Neonatal and Infant Lung Disorders: Glossary, Practical Approach, and Diagnoses

Se-Young Yoon1, Nathan David P Concepcion2, Olivia DiPrete1

  • 1Department of Radiology, Beth Israel Deaconess Medical Center, Harvard University.

Journal of Thoracic Imaging
|November 20, 2023
PubMed

Insights

Interpreting infant chest imaging requires a systematic approach to differentiate numerous lung disorders. Recognizing radiologic patterns and integrating clinical history aids diagnosis and management planning for neonates and infants.

Area of Science:

  • Pediatric Radiology
  • Thoracic Imaging
  • Neonatal and Infant Lung Diseases

Background:

  • Neonates and infants are susceptible to diverse lung disorders, including congenital, genetic, and iatrogenic conditions.
  • Chest imaging, primarily radiography and CT, is crucial for diagnosing these conditions but faces challenges due to overlapping radiographic features.

Purpose of the Study:

  • To outline a systematic and practical approach for interpreting neonatal and infant chest imaging.
  • To enhance diagnostic accuracy and aid clinical management planning for pediatric thoracic conditions.

Main Methods:

  • Emphasizes recognition of distinct radiologic patterns.
  • Advocates for the use of standardized nomenclature and classification systems.
  • Stresses the importance of correlating imaging findings with clinical history.

Main Results:

  • A structured interpretation method assists radiologists in suggesting diagnoses for complex infant lung conditions.
  • Facilitates better communication between radiologists and clinicians for improved patient care.
  • Addresses the challenge of differentiating overlapping radiographic features in pediatric chest imaging.

Conclusions:

  • A systematic approach to infant chest imaging interpretation is essential for accurate diagnosis and effective management.
  • Integration of pattern recognition, standardized terminology, and clinical context improves diagnostic confidence.
  • Endorsed by the World Federation of Pediatric Imaging (WFPI) and International Society of Pediatric Thoracic Imaging (ISPTI).

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