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Imaging evaluation of the diaphragm
D S Gierada1, R M Slone, M J Fleishman
1Mallinckrodt Institute of Radiology, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri, USA.
Chest Surgery Clinics of North America
|June 10, 1998
Summary
Diaphragm abnormalities, affecting breathing and separating chest/abdominal cavities, often show on initial chest X-rays. Further imaging like CT or MRI helps diagnose these radiologic findings.
Area of Science:
- Radiology
- Anatomy
- Physiology
Background:
- The diaphragm is crucial for respiration and separates thoracic and abdominal cavities.
- Diaphragm disorders can impair these functions and often present with radiologic signs.
- Intrathoracic and intra-abdominal diseases can alter the diaphragm's normal appearance.
Purpose of the Study:
- To review the radiologic manifestations of diaphragm abnormalities.
- To discuss the utility of various imaging modalities in diagnosing diaphragm disorders.
- To guide the selection of appropriate imaging techniques for diaphragm abnormalities.
Main Methods:
- Review of radiologic findings associated with diaphragm disorders.
- Discussion of imaging techniques including radiography, fluoroscopy, CT, MR imaging, and ultrasonography.
- Analysis of how intrathoracic and intra-abdominal diseases affect the diaphragm's appearance.
Main Results:
- Diaphragm abnormalities are frequently detected incidentally on chest radiographs.
- Further imaging is often required for definitive diagnosis.
- Fluoroscopy, CT, and MR imaging are key for characterizing abnormalities, with ultrasonography and other methods used less frequently.
Conclusions:
- Diaphragm abnormalities have significant radiologic manifestations.
- Appropriate selection of imaging techniques is essential for accurate diagnosis.
- Radiologic assessment plays a vital role in managing diaphragm-related conditions.