TY - JOUR T1 - <em>Aspergillus</em>-related lung disease in people with cystic fibrosis: can imaging help us to diagnose disease? JF - European Respiratory Review JO - EUROPEAN RESPIRATORY REVIEW DO - 10.1183/16000617.0103-2021 VL - 30 IS - 162 SP - 210103 AU - Qianting Lv AU - Bernadette B.L.J. Elders AU - Adilia Warris AU - Daan Caudri AU - Pierluigi Ciet AU - Harm A.W.M. Tiddens Y1 - 2021/12/31 UR - http://err.ersjournals.com/content/30/162/210103.abstract N2 - In people with cystic fibrosis (PwCF), viscous sputum and dysfunction of the mucociliary escalator leads to early and chronic infections. The prevalence of Aspergillus fumigatus in sputum is high in PwCF and the contribution of A. fumigatus to the progression of structural lung disease has been reported. However, overall, relatively little is known about the contribution of A. fumigatus to CF lung disease. More knowledge is needed to aid clinical decisions on whether to start antifungal treatment. In this review, we give an overview of A. fumigatus colonisation and infection in PwCF and the different types of pulmonary disease caused by it. Furthermore, we discuss the current evidence for structural lung damage associated with A. fumigatus in PwCF on chest computed tomography and magnetic resonance imaging. We conclude that radiological outcomes to identify disease caused by A. fumigatus can be important for clinical studies and management.Specific structural lung damage on chest CT and MRI associated with A. fumigatus infection in CF can be identified. A. fumigatus-related structural lung damage can be detected on images at an early stage to guide treatment and clinical management in CF. https://bit.ly/3CWzQWq ER -