Tomogr.
2004;
28
209-214
- 4
Arakawa H, Webb W R.
Expiratory high-resolution CT scan.
Radiol Clin North Am.
1998;
36
189-209
- 5
Lucidarme O, Grenier P A, Cadi M, Mourey-Gerosa I, Benali K, Cluzel P.
Evaluation of air trapping at CT: comparison of continuous-versus suspended-expiration
CT techniques.
Radiology.
2000;
216
768-772
- 6
Gotway M B, Lee E S, Reddy G P, Golden J A, Webb W R.
Low-dose, dynamic, expiratory thin-section CT of the lungs using a spiral CT scanner.
J Thorac Imaging.
2000;
15
168-172
- 7
Choi S J, Choi B K, Kim H J. et al .
Lateral decubitus HRCT: a simple technique to replace expiratory CT in children with
air trapping.
Pediatr Radiol.
2002;
32
179-182
- 8
Remy-Jardin M, Remy J, Boulenguez C, Sobaszek A, Edme J L, Furon D.
Morphologic effects of cigarette smoking on airways and pulmonary parenchyma in healthy
adult volunteers: CT evaluation and correlation with pulmonary function tests.
Radiology.
1993;
186
107-115
- 9
Muller N L, Coxson H.
Chronic obstructive pulmonary disease. 4: imaging the lungs in patients with chronic
obstructive pulmonary disease.
Thorax.
2002;
57
982-985
- 10
Bick U, Schulze-Everding A, Roos N, Krings W, von Lengerke H J.
Lungenveränderungen bei der Mukoviszidose. Möglichkeiten und Nutzen der verschiedenen
bildgebenden Verfahren.
Radiologe.
1990;
30
598-605
- 11
Mason A C, Nakielna B E.
Newly diagnosed cystic fibrosis in adults: pattern and distribution of bronchiectasis
in 12 cases.
Clin Radiol.
1999;
54
507-512
- 12
Hansell D M, Wells A U, Rubens M B, Cole P J.
Bronchiectasis: functional significance of areas of decreased attenuation at expiratory
CT.
Radiology.
1994;
193
369-374
- 13
Roberts H R, Wells A U, Milne D G. et al .
Airflow obstruction in bronchiectasis: correlation between computed tomography features
and pulmonary function tests.
Thorax.
2000;
55
198-204
- 14
Bankier A A, Fleischmann D, Mallek R. et al .
Bronchial wall thickness: appropriate window settings for thin-section CT and radiologic-anatomic
correlation.
Radiology.
1996;
199
831-836
- 15
Kramer S S, Wehunt W D, Stocker J T, Kashima H.
Pulmonary manifestations of juvenile laryngotracheal papillomatosis.
AJR Am J Roentgenol.
1985;
144
687-694
- 16
Collins J, Blankenbaker D, Stern E J.
CT patterns of bronchiolar disease: what is „tree-in-bud”?.
AJR Am J Roentgenol.
1998;
171
365-370
- 17
Worthy S A, Muller N L, Hartman T E, Swensen S J, Padley S P, Hansell D M.
Mosaic attenuation pattern on thin-section CT scans of the lung: differentiation among
infiltrative lung, airway, and vascular diseases as a cause.
Radiology.
1997;
205
465-470
- 18
Lee K W, Chung S Y, Yang I, Lee Y, Ko E Y, Park M J.
Correlation of aging and smoking with air trapping at thin-section CT of the lung
in asymptomatic subjects.
Radiology.
2000;
214
831-836
- 19
Tanaka N, Matsumoto T, Miura G. et al .
Air trapping at CT: high prevalence in asymptomatic subjects with normal pulmonary
function.
Radiology.
2003;
227
776-785
- 20
Copley S J, Wells A U, Muller N L. et al .
Thin-section CT in obstructive pulmonary disease: discriminatory value.
Radiology.
2002;
223
812-819
- 21
Leung A N, Fisher K, Valentine V. et al .
Bronchiolitis obliterans after lung transplantation: detection using expiratory HRCT.
Chest.
1998;
113
365-370
- 22
Worthy S A, Park C S, Kim J S, Muller N L.
Bronchiolitis obliterans after lung transplantation: high-resolution CT findings in
15 patients.
AJR Am J Roentgenol.
1997;
169
673-677
- 23
Siegel M J, Bhalla S, Gutierrez F R, Hildebolt C, Sweet S.
Post-lung transplantation bronchiolitis obliterans syndrome: usefulness of expiratory
thin-section CT for diagnosis.
Radiology.
2001;
220
455-462
- 24
Bankier A A, Van Muylem A, Knoop C, Estenne M, Gevenois P A.
Bronchiolitis obliterans syndrome in heart-lung transplant recipients: diagnosis with
expiratory CT.
Radiology.
2001;
218
533-539
- 25
Konen E, Gutierrez C, Chaparro C. et al .
Bronchiolitis obliterans syndrome in lung transplant recipients: can thin-section
CT findings predict disease before its clinical appearance?.
Radiology.
2004;
231
467-473
- 26
Park C S, Muller N L, Worthy S A, Kim J S, Awadh N, Fitzgerald M.
Airway obstruction in asthmatic and healthy individuals: inspiratory and expiratory
thin-section CT findings.
Radiology.
1997;
203
361-367
- 27
Heyneman L E, Ward S, Lynch D A, Remy-Jardin M, Johkoh T, Muller N L.
Respiratory bronchiolitis, respiratory bronchiolitis-associated interstitial lung
disease, and desquamative interstitial pneumonia: different entities or part of the
spectrum of the same disease process?.
AJR Am J Roentgenol.
1999;
173
1617-1622
- 28
Myers J L, Colby T V.
Pathologic manifestations of bronchiolitis, constrictive bronchiolitis, cryptogenic
organizing pneumonia, and diffuse panbronchiolitis.
Clin Chest Med.
1993;
14
611-622
- 29
Worthy S A, Muller N L.
Small airway diseases.
Radiol Clin North Am.
1998;
36
163-173
- 30
Hwang J H, Kim T S, Lee K S. et al .
Bronchiolitis in adults: pathology and imaging.
J Comput Assist Tomogr.
1997;
21
913-919
Korrespondenzadresse
Dr. Claudia Grosse
Universitätsklinik für Radiodiagnostik · Medizinische Universität Wien
Währinger Gürtel 18 - 20 · 1090 Wien, Österreich
eMail: claudiagrosse@gmx.at