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Stockholm 2002
Monday 16.09.2002
Miscellaneous respiratory infections in children
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Lung scintigraphy in children with suspected bronchiectasis
G. de Bilderling, E. Bodart, T. Vander Borght, D. Tuerlinckx (Yvoir, Belgium)
Source:
Annual Congress 2002 - Miscellaneous respiratory infections in children
Session:
Miscellaneous respiratory infections in children
Session type:
Thematic Poster Session
Number:
2108
Disease area:
Paediatric lung diseases, Respiratory infections
Abstract
Lung scintigraphy has demonstrated a great sensitivity for the screening of bronchiectasis in children. However its use has not been largely implemented in clinical practice. We have conducted a retrospective study on 42 children (58 scintigrams) who underwent perfusion and/or ventilation scans between 12/93 and 10/01 for possible bronchiectasis. The mean age was 4.5 y (range 6m-13y). Associated diagnosis were : asthma (40%), GORD (14.3%), RSV infection (11.9%) and adenovirus infection (7.3%). Half the scintigrams were normal, 38% displayed a mixed defect. Amongst the 19 children with normal scans, 5 had a CT Scan performed shortly after their scintigraphy (2 normal; 2 collapsus that resolved on further follow-up; 1 moderately severe sequelae of viral pneumonia). The follow-up of the 14 remaining children was uneventful. Sixteen children had a mixed defect on scintigraphy of whom 9 underwent a CT Scan (4 bronchiectasis, 3 obliterans bronchiolitis (OB), 1 infiltrate, 1 normal). Four of the 5 children with hypoperfusion (of whom 3 had undergone a perfusion scan without ventilation) had a CT Scan (3 had an infiltrate and 1 a collapsus, no bronchiectasis nor OB). We concluded that lung scintigraphy was a very sensitive imaging technique in this setting and helped us to avoid many unnecessary CT Scans. In some cases, it might even have a better prognostic value than CT Scan. A prospective study would allow us to assess the role of adding ventilation studies to perfusion scans.
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Citations should be made in the following way:
G. de Bilderling, E. Bodart, T. Vander Borght, D. Tuerlinckx (Yvoir, Belgium). Lung scintigraphy in children with suspected bronchiectasis. Eur Respir J 2002; 20: Suppl. 38, 2108
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