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Characteristics Radiologic Signs of Infectious Bronchiolitis. A Practical Approach for the General Doctors

https://doi.org/10.20514/2226-6704-2021-11-2-85-93

Abstract

The «bronchiolitis» unites a heterogeneous group of diseases of inflammatory nature, the anatomical substrate of which are Airways without cartilage wall-bronchioles. Despite the etiological diversity of bronchiolitis, pathomorphological they manifest a certain set of changes in the lung tissue. This determines the similarity of visualization of different types of bronchiolitis during computed tomography of the chest. The key to successful diagnosis of bronchiolitis is a clear understanding of the definition of this pathology and a comprehensive analysis by a Clinician of anamnestic, clinical, laboratory and radiological data. In this article, we will consider three types of cellular bronchiolitis, which are combined by imaging on computed tomography of the chest pattern «tree in the kidneys»: infectious, aspiration bronchiolitis and diffuse panbronchiolitis.

About the Authors

M. A. Karnaushkina
Federal State Autonomous Educational Institution of Higher Education «Peoples’ Friendship University of Russia» (RUDN University), Department of Internal Medicine with a course of cardiology and functional diagnostics named after academician V.S. Moiseev
Russian Federation

Maria A. Karnaushkina

Moscow



A. D. Strutynskaya
Russian Medical Academy of Postgraduate Education
Russian Federation

Moscow



S. L. Babak
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
Russian Federation

Moscow



M. V. Gorbunova
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
Russian Federation

Moscow



References

1. Hansell D.M., Bankier A.A., MacMahon.H.et al. Fleischner Society: glossary of terms for thoracic imaging Radiology. 2008; 246(3): 697-722. doi: 10.1148/radiol.2462070712.

2. Peter J. Winningham, Santiago Martínez-Jiménez, Melissa L. Rosado-de-Christenson et al. Bronchiolitis: A Practical Approach for the General Radiologist. RadioGraphics. 2017; 37(3): 1-18. doi: 10.1148/rg.2017160131.

3. Devakonda A., Raoof S., Sung A. et al. Bronchiolar disorders: a clinicalradiological diagnostic algorithm. Chest. 2010; 137(4): 938–951. doi: 10.1378/chest.09-0800.

4. Eun-Young Kang, Ok Hee Woo, Bong Kyung Shin et al. Bronchiolitis: Classification, Computed Tomographic and Histopathologic Features, and Radiologic Approach. J Comput Assist Tomogr. 2009; 33(1): 32-41. doi: 10.1097/RCT.0b013e3181635e50.

5. Ovsyannikov D.Yu. Acute bronchiolisis in children. Voprosy-prakticheskoy- pediatrii. 2010; 5 (2): 75–84. [In Russian]

6. Verschakelen J.A., Wever W.De. Medical Radiology. Computed Tomography of the Lung. A Pattern Approach Encyclopedia of Medical Radiology. Berlin: Springer Berlin Heidelberg New York. 2007; 217 р. ISBN 978-3-642-39518-5

7. Madamaa D., Matosa P., Francoa A. et al. Adult bronchiolitis --- A clinical and pathological interpretative classification Rev Port Pneumol (2006). 2016; 22(2): 93-100. doi: 10.1016/j.rppnen.2015.06.008.

8. Patrick R. Aguilar, Andrew P. Michelson, Warren Isakow. Obliterative Bronchiolitis Transplantation. 2016; 100(2): 272–283. doi: 10.1097/TP.0000000000000892

9. Abigail V. Berniker, Travis S. Henry. Imaging of Small Airway Diseases. Radiol Clin North Am. 2016; 54(6): 1165-1181. doi: 10.1016/j.rcl.2016.05.009

10. Kharuzhyk S.A., Mikhailov A.N. Fundamentals of CT visualization. Part 2. Images postprocessing «Radiology-Practice» Continued medical education. 2011; 4: 52-65. [In Russian]

11. Milliron B., Henry T.S., Veeraraghavan S. et al. Bronchiectasis: mechanisms and imaging clues of associated common and uncommon diseases. RadioGraphics 2015;35(4):1011–1030. doi: 10.1148/rg.2015140214

12. Kai Ryu, Noboru Takayanagi, Takashi Ishiguro et al. Etiology and Outcome of Diffuse Acute Infectious Bronchiolitis in Adults. 2015; 12(12): 1781-1787. doi: 10.1513/AnnalsATS.201507-473OC

13. Milliron B., Henry T.S., Veeraraghavan S. et al. Bronchiectasis: mechanisms and imaging clues of associated common and uncommon diseases. RadioGraphics. 2015; 35(4): 1011–1030. doi: 10.1148/rg.2015140214.

14. Ya-Nan Li1, Li Liu, Hong-Mei Qiao et al. Post-infectious bronchiolitis obliterans in children:a review of 42 cases. BMC Pediatrics. 2014; 14: 238.

15. Augustine S. Lee, Jay H. Ryu Aspiration Pneumonia and Related Syndromes. Mayo Clin Proc. 2018; 93(6): 752-762. doi: 10.1016/j.mayocp.2018.03.011.

16. Andrew D. Prather, Tristan R. Smith, Dana M. Poletto et al. Aspiration- Related Lung Diseases Thorac Imaging. 2014; 29(5): 304-309. doi: 10.1097/RTI.0000000000000092.

17. Peyron P., Vaubourgeix J., Poquet Y. et al. Foamy macrophages from tuberculous patients’ granulomas constitute a nutrient-rich reservoir for M. tuberculosis persistence. PLoS Pathog. 2008; 4(11): e1000204. doi: 10.1371/journal.ppat.1000204.

18. Chroneos Z.C., K. Midde K., Sever-Chroneos Z. et al. Pulmonary surfactant and tuberculosis. Tuberculosis (Edinb). 2009; 89(Suppl 1): 10-14. doi: 10.1016/S1472-9792(09)70005-8.

19. Hunter R.L. On the pathogenesis of post primary tuberculosis: the role of bronchial obstruction in the pathogenesis of cavities. Tuberculosis (Edinb). 2011; 91 (Suppl 1): 6-10. doi: 10.1016/j.tube.2011.10.003.

20. Franquet T., Müller N.L., Giménez A. et al. Spectrum of pulmonary aspergillosis: histologic, clinical, and radiologic findings. Radiographics. 2001; 21(4): 825-37. doi: 10.1148/radiographics.21.4.g01jl03825.

21. Arun C. Nachiappan, Kasra Rahbar, Xiao Shi et al. Pulmonary Tuberculosis: Role of Radiology in Diagnosis and Management. RadioGraphics. 2017; 37: 52-72. doi: 10.1148/rg.2017160032


Review

For citations:


Karnaushkina M.A., Strutynskaya A.D., Babak S.L., Gorbunova M.V. Characteristics Radiologic Signs of Infectious Bronchiolitis. A Practical Approach for the General Doctors. The Russian Archives of Internal Medicine. 2021;11(2):85-93. https://doi.org/10.20514/2226-6704-2021-11-2-85-93

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ISSN 2226-6704 (Print)
ISSN 2411-6564 (Online)