Zheng Helin,Cai Jinhua,Qin Yong,Liu Bo,Li Hao,Huang Kaiping,Liu Xianfan.Cine MR imaging on upper airway in asymptomatic children during sleep[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(13):1340-1343.
Zheng Helin,Cai Jinhua,Qin Yong,Liu Bo,Li Hao,Huang Kaiping,Liu Xianfan.Cine MR imaging on upper airway in asymptomatic children during sleep[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(13):1340-1343.DOI:
Cine MR imaging on upper airway in asymptomatic children during sleep
Objective To investigate the manifestation of upper airway on cine MR imaging in children without respiratory symptoms during sleep. Methods One hundred and twelve subjects without sleep-related disorders were recruited from a population of patients between the ages of 2 and 7 who were referred for MR imaging of the brain because of other reasons in our department from June 2010 to February 2011. A sagittal midline cine MR sequence was performed by using a 1.5-T MR imaging system. The upper airway was segmented as nasopharynx
oropharynx and oral cavity. Motion of the nasopharynx
oropharynx and oral cavity was characterized as static patent
dynamic patent
intermittent collapse
or static collapse. The maximal diameter and greatest change in size of three segments were measured and calculated. Results In 112 subjects
dynamic motion (dynamic patent or intermittent collapse) was detected in the oropharynx in 50 cases (44.6%)
in the nasopharynx in 44 cases (39.3%)
and in the oral cavity in 8 cases (7.2%). The dynamic motion was 2.49±2.20 mm in the oropharynx
2.13±0.75 mm in the nasopharynx
and 1.42±0.53 mm in the oral cavity. Conclusion Cine MR imaging is an ideal way to measure the diameter and evaluate the dynamic motion of the upper airway in children. A certain degree of airway motion (usually less than 5 mm) is commonly encountered in children without sleep disorder and should be considered as a normal finding on cine MRI.
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Department of Radiology
Chongqing Clinical Research Centre of Imaging and Nuclear Medicine
Department of Pathology, Daping Hospital, Army Medical University
Department of Anesthesiology Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders
Department of Ophthalmology, First Affiliated Hospital/Southwest Hospital, Army Medical University (Third Military Medical University)