Abstract:
BACKGROUND:The number of multislice CT (MSCT) scans performed in polytraumatized children has increased rapidly. There is growing concern regarding the radiation dose in MSCT and its long-term consequences, especially in children. OBJECTIVE:To determine the effective dose to polytraumatized children who undergo whole-body MSCT. MATERIALS AND METHODS:A total of 51 traumatized children aged 0-16 years underwent a polytrauma protocol CT scan between November 2004 and August 2006 at our institution. The effective dose was calculated retrospectively by a computer program (CT-Expo 1.5, Hannover, Germany). RESULTS:The mean effective dose was 20.8 mSv (range 8.6-48.9 mSv, SD +/- 7.9 mSv). There was no statistically significant difference in the effective dose between male and female patients. CONCLUSION:Whole-body MSCT is a superior diagnostic tool in polytraumatized children with 20.8 mSv per patient being a justified mean effective dose. In a potentially life-threatening situation whole-body MSCT provides the clinicians with relevant information to initiate life-saving therapy. Radiologists should use special paediatric protocols that include dose-saving mechanisms to keep the effective dose as low as possible. Further studies are needed to examine and advance dose-saving strategies in MSCT, especially in children.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Munk RD,Strohm PC,Saueressig U,Zwingmann J,Uhl M,Südkamp NP,Kotter E,Langer M,Bley TAdoi
10.1007/s00247-008-1091-7subject
Has Abstractpub_date
2009-03-01 00:00:00pages
245-52issue
3eissn
0301-0449issn
1432-1998journal_volume
39pub_type
杂志文章abstract::Deep venous thrombosis (DVT) is being increasingly recognized as a significant issue in children. Despite the low incidence of DVT, the risks of pulmonary embolism and death in children are significant. Post-thrombotic syndrome, a syndrome of chronic venous insufficiency, can have long-term adverse consequences in chi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-013-2634-0
更新日期:2013-08-01 00:00:00
abstract::A detailed radiologic and anatomic study of one horseshoe lung syndrome has already been published from this centre. A further case of horseshoe lung, which was also diagnosed prospectively by radiology, is described. Alongside, this is a set of a group of three conditions: we describe a right accessory lung with a pe...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/BF02129059
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Diffusion tensor parameters can be analysed by fitting regions of interest (ROIs) to selected brain structures. The clinical usefulness of these measurements is influenced by their reproducibility and validity. OBJECTIVE:To investigate the reproducibility of fractional anisotropy (FA) and mean diffusivity (...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2234-9
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:Fluoroscopy is an important, sometimes vital radiological procedure in paediatric patients with high variability in frequency and technique. OBJECTIVE:To obtain data on paediatric fluoroscopy practice in Europe using a simple questionnaire mailed to 191 children's hospitals. RESULTS:Eighty-eight radiology ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100429
更新日期:2001-04-01 00:00:00
abstract::The relationship between image noise and radiation dose was investigated in computed tomography (CT) images of a pediatric abdomen phantom. A protocol which provided a minimum absorbed dose consistent with acceptable image noise criteria was determined for a fourth generation CT scanner. It was found that pediatric ab...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387506
更新日期:1986-01-01 00:00:00
abstract::The aim of this review is to emphasize the role of fetal MR in the evaluation of the supratentorial space. The advantages of MRI compared to US are stressed in three fields of application: cerebral biometry, sulcation and cerebral parenchyma. In each field, normal data are displayed and MR applications with patterns o...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-004-1249-x
更新日期:2004-09-01 00:00:00
abstract::The published version of this article incorrectly lists the authors' affiliations. The correct affiliations are given below. The Publisher regrets this mistake. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,已发布勘误
doi:10.1007/s00247-017-4064-x
更新日期:2018-07-01 00:00:00
abstract:PURPOSE:This prospective study was designed to determine the effect of patient positioning on sonographic measurements of renal length in children. Materials and methods. Two dedicated pediatric ultrasonographers (observers A and B) measured the sonographic lengths of 48 kidneys in 25 children (two had unilateral renal...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01372240
更新日期:1996-01-01 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::A case is presented in which chronic renal failure led to intense visceral calcification, mainly to the lungs and heart. The discovery of cardiac calcifications on plain chest radiographs is exceedingly rare in renal patients. Punctate calcific deposits with an almost homogeneous distribution throughout the cardiac mu...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386824
更新日期:1986-01-01 00:00:00
abstract::One hundred and ten children, ages 6 days to 14 years, were investigated for vesicoureteral reflux (VUR) using ultrasound before voiding cystourethrography (VCU). Sonographically a VUR was assumed if a retrovesical dilated ureter and/or an increase of the separation of the central renal echo complex (CRC) could be det...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02343428
更新日期:1984-01-01 00:00:00
abstract::We present the CT and MRI findings of a patient with Chédiak-Higashi syndrome in the accelerated phase with marked white-matter abnormalities. Pathologic and clinical features allow diagnosis of this condition, which in this case had dramatic neuroradiographic manifestations not well described in previous reports. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050637
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Crossing renal vessels (CRV) are associated with ureteropelvic junction (UPJ) obstruction, particularly when presentation is beyond the neonatal period. Their presence may influence surgical management. OBJECTIVE:To evaluate the accuracy of contrast-enhanced magnetic resonance angiography (CE-MRA) in the id...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-007-0416-2
更新日期:2007-04-01 00:00:00
abstract::Foreign body ingestion remains a frequent cause of morbidity in infants and children. Symptoms vary with size, shape, location and composition of the foreign body. Flat objects tend to rotate to the greatest diameter of the esophageal lumen and become oriented in the coronal plane. We report two cases of ingested meta...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0965-z
更新日期:2008-12-01 00:00:00
abstract::Malignant metastasis to the breast, rare in adults, has occurred in children from hematologic malignancies and from neuroblastoma and rhabdomyosarcoma. We report a case of bilateral breast metastases in a 14-year-old girl with a prior nephrectomy for renal cell carcinoma; the breast masses were the first sign of recur...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050111
更新日期:1997-03-01 00:00:00
abstract::Primary idiopathic chylopericardium is rare and represents a fraction of all pericardial effusions in the pediatric population. Most cases of chylopericardium occur as a complication of cardiac surgery or after trauma. They may also be caused by tuberculosis, neoplasm, or congenital lymphangiomatosis. Primary idiopath...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-0885-x
更新日期:2003-05-01 00:00:00
abstract::Many heritable disorders of the skeleton are transmitted as autosomal recessive (AR) traits. During the past two decades, family studies have been undertaken in conditions of this type in order to detect any structural manifestations in obligate and potential heterozygotes. The positive findings that emerge from this ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s002470050155
更新日期:1997-05-01 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
abstract::Despite the availability of Doppler ultrasound, angiography still forms part of the protocol for evaluating children after orthotopic liver transplantation (OLT) at our department. To investigate whether Doppler ultrasound is a reliable method for evaluating the patency of the hepatic artery, portal vein, inferior ven...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015783
更新日期:1995-01-01 00:00:00
abstract::Intravesical catheter knotting during micturating cystourethrography is a rare but recognized complication of the procedure. We were able to untangle a knot utilizing a fluoroscopically guided vascular guidewire. Following this success, a small study was performed using a model. Various types of guidewires and techniq...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-007-0426-0
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Osteoid osteoma is a painful, benign, small osteogenic bone tumor. For a long time, surgery was the only treatment for these lesions. Different minimally invasive therapeutic techniques have been proposed. We report our experience in the treatment of osteoid osteoma by CT-guided drilling resection in pediatr...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-0032-y
更新日期:2006-02-01 00:00:00
abstract::Chylous reflux is a manifestation of primary or secondary lymphatic obstruction. Primary lymphatic obstruction is defined as lymphangiectasia and incompetency of lymphatic valves without an underlying cause. Lymphangiectasia resulting from trauma, neoplasm, irradiation, or inflammation characterizes secondary lymphati...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050219
更新日期:1997-09-01 00:00:00
abstract::Idiopathic orbital inflammation (IOI) is defined as a benign non-infective clinical syndrome characterized by features of non-specific inflammation of the orbit without identifiable local or systemic causes. This can be called orbital myositis if the inflammation is predominantly in the orbital muscles. It is a diagno...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1386-3
更新日期:2009-12-01 00:00:00
abstract::The case of 6-year-old girl with an asymptomatic aneurysmal bone cyst of the acromion is reported. Such tumors are rarely located in the scapula and are especially rare in the acromion. The diagnosis was confirmed by biopsy and surgical resection of the lesion. Roentgenographic, CT and histologic features of the cyst ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::A peanut is a commonly inhaled foreign body during childhood. Some cases are difficult to diagnose especially in cases without a clear history of inhalation. We describe a 16-month-old boy presenting with stridor and fever. The chest x-ray suggested inhalation of a foreign body but there was no history of this. A high...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02019867
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:Whole-body MRI is used for staging paediatric Hodgkin lymphoma, commonly using size thresholds, which fail to detect disease in normal-size lymph nodes. OBJECTIVE:To investigate quantitative whole-body MRI metrics for nodal characterisation. MATERIALS AND METHODS:Thirty-seven children with Hodgkin lymphoma...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04463-9
更新日期:2019-09-01 00:00:00
abstract::Occasionally, heterotopic splenic tissue can occur in the renal fossa secondary to splenosis following splenic trauma or splenectomy. Rarely, it can represent a developmental anomaly secondary to fusion of splenic and renal tissues. Splenorenal fusion can present as a renal mass, mimicking primary or secondary renal n...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1201-1
更新日期:2009-07-01 00:00:00
abstract::We report a case of hairy polyp of the pharynx diagnosed on brain MRI in order to stress the need to examine carefully all tissues included on an imaging study, even those outside the clinically stated region of interest, and to remind practitioners to consider unusual as well as common etiologies for neonatal respira...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-1500-0
更新日期:2005-11-01 00:00:00
abstract::Developmental dysplasia of the hip (DDH) is an important but poorly defined entity, the natural history of which is incompletely understood. The term encompasses a disease spectrum ranging from a stable hip with a mildly dysplastic acetabulum to complete hip dislocation. Much controversy surrounds the diagnosis, imagi...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-012-2429-8
更新日期:2012-12-01 00:00:00
abstract::Twenty patients with massive trichuriasis were studied with double contrast barium enema. The following changes were observed: 1) Impregnation defects of the colonic wall probably due to abundant mucous secretions. 2) Granular features. 3) Pear-shaped caecum. 4) Radiolucid ringlike images with some contrast material i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973995
更新日期:1979-04-19 00:00:00