Magnetic resonance imaging in young adults with cystic fibrosis

Stanley Fiel, A. C. Friedman, D. F. Caroline, P. D. Radecki, E. Faerber, K. Grumbach

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

It is difficult to distinguish between atelectasis, mucoid impaction, and peribronchial inflammation on chest roentgenograms (CXR) in patients with cystic fibrosis (CF). Differentiation between hilar adenopathy and prominent pulmonary vessels is also sometimes difficult. We studied 16 young adults with CF using both magnetic resonance imaging (MRI) and CXR to evaluate the usefulness of MRI in this clinical context. The same patients were studied with abdominal ultrasound and MRI for evaluation of the pancreas, gallbladder, liver, and spleen. The MRI was superior to CXR in detecting hilar and mediastinal adenopathy and in differentiating nodes from prominent vessels. It was useful in the evaluation of bronchiectasis. The CXR was superior for assessing infiltrates, hyperinflation, sternal bowing, volume loss, and hilar retraction. The MRI was only slightly better than sonography in depicting fatty infiltration of the pancreas. The modalities were equally effective in detecting hepatosplenomegaly and signs of portal hypertension. Gallbladder evaluation was far superior with sonography.

Original languageEnglish (US)
Pages (from-to)181-184
Number of pages4
JournalChest
Volume91
Issue number2
DOIs
StatePublished - Jan 1 1987
Externally publishedYes

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Cystic Fibrosis
Young Adult
Magnetic Resonance Imaging
Gallbladder
Pancreas
Ultrasonography
Bronchiectasis
Pulmonary Atelectasis
Portal Hypertension
Thorax
Spleen
Inflammation
Lung
Liver
Lymphadenopathy

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Fiel, S., Friedman, A. C., Caroline, D. F., Radecki, P. D., Faerber, E., & Grumbach, K. (1987). Magnetic resonance imaging in young adults with cystic fibrosis. Chest, 91(2), 181-184. https://doi.org/10.1378/chest.91.2.181
Fiel, Stanley ; Friedman, A. C. ; Caroline, D. F. ; Radecki, P. D. ; Faerber, E. ; Grumbach, K. / Magnetic resonance imaging in young adults with cystic fibrosis. In: Chest. 1987 ; Vol. 91, No. 2. pp. 181-184.
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Fiel, S, Friedman, AC, Caroline, DF, Radecki, PD, Faerber, E & Grumbach, K 1987, 'Magnetic resonance imaging in young adults with cystic fibrosis', Chest, vol. 91, no. 2, pp. 181-184. https://doi.org/10.1378/chest.91.2.181

Magnetic resonance imaging in young adults with cystic fibrosis. / Fiel, Stanley; Friedman, A. C.; Caroline, D. F.; Radecki, P. D.; Faerber, E.; Grumbach, K.

In: Chest, Vol. 91, No. 2, 01.01.1987, p. 181-184.

Research output: Contribution to journalArticle

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N2 - It is difficult to distinguish between atelectasis, mucoid impaction, and peribronchial inflammation on chest roentgenograms (CXR) in patients with cystic fibrosis (CF). Differentiation between hilar adenopathy and prominent pulmonary vessels is also sometimes difficult. We studied 16 young adults with CF using both magnetic resonance imaging (MRI) and CXR to evaluate the usefulness of MRI in this clinical context. The same patients were studied with abdominal ultrasound and MRI for evaluation of the pancreas, gallbladder, liver, and spleen. The MRI was superior to CXR in detecting hilar and mediastinal adenopathy and in differentiating nodes from prominent vessels. It was useful in the evaluation of bronchiectasis. The CXR was superior for assessing infiltrates, hyperinflation, sternal bowing, volume loss, and hilar retraction. The MRI was only slightly better than sonography in depicting fatty infiltration of the pancreas. The modalities were equally effective in detecting hepatosplenomegaly and signs of portal hypertension. Gallbladder evaluation was far superior with sonography.

AB - It is difficult to distinguish between atelectasis, mucoid impaction, and peribronchial inflammation on chest roentgenograms (CXR) in patients with cystic fibrosis (CF). Differentiation between hilar adenopathy and prominent pulmonary vessels is also sometimes difficult. We studied 16 young adults with CF using both magnetic resonance imaging (MRI) and CXR to evaluate the usefulness of MRI in this clinical context. The same patients were studied with abdominal ultrasound and MRI for evaluation of the pancreas, gallbladder, liver, and spleen. The MRI was superior to CXR in detecting hilar and mediastinal adenopathy and in differentiating nodes from prominent vessels. It was useful in the evaluation of bronchiectasis. The CXR was superior for assessing infiltrates, hyperinflation, sternal bowing, volume loss, and hilar retraction. The MRI was only slightly better than sonography in depicting fatty infiltration of the pancreas. The modalities were equally effective in detecting hepatosplenomegaly and signs of portal hypertension. Gallbladder evaluation was far superior with sonography.

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Fiel S, Friedman AC, Caroline DF, Radecki PD, Faerber E, Grumbach K. Magnetic resonance imaging in young adults with cystic fibrosis. Chest. 1987 Jan 1;91(2):181-184. https://doi.org/10.1378/chest.91.2.181