Large Airways

  • Pierluigi CietEmail author
  • Mark C. Liszewski
  • Edward Y. Lee


In recent years, magnetic resonance (MR) imaging has become the preferred noninvasive method to assess various congenital and acquired pediatric large airway disorders. Recent technical advances have made MR imaging of the large airways a feasible alternative imaging option to computed tomography (CT). MR imaging provides better contrast-to-noise ratio and soft tissue characterization than CT, facilitating differential diagnosis of soft tissue masses around the large airways in the neck and mediastinal regions. Moreover, MR imaging enables dynamic acquisitions (cine-MR imaging), which are mandatory to assess large airway collapse in children with tracheobronchomalacia. Cine-MR imaging can be performed during specific breathing maneuvers, usually rehearsed in training sessions before the MR imaging, to visualize large airway collapse. Finally, the ability of MR imaging to provide functional information regarding tissue cellularity and inflammation has promoted its use in infectious and inflammatory disorders as well as neoplasms of the large airways. This chapter presents up-to-date imaging techniques for MR imaging of the pediatric large airways followed by characteristic MR imaging findings in a spectrum of pediatric large airway disorders encountered in daily clinical practice.


MR imaging Pediatric Large airways Cine-MR imaging Airway obstruction 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Pierluigi Ciet
    • 1
    Email author
  • Mark C. Liszewski
    • 2
  • Edward Y. Lee
    • 3
  1. 1.Department of Radiology and Nuclear Medicine, Department of Pediatric PulmonologySophia Children’s Hospital Erasmus Medical CenterRotterdamThe Netherlands
  2. 2.Division of Pediatric Radiology, Departments of Radiology and PediatricsThe Children’s Hospital at Montefiore and Montefiore Medical CenterBronxUSA
  3. 3.Division of Thoracic Imaging, Department of RadiologyBoston Children’s Hospital, Harvard Medical SchoolBostonUSA

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