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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

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Bronchopulmonary dysplasia: radiographic appearance in middle childhood

N T Griscom1, W B Wheeler, N B Sweezey

  • 1Harvard Medical School, Boston, MA.

Radiology
|June 1, 1989
PubMed

Insights

Children who survived bronchopulmonary dysplasia (BPD) showed more frequent linear shadows and decreased chest dimensions on radiographs compared to other premature infants. These findings suggest long-term pulmonary changes in BPD survivors.

Area of Science:

  • Pediatric Pulmonology
  • Neonatal Medicine
  • Radiology

Background:

  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting premature infants.
  • Long-term pulmonary sequelae in BPD survivors require further investigation.
  • Understanding radiographic differences can aid in assessing outcomes.

Purpose of the Study:

  • To compare chest radiographic findings in children with a history of BPD versus other premature infants.
  • To identify specific pulmonary abnormalities associated with BPD survivors.
  • To assess chest morphology differences in BPD survivors.

Main Methods:

  • Chest radiographs of 8-9 year old children were analyzed.
  • Three groups were compared: BPD survivors, hyaline membrane disease survivors without BPD, and premature infants without respiratory issues.
  • Radiographic features including linear shadows and chest dimensions were assessed.

Main Results:

  • Linear shadows, indicative of fibrosis or pleural fissuring, were significantly more frequent in the BPD group (15/23) compared to controls (P < .0001).
  • Seventeen BPD survivors had definite, though not severe, pulmonary abnormalities.
  • Survivors of BPD showed a trend towards decreased anteroposterior chest dimension (P < .001).

Conclusions:

  • Children with a history of BPD exhibit distinct long-term radiographic findings.
  • These findings include increased linear shadows and reduced chest dimensions, suggesting persistent pulmonary changes.
  • Radiographic assessment can reveal subtle but significant pulmonary sequelae in BPD survivors.

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