Evidence map›Paper›PMID 42548457›Full record

ArticleCHEST pulmonary2025

Feasibility of Assessing the Abnormal Pediatric Airway Using Rotational Optical Coherence Tomography: The OCT Air Study.

Sune Rubak, Anne Katrine Bak Poulsen, Signe Thim, Nagarajan Muthialu, Thomas Kjærgaard, Emil Nielsen Holck

Abstract read
In one paragraph

Article in CHEST pulmonary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sune RubakDanish Centre for Pediatric Pulmonology and Allergology, Department of Pediatrics and Adolescents Medicine, Aarhus University Hospital, Aarhus, Denmark.
Anne Katrine Bak PoulsenDanish Centre for Pediatric Pulmonology and Allergology, Department of Pediatrics and Adolescents Medicine, Aarhus University Hospital, Aarhus, Denmark.
Signe ThimDanish Centre for Pediatric Pulmonology and Allergology, Department of Pediatrics and Adolescents Medicine, Aarhus University Hospital, Aarhus, Denmark.
Nagarajan MuthialuGreat Ormond Street Hospital for Children, Cardiothoracic Team, London, England.
Thomas KjærgaardDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Emil Nielsen HolckDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Methods currently used to assess and diagnose abnormalities of pediatric airways have several limitations: CT scans involve a risk of ionizing radiation and diagnostic dynamic bronchoscopies have high interobserver variability. Advanced diagnostic methods for evaluating the dynamic airway are needed to enable newer interventions (eg, airway stenting) in select children. The study objective was to investigate the feasibility of optical coherence tomography (OCT) as a measuring method that facilitates accurate, quantifiable, and real-time cross-sectional imaging of the airway. Research Question: Is bronchoscopy-guided quantitative OCT of the lower pediatric airway a feasible method and does it increase diagnostic possibilities? Study Design and Methods: We evaluated a series of 10 children with severe persistent respiratory symptoms with a clinical indication for diagnostic dynamic bronchoscopy (DDB). Feasibility of OCT was defined as the ability to visualize and quantify airway stenoses and dynamic airway collapse in the pediatric airway without procedural complications. Furthermore, the study included a porcine model to calculate the correction constant for the OCT measurements in air in comparison with contrast fluid. Results: Nine children aged 0 to 14 years were included. In total, 34 airway segments were OCT scanned. Results showed that OCT is a feasible method for visualizing and quantifying stenoses of the lower pediatric airway by measuring the mean and minimum lumen areas. The correction constant of OCT in air was 1.3 (interquartile range, 1.29-1.31) in comparison with contrast. Visual assessment of the minimum lumen area stenosis by dynamic bronchoscopy significantly varies in comparison with OCT assessment (18.416%; 95% CI, 8.93-27.91; Interpretation: OCT demonstrated feasibility of providing quantitative assessments of clinical manifestations including cross-sectional imaging in the pediatric airway. The correction constant for optimal quantification was calculated and provided the possibility for precise interpretation of OCT measurements. Further studies are needed to investigate safety, accuracy, and efficacy of OCT in the lower pediatric airway.

Indexed as

childrendiagnostic dynamic bronchoscopy (DDB)optical coherence tomography (OCT)optical frequency domain imaging (OFDI)pediatricpulmonology

Identifiers

PMID42548457
PMCPMC13418872

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