Bronchopulmonary dysplasia from chest radiographs to magnetic resonance imaging and computed tomography: adding value

Pediatr Radiol. 2022 Apr;52(4):643-660. doi: 10.1007/s00247-021-05250-1. Epub 2022 Feb 5.

Abstract

Bronchopulmonary dysplasia (BPD) is a common long-term complication of preterm birth. The chest radiograph appearance and survivability have evolved since the first description of BPD in 1967 because of improved ventilation and clinical strategies and the introduction of surfactant in the early 1990s. Contemporary imaging care is evolving with the recognition that comorbidities of tracheobronchomalacia and pulmonary hypertension have a great influence on outcomes and can be noninvasively evaluated with CT and MRI techniques, which provide a detailed evaluation of the lungs, trachea and to a lesser degree the heart. However, echocardiography remains the primary modality to evaluate and screen for pulmonary hypertension. This review is intended to highlight the important findings that chest radiograph, CT and MRI can contribute to precision diagnosis, phenotyping and prognosis resulting in optimal management and therapeutics.

Keywords: Bronchopulmonary dysplasia; Chronic lung disease of prematurity; Computed tomography; Infants; Lungs; Magnetic resonance imaging; Preterm; Pulmonary hypertension; Radiography; Tracheobronchomalacia.

Publication types

  • Review

MeSH terms

  • Bronchopulmonary Dysplasia* / diagnostic imaging
  • Female
  • Humans
  • Hypertension, Pulmonary*
  • Infant, Newborn
  • Magnetic Resonance Imaging / adverse effects
  • Pregnancy
  • Premature Birth*
  • Tomography, X-Ray Computed / adverse effects