Article information
Resumo
O termo bronquiectasia é definido como uma dilatação brônquica anormal persistente geralmente associada a inflamação na via aérea e no parênquima pulmonar. A doença continua a ser uma causa comum de morbidade e mortalidade, especialmente quando associada a doenças hereditárias, como a fibrose cística, a discinesia ciliar e a alguns estados de imunodeficiência. A tomografia computadorizada é, actualmente, a modalidade de escolha para o dianóstico e pode também contribuir para o manejo clínico, sugerindo possíveis diagnósticos. Destacamos nesta revisão a classificação, a fisiopatologia e as manifestações radiológicas desta doença.
Rev Port Pneumol 2010; XVI (4): 627-639
Palavras-chave:
Tomografia computadorizada espiral
bronquiectasia
radiologia
fisiologia
patologia
Abstract
Bronchiectasis is defined as an abnormal persistent bronchial dilatation usualy associated with inflammation in the bronchial tree and lung parenchyma. The disease remains a common cause of significant morbidity and mortality, especially when associated with hereditary disorders such as cystic fibrosis, ciliary dyskinesia, and immunodeficiency states. Computed tomography is now the diagnostic modality of choice and may also contribute to clinical management, suggesting some etiologic causes. We highlight developments in classification, physiopathology and radiology of this debilitating disease.
Rev Port Pneumol 2010; XVI (4): 627-639
Key-words:
Tomography
spiral computed
bronchiectasis
radiology
physiology pathology
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Bibliografia
[1.]
R.T.H. Laennec.
Auscultation Mediate, Brosson et Chaude, (1819),
[2.]
P. King, S. Holdsworth, N. Freezer, P. Holmes.
Bronchiectasis.
Intern Med J, 36 (2006), pp. 729-737
[3.]
E.D. Churchil.
The segmental and lobular physiology and pathology of the lung.
J Thorac Surg, 18 (1949), pp. 279-293
[4.]
A. Duprez.
Les limites anatomiques de la dilatation des bronches; l’obstruction des petites bronches.
J Franc Chir Thorac, 5 (1951), pp. 442-453
[5.]
L.M. Reid.
Reduction in bronchial subdivision in bronchiectasis.
Thorax, 5 (1950), pp. 233-247
[6.]
C.A. Hedblon.
Pathogeneses, diagnosis and treatment of bronchiectasis.
Surg, Gynec & Obstet, 52 (1931), pp. 406-417
[7.]
L. Findlay.
Atelectasis or compensatory bronchiectasis.
Arch Dis Child, 10 (1935), pp. 61-84
[9.]
W.P. Warner.
Factors causing bronchiectasis, their clinical applications to diagnosis and treatment.
JAMA, 105 (1935), pp. 1666-1670
[10.]
F. Whitwell.
A study of the pathology and pathogenesis of bronchiectasis.
Thorax, 7 (1952), pp. 213-239
[11.]
F. Koberle, F.G. Alcantara.
Mecanisms of destruction of the neurons of the peripheral nervous system in Chagas disease.
Hospital (Rio), 57 (1960), pp. 1057-1062
[12.]
J.S. Moreira, N.S. Porto, J.J.P. Camargo, J.C. Felicetti, P.F.G. Cardoso, A.L.S. Moreira, et al.
Bronquiectasias: aspectos diagnósticos e terapêuticos Estudo de 170 doentes.
J Pneumol, 29 (2003), pp. 258-263
[13.]
B. Blades, D.J. Dungan.
Pseudobronchiectasis.
J Thorac Surg, 13 (1944), pp. 408
[14.]
W. Finke.
Reversibility of early bronchiectasis; its complications for therapy and prevention.
NY J Med, 51 (1951), pp. 116-136
[15.]
C.E. Field.
Bronchiectasis. Third report in a follow up study of medical and surgical cases of childhood.
Arch Dis Child, 45 (1969), pp. 551-561
[16.]
H.H. Moll.
A Clinical and pathological study of bronchiectasis.
Q J Med, 25 (1932), pp. 457-469
[17.]
C. Heuter.
Ueber angeborone bronchkiectaien and angebore wabenlunge.
Beitrz Z Path Anat, 59 (1914), pp. 520-538
[18.]
F. Sauerbruch.
Die operative Behadlung der Kongenitalen Bronchiektasien.
Arch Klin Chir, 180 (1934), pp. 312-320
[19.]
R.S. Fraser, N.L. Muller, N.C. Colman, P.D. Pare.
Bronchiectasis and other bronchial abnormalities.
Fraser and Pares Diagnosis of Diseases of the Chest, 4th ed, pp. 226-597
[20.]
F.P.L. Lander.
Bronchiectasis and atelectasis: Temporary and permanent changes.
Thorax, 1 (1946), pp. 121-198
[21.]
C. Javidan-Nejad, S. Bhalla.
Bronchiectasis.
Radiol Clin North Am, 47 (2009), pp. 289-306
[22.]
E.Y. Kang, R.R. Miller, N.L. Muller.
Bronchiectasis: comparison of preoperative thinsection CT and pathologic findings in resected specimens.
Radiology, 195 (1995), pp. 649-654
[23.]
D.P. Naidich, T.J. Harkin.
Airways and lung: CT versus bronchography through the fiberoptic bronchoscope.
Radiology, 200 (1996), pp. 613-614
[24.]
K.M. Thicket, D.S. Kumararatne, A.K. Banerjee, R. Dudley, D.E. Stableforth.
Common variable immune deficiency: respiratory manifestations, pulmonary function and high-resolution CT scan findings.
Q J Med, 95 (2002), pp. 655-662
[25.]
I.E. Smith, E. Jurriaans, S. Diederich, N. Ali, J.M. Shneerson, C.D. Flower.
Chronic sputum production: correlations between clinical features and findings on highresolution computed tomographic scanning of the chest.
Thorax, 51 (1996), pp. 914-918
[26.]
J.S. Kim, N.L. Muller, C.S. Park, D.A. Lynch, L.S. Newman, P. Grenier, C.J. Herold.
Bronchoarterial ratio on thin section CT: comparison between high altitude and sea level.
J Comput Assist Tomogr, 21 (1997), pp. 306-311
[27.]
S. Diederich, E. Jurriaans, C.D.R. Flower.
Interobserver variation in the diagnosis of bronchiectasis on highresolution computed-tomography.
Eur Radiol, 6 (1996), pp. 801-806
[28.]
D.P. Naidich.
Computed tomography of bronchiectasis.
J Comput Assist Tomogr, 6 (1982), pp. 437-444
[29.]
I.A. Joharjy, S.A. Bashi, A.K. Abdullah.
Value of medium thickness CT in the diagnosis of bronchiectasis.
Am J Roentgenol AJR, 149 (1987), pp. 1133-1137
[30.]
J.C. Cooke, D.C. Currie, M.P. Morgan.
Role of computed tomography in the diagnosis of bronchiectasis.
Thorax, 42 (1987), pp. 272-277
[31.]
P.M. Silverman, J.D. Godwin.
CT/bronchographic correlations in bronchiectasis.
J Comput Assist Tomogr, 11 (1987), pp. 52-56
[32.]
K. Young, F. Aspestrand, A. Kolbenstvedt.
High resolution CT and bronchography in the assessment of bronchiectasis.
Acta Radiol, 32 (1991), pp. 439-441
[33.]
G. McGuinness, D.P. Naidich, D.I. McAuley.
Bronchiectasis: CT evaluation (pictorial essay).
Am J Roentgenol AJR, 160 (1993), pp. 253-259
[34.]
S.J. Kim, J.G. Im, I.O. Kim.
Normal bronchial and pulmonary arterial diameters measured by thin section CT.
J Comput Assist Tomogr, 19 (1995), pp. 365-369
[35.]
E. Seneterre, F. Paganin, J.M. Bruel, F.B. Michel, J. Bousquet.
Measurement of the internal size of bronchi using high resolution computed tomography (HRCT).
Eur Respir J, 7 (1994), pp. 596-600
[36.]
S.R. Desai, A.U. Wells, F.K. Cheah, P.J. Cole, D.M. Hansell.
The reproducibility of bronchial circumference measurements using computed tomography.
Br J Radiol, 67 (1994), pp. 257-262
[37.]
D.A. Lynch, J.D. Newell, B.A. Tschomper, T.M. Cink, L.S. Newman, R. Bethel.
Uncomplicated asthma in adults: comparison of CT appearance of the lungs in asthmatic and healthy subjects.
Radiology, 188 (1993), pp. 829-833
[38.]
J.S. Kim, N.L. Muller, C.S. Park, P. Grenier, C.J. Herold.
Cylindrical bronchiectasis: diagnostic findings on thinsection CT.
Am J Roentgenol AJR, 168 (1997), pp. 751-764
[39.]
M. RemyJardin, A. Amara, P. Campistron, et al.
Diagnosis of bronchiectasis with multislice spiral CT: accuracy of 3mm thick structured sections.
Eur Radiol, 13 (2003), pp. 1165-1171
[40.]
M. Bhalla, N. Turcios, V. Aponte, et al.
Cystic fibrosis: scoring system with thinsection CT.
Radiology, 179 (1991), pp. 783-788
[41.]
R. Goyal, C.S. White, P.A. Templeton, E.J. Britt, L.J. Rubin.
Case report. High attenuation mucous plugs in allergic bronchopulmonary aspergillosis: CT appearance.
J Comput Assist Tomogr, 16 (1992), pp. 649-650
[42.]
P.M. Logan, N.L. Muller.
High-resolution computed tomography and pathologic findings in pulmonary aspergillosis: a pictorial essay.
Can Assoc Radiol J., 47 (1996), pp. 444-452
[43.]
W.R. Webb.
Thin-section-CT of the secondary pulmonary lobule: anatomy and the image? The 2004 Fleischner Lecture.
Radiology, 239 (2006), pp. 322-339
[44.]
D.M. Hansell, B. Strickland.
Highresolution–computed tomography in pulmonary cystic fibrosis.
Br J Radiol, 62 (1989), pp. 15
[45.]
M.A. King, J.A. Stone, P.T. Diaz, C.F. Mueller, W.J. Becker, J.E. Gadek.
Alpha(1)antitrypsin deficiency: Evaluation of bronchiectasis with CT.
Radiology, 199 (1996), pp. 137-141
[46.]
P.A. de Jong, A. Lindblad, L. Rubin, W.C. Hop, J.C. de Jongste, M. Brink, H.A. Tiddens.
Progression of lung disease on computed tomography and pulmonary function tests in children and adults with cystic fibrosis.
Thorax, 61 (2006), pp. 80-85
[47.]
G.C. Ooi, P.L. Khong, M. ChanYeung, et al.
Highresolution CT quantification of bronchiectasis: Clinical and functional correlation.
Radiology, 225 (2002), pp. 663-672
[48.]
R. Altin, A. Savranlar, L. Kart, et al.
Presence and HRCT quantification of bronchiectasis in coal workers.
Eur J Radiol, 52 (2004), pp. 157-163
[49.]
A.H. Morice, G.A. Fontana, A.R. Sovijarvi, et al.
The diagnosis and management of chronic cough.
Eur Respir J, 24 (2004), pp. 481-492
[50.]
E.A. Edwards, P. Boraschi, A. Antonelli, F. Falaschi, L. Baschieri.
HRCT lung abnormalities are not a surrogate for exercise limitation in bronchiectasis.
Eur Respir J, 24 (2004), pp. 538-544
[51.]
R.M. Shah, W. Sexauer, B.J. Ostrum, S.B. Fiel, A.C. Friedman.
High-resolution CT in the acute exacerbation of cystic fibrosis: evaluation of acute findings, reversibility of those findings, and clinical correlation.
Am J Roentgenol AJR, 169 (1997), pp. 375-380
[52.]
T.H. Helbich, G. HeinzPeer, I. Eichler, P. Wunderbaldinger, M. Götz, C. Wojnarowski, et al.
Cystic fibrosis: CT assessment of lung involvement in children and adults.
Radiology, 213 (1999), pp. 535-544
[53.]
T.H. Helbich, G. HeinzPeer, D. Fleischmann, et al.
Evolution of CT findings in patients with cystic fibrosis.
Am J Roentgenol AJR, 173 (1999), pp. 81-88
[54.]
J.S. Moreira, J.J.P. Camargo, N. Porto, A.L.S. Moreira.
Bronquiectasias.
Doenças pulmonares,
Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
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