A radiologic update on medical diseases of the newborn chest

R H Cleveland1

  • 1Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.

Pediatric Radiology
|January 1, 1995
PubMed

Insights

This review covers neonatal chest diseases and their radiographic changes. New therapies like artificial surfactant and advanced ventilation techniques are impacting outcomes for premature infants.

Area of Science:

  • Neonatal Medicine
  • Pediatric Radiology
  • Pulmonology

Background:

  • Neonatal chest diseases present unique diagnostic challenges.
  • Advances in neonatal care have altered disease presentation and radiographic findings.
  • Understanding these changes is crucial for accurate diagnosis and management.

Purpose of the Study:

  • To review common neonatal chest diseases.
  • To highlight radiographic changes associated with new therapeutic interventions.
  • To discuss the impact of modern neonatal care on chest imaging.

Main Methods:

  • Review of current medical literature on neonatal chest diseases.
  • Analysis of radiographic findings in neonates undergoing novel treatments.
  • Discussion of specific conditions including hyaline membrane disease, meconium aspiration, and congenital anomalies.

Main Results:

  • Artificial surfactant use has changed hyaline membrane disease imaging.
  • Improved survival of extremely premature infants (less than 650 g) presents new radiographic patterns.
  • Extracorporeal membrane oxygenation and high-frequency ventilation alter chest radiographs.

Conclusions:

  • Radiographic interpretation in neonates requires awareness of evolving therapeutic impacts.
  • Newborn chest imaging is dynamic, influenced by technological advancements.
  • This review provides a guide to contemporary neonatal chest radiology.

Related Concept Videos

Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...
Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...