Agreement between magnetic resonance imaging and computed tomography in the postnatal evaluation of congenital lung malformations: a pilot study

European Radiology
Salvatore ZirpoliAndrea Righini

Abstract

To compare postnatal magnetic resonance imaging (MRI) with the reference standard computed tomography (CT) in the identification of the key features for diagnosing different types of congenital lung malformation (CLM). Respiratory-triggered T2-weighted single-shot turbo spin echo (ss-TSE), respiratory-triggered T1-weighted turbo field echo (TFE), balanced fast field echo (BFFE), and T2-weighted MultiVane sequences were performed at 1.5 T on 20 patients prospectively enrolled. Two independent radiologists examined the postnatal CT and MRI evaluating the presence of cysts, hyperinflation, solid component, abnormal arteries and/or venous drainage, and bronchocele. Diagnostic performance of MRI was calculated and the agreement between the findings was assessed using the McNemar-Bowker test. Interobserver agreement was measured with the kappa coefficient. CT reported five congenital pulmonary airway malformations (CPAMs), eight segmental bronchial atresias, five bronchopulmonary sequestrations (BPS), one congenital lobar overinflation, one bronchogenic cyst, and three hybrid lesions. MRI reported the correct diagnosis in 19/20 (95%) patients and the malformation was correctly classified in 22/23 cases (96%). MRI correctly identified...Continue Reading

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Citations

Jan 31, 2020·Pediatric Radiology·Franz Wolfgang HirschRebecca Marie Anders
Oct 7, 2019·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Francesco MacchiniErnesto Leva
Mar 5, 2021·Clinical Imaging·Leonor AlamoEstelle Tenisch
May 27, 2021·Pediatric Radiology·Kushaljit Singh SodhiJuergen Biederer
Jun 15, 2021·Clinical Radiology·J GeigerC J Kellenberger
Jul 29, 2021·The Indian Journal of Radiology & Imaging·Kushaljit Singh Sodhi
Mar 11, 2021·Pediatric Radiology·Beverley Newman

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