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Updated: Jun 4, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Interventions in the chest in children
Derek J Roebuck1, Mark J Hogan, Bairbre Connolly
1Department of Radiology, Great Ormond Street Hospital, London, UK. RoebuD@gosh.nhs.uk
Insights
Image-guided interventions offer effective treatments for various pediatric chest conditions, including empyemas, lung abscesses, and esophageal strictures. Radiologists utilize percutaneous drainage, biopsy, and balloon dilatation for minimally invasive management.
Area of Science:
- Interventional Radiology
- Pediatric Pulmonology
- Thoracic Surgery
Background:
- Image-guided interventions in the chest cover a broad range of procedures.
- These interventions are crucial for diagnosing and treating various thoracic conditions.
Purpose of the Study:
- To review key image-guided procedures in the chest commonly performed by radiologists.
- To highlight the role of these interventions in pediatric care.
Main Methods:
- Review of current literature and common practices in image-guided thoracic interventions.
- Focus on procedures like percutaneous drainage, biopsy, balloon dilatation, and stenting.
Main Results:
- Percutaneous drainage is the primary treatment for pediatric empyemas and lung abscesses.
- Percutaneous biopsy and localization are valuable for diagnosing focal lung lesions.
- Balloon dilatation is effective for pediatric esophageal strictures, with stenting for refractory cases.
- Balloon dilatation and stenting are increasingly used for pediatric airway stenosis.
Conclusions:
- Image-guided interventions are essential and effective in managing a wide array of pediatric chest conditions.
- Radiologists play a vital role in performing these minimally invasive procedures for improved patient outcomes.
Abstract:
The scope for image-guided intervention in the chest is very wide and encompasses procedures in the heart, pulmonary and systemic vasculature, lungs and pleural cavities, airway, and esophagus. This review describes the most important procedures that are usually performed by radiologists. Percutaneous drainage is now the most common method of treating both empyemas and lung abscesses in children. Although most lung biopsies are carried out by other means, percutaneous biopsy and localization are important alternatives for the diagnosis of focal lung lesions. Esophageal strictures are common in children and are usually best treated by balloon dilatation. The use of retrievable or biodegradable stents has recently been introduced for refractory esophageal strictures. Similarly, balloon dilatation and stenting are now increasingly used in children with stenosis or extrinsic compression of the trachea or bronchi.
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