Abstract:
BACKGROUND:Transient synovitis is the most common cause of acute hip pain in children. However, MR imaging findings in transient synovitis and the role of MR imaging in differentiating transient synovitis from septic arthritis have not been fully reported. OBJECTIVE:To describe the MR findings of transient synovitis and to determine whether the MR characteristics can differentiate this disease entity from septic arthritis. MATERIALS AND METHODS:Clinical findings and MR images of 49 patients with transient synovitis (male/female 36/13, mean age 6.1 years) and 18 patients with septic arthritis (male/female 10/8, mean age 4.9 years) were retrospectively reviewed. RESULTS:MR findings of transient synovitis were symptomatic joint effusion, synovial enhancement, contralateral joint effusion, synovial thickening, and signal intensity (SI) alterations and enhancement in surrounding soft tissue. Among these, SI alterations and enhancement in bone marrow and soft tissue, contralateral joint effusion, and synovial thickening were statistically significant MR findings in differentiating transient synovitis from septic arthritis. CONCLUSIONS:The statistically significant MR findings in transient synovitis are contralateral (asymptomatic) joint effusions and the absence of SI abnormalities of the bone marrow. It is less common to have SI alterations and contrast enhancement of the soft tissues. The statistically significant MR findings in septic arthritis are SI alterations of the bone marrow, and SI alterations and contrast enhancement of the soft tissue. Ipsilateral effusion and synovial thickening and enhancement are present in both diseases.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Yang WJ,Im SA,Lim GY,Chun HJ,Jung NY,Sung MS,Choi BGdoi
10.1007/s00247-006-0289-9subject
Has Abstractpub_date
2006-11-01 00:00:00pages
1154-8issue
11eissn
0301-0449issn
1432-1998journal_volume
36pub_type
杂志文章abstract::Thirteen newborns with lethal short rib-polydactyly (SRP) have been reviewed, 11 with SRP type III (Verma-Naumoff) and 2 with SRP type II (Majewski). In the former group there were three sets of siblings. The excess of males with SRP type III (Verma-Naumoff) is confirmed in this present study. A high frequency of phen...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388282
更新日期:1987-01-01 00:00:00
abstract::Hydrostatic reduction of an ileocolic intussusception has not been reported when barium dissects around the intussusceptum as opposed to pushing it retrograde. Consequently, this development is considered an indication to discontinue hydrostatic reduction. We have studied a baby in whom draining the colon caused a see...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387971
更新日期:1986-01-01 00:00:00
abstract::Scrotal abscess in infancy is rare and, in an otherwise healthy infant, an unexpected pathology. We present a 2-week-old boy with a unilateral scrotal swelling, imaged by high-resolution sonography. Sonography with colour Doppler demonstrated an encapsulated heterogeneous mass in the left scrotum with surrounding hype...
journal_title:Pediatric radiology
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doi:10.1007/s00247-006-0273-4
更新日期:2006-11-01 00:00:00
abstract::Aspergillus is the most common fungal infectious pathogen in immunocompromised individuals, but the diagnosis is hard to obtain. In a patient with spinal cord involvement, MRI proved to be excellent. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02013175
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:In contrast to adults, intraparenchymal haemorrhage (IPH) is at least as common as ischaemic stroke in children. There is often uncertainty about the most appropriate modality for imaging in the acute stage. OBJECTIVE:To examine the diagnostic value of MRI and MR angiography (MRA) in the detection of underl...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0236-9
更新日期:2006-09-01 00:00:00
abstract::Multiple epiphyseal dysplasia (MED) is an osteochondrodysplasia characterized clinically by mild short stature and early-onset degenerative joint disease and radiographically by epiphyseal hypoplasia/dysplasia. MED is genetically heterogeneous, with autosomal dominant cases resulting from mutations in at least three g...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000362
更新日期:2001-01-01 00:00:00
abstract::We report a Japanese boy, who is considered as having Patterson-Lowry rhizomelic dysplasia, a rare, as yet undefined, skeletal dysplasia. The diagnosis was warranted by the constellation of skeletal abnormalities - mild platyspondyly, hypoplastic ilia, broad proximal femora with prominent lesser trochanters, mild brac...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000401
更新日期:2001-02-01 00:00:00
abstract::Previous studies have suggested that CT examinations of the brain in children soon after near-drowning incidents are not helpful in predicting clinical outcome and are not necessary. The clinical and CT findings of 19 pediatric near-drowning victims were reviewed for correlation with clinical and neurologic outcome. A...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010911
更新日期:1993-01-01 00:00:00
abstract::During halothane anaesthesia the hepatic blood flow may be reduced. This effect interferes with the angiographic investigation of the liver and this is demonstrated by the case presented. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973989
更新日期:1977-03-17 00:00:00
abstract::Rapidly involuting congenital hemangioma (RICH) is a recently recognized entity in which the vascular tumor is fully developed at birth and undergoes rapid involution. Angiographic findings in two infants with congenital hemangioma are reported and compared with a more common postnatal infantile hemangioma and a conge...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0726-3
更新日期:2003-01-01 00:00:00
abstract::The authors present a case of cervical chordoma which manifested in a 5-year-old boy as a dumbbell-shaped epidural tumor without bone destruction. Both CT and MRI demonstrated tumor features suggesting this diagnosis, which was confirmed by histology. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01403709
更新日期:1996-01-01 00:00:00
abstract::Seventeen children with adrenocortical neoplasms (13 carcinomas: four adenomas) are reviewed and attention is focused on the value of the newer imaging modalities in the management of these children. All the lesions were functioning tumors. CT is the single most important modality in assessing primary and metastatic d...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00975660
更新日期:1983-01-01 00:00:00
abstract::Vertical expandable prosthetic titanium rib (VEPTR) is increasingly used in the treatment of thoracic insufficiency, idiopathic and neuromuscular scoliosis and chest wall defects in children. In contrast to spinal fusion surgery, the VEPTR allows for growth while stabilizing the deformity. We illustrate the common ind...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-014-3128-4
更新日期:2015-04-01 00:00:00
abstract::The risks associated with total splenectomy, including overwhelming postsplenectomy infection, have led to an interest in the use of partial splenectomy as an alternative surgical option for children with congenital hemolytic anemias and hypersplenism. Partial splenectomy, a procedure designed to remove enough spleen ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-009-1519-8
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Bone age (BA) rating is time consuming and highly rater dependent. OBJECTIVE:To adjust the fully automated BoneXpert method to agree with the manual Greulich and Pyle BA (GP BA) ratings of five raters and to validate the accuracy for short children. MATERIALS AND METHODS:A total of 1,097 left hand radiogra...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-1114-4
更新日期:2009-06-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 已发布勘误
doi:10.1007/s00247-020-04665-6
更新日期:2020-05-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-0933-6
更新日期:2003-07-01 00:00:00
abstract::Intrathoracic rib is a rare congenital anomaly that is usually discovered incidentally. It represents a benign lesion but can mimic intrathoracic pathology, so it is important to recognize it to prevent further unnecessary investigation or intervention. Typically, the classic appearance allows diagnosis with confidenc...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0881-2
更新日期:2008-09-01 00:00:00
abstract::A case of gastro-oesophageal intussusception was reported in 1840 by Von Rokitanski: this is rare, with only two other cases having been reported. In our patient the gastro-oesophageal intussusception followed Nissen fundoplication. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02019667
更新日期:1990-01-01 00:00:00
abstract::A case of spontaneous disappearance of an intrathoracic meningocele following insertion of a ventriculo-venous shunt is reported. The shunt was performed for treatment of hydrocephalus secondary to Arnold-Chiari malformation. The intrathoracic meningocele reappeared when the shunt obstructed and decreased in size when...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973987
更新日期:1977-03-17 00:00:00
abstract::We report a case of multifocal metachronous giant cell tumor (GCT) that involved the fibula, tibia, and sacrum of a 15-year-old boy. Multifocal GCT of bone presenting in children is an exceedingly rare phenomenon; however, there is evidence that multifocal GCT presents, on average, at a younger age than solitary GCT. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-004-1346-x
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Nusinersen, the only treatment approved by the United States Food and Drug Administration for spinal muscular atrophy (SMA), is delivered intrathecally. Many children with SMA have extensive spinal instrumentation and deformities, often precluding the use of standard approaches for gaining intrathecal access...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-017-4031-6
更新日期:2018-03-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2249-2
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Shielding of the gonads is a dose-saving strategy in pediatric radiography and its use is the law in New York and the majority of other states. However, routine use of gonadal shields is controversial because of concerns that important diagnostic information can be obscured. OBJECTIVE:The purpose of this st...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-013-2700-7
更新日期:2013-10-01 00:00:00
abstract::The congenital subglottic hemangioma typically appears as an asymmetric subglottic narrowing or mass on frontal neck radiographs. Therefore, soft tissue neck radiography has been advocated as a definitive non-operative approach for diagnosing these lesions. However, we have noted similar asymmetric subglottic narrowin...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388997
更新日期:1988-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-005-0034-9
更新日期:2006-01-01 00:00:00
abstract::Extensive vascular calcification in an 8-year-old girl with perinatally acquired AIDS is reported. Complicating factors included cardiomyopathy, chronic lung disease, disseminated Mycobacterium avium complex (MAC), and wasting syndrome with total nutrition dependence. Plain abdominal films and CT of the abdomen immedi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01395718
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Additional fractures occur in association with proximal radius fractures, but the extent of these secondary injuries has not been systematically assessed. OBJECTIVE:To ascertain the frequency and nature of additional fractures associated with proximal radius injuries in a large pediatric cohort. MATERIALS ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04445-x
更新日期:2019-08-01 00:00:00
abstract::Systemic hypertension after renal transplantation in children is frequent, occurring in 85% of the cases and may be the cause of severe neurologic complications. This can be due to multiple factors such as: rejection, recurrence of initial disease, steroid, etc. ... Among those factors, renal transplant artery stenosi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387633
更新日期:1989-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386819
更新日期:1986-01-01 00:00:00