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Updated: Jun 10, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
What does imaging the chest tell us about bronchopulmonary dysplasia?
1Princess Margaret Hospital, Roberts Rd, Subiaco, Western Australia, Australia. andrew.wilson@health.wa.gov.au
Insights
Bronchopulmonary dysplasia (BPD), a complication of preterm birth, affects lung development. Advanced imaging like CT scans and MRI reveal peripheral lung abnormalities in BPD patients of all ages.
Area of Science:
- Pulmonary Medicine
- Pediatric Radiology
- Neonatology
Background:
- Bronchopulmonary dysplasia (BPD) is a frequent complication following preterm birth.
- Chest imaging is crucial for diagnosing BPD and monitoring its complications.
- Understanding BPD's impact on lung development is vital.
Purpose of the Study:
- To review the role of imaging in diagnosing and understanding Bronchopulmonary dysplasia.
- To highlight recent advancements in imaging techniques for BPD assessment.
- To explore the pathophysiology of BPD through imaging findings.
Main Methods:
- Review of studies utilizing chest imaging, including computed tomography (CT) scanning.
- Analysis of findings in infants, children, and young adults with BPD.
- Consideration of emerging techniques like hyperpolarized gas magnetic resonance imaging.
Main Results:
- Imaging studies consistently show peripheral lung abnormalities in BPD.
- These abnormalities may stem from small airway disease or alveolar issues.
- CT scanning offers detailed insights into BPD's pathological changes.
Conclusions:
- Advanced imaging, particularly CT, enhances the understanding of BPD pathophysiology.
- New techniques like hyperpolarized gas MRI promise further insights into BPD's effects on the developing lung.
- Imaging plays a pivotal role in the clinical management and research of BPD.
Abstract:
Bronchopulmonary dysplasia (BPD) is a common complication of preterm birth. Chest imaging is important in making the diagnosis of BPD, and in assessing for complications. More recently computerised tomography (CT) scanning has provided insights in to the pathophysiology of BPD. Studies in infants, young and school age children as well as young adults have consistently demonstrated abnormalities in the peripheral lung, possibly related either to small airway or alveolar disease. Advances in CT scanning may increase the clinical role for this modality, in addition newer techniques such as hyperpolarised gas magnetic resonance imaging are likely to provide further insights in to the nature of BPD and its effects on the developing lung.
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