Abstract:
BACKGROUND:Sonography has been used to predict pneumatic reduction outcome in children with intussusception. OBJECTIVE:To assess the prognostic significance of fluid between the intussusceptum and intussuscepiens with respect to reduction outcome, lead point or necrosis. MATERIALS AND METHODS:Sonograms of children with a discharge diagnosis of intussusception from four institutions were reviewed for interloop fluid and correlated with results of pneumatic reduction and surgical/pathological findings when available. Maximal dimension of interloop fluid on a transverse image and fluid complexity were evaluated. RESULTS:Of 166 cases, 36 (21.7%) had interloop fluid. Pneumatic reduction was successful in 21 (58.3%) with fluid and 113 (87.6%) without. The average largest fluid dimension was 8.7 mm (range 5 mm-19 mm, median 8 mm) in cases with successful reduction and 12.8 mm (range 4 mm-26 mm, median 12.5 mm) in unsuccessful reduction (p < 0.05). Fluid dimension equal to or greater than 9 mm correlated with failed reduction (p < 0.0001;odds ratio 13:1). In 36 cases with interloop fluid that required surgery, there were four lead points and three necrosis. In cases without fluid with surgical reduction, there was one lead point and one necrosis. Interloop fluid correlated with lead point (p < 0.04) or necrosis (p < 0.03). Its significance increased with larger amounts of fluid (p < 0.0001). Patient age/fluid complexity did not correlate with reduction outcome (p = 0.9). CONCLUSION:Interloop fluid was associated with increased failure of pneumatic reduction and increased likelihood of lead point or necrosis, particularly when the maximum dimension exceeded 9 mm.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Gartner RD,Levin TL,Borenstein SH,Han BK,Blumfield E,Murphy R,Freeman Kdoi
10.1007/s00247-010-1931-0subject
Has Abstractpub_date
2011-06-01 00:00:00pages
727-31issue
6eissn
0301-0449issn
1432-1998journal_volume
41pub_type
杂志文章abstract::Two adolescent girls with acquired vaginal occlusion and resultant hematometracolpos are presented. Both are long-term survivors of childhood malignancies, who prior to multiagent chemotherapy and pelvic irradiation had normal uteri by imaging. Both were amenorrheic post therapy. Routine follow-up computed tomography ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011961
更新日期:1993-01-01 00:00:00
abstract::A study was performed to establish the value of a computed radiography (CR) system in neonatal respiratory distress syndrome (RDS). CR images obtained with various X-ray doses were compared with the images of a standard film-screen system. The image quality of CR taken with about one half radiation exposure, was compa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388647
更新日期:1989-01-01 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::The imaging procedures utilized at presentation in the diagnostic work-up of 19 children with Burkitt lymphoma were reviewed. The distribution of disease was compared to other tumors of childhood so that the most valuable modalities could be identified. Burkitt lymphoma is a rapidly growing tumor in the child, making ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388718
更新日期:1985-01-01 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::Treatment-related neurotoxicity is a potentially life-threatening clinical condition that can represent a diagnostic challenge. Differentiating diagnoses between therapy-associated brain injury and recurrent disease can be difficult, and the immediate recognition of neurotoxicity is crucial to providing correct therap...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-016-3750-4
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Identification of osteoporotic vertebral fractures allows treatment opportunity reducing future risk. There is no agreed standardised method for diagnosing paediatric vertebral fractures. OBJECTIVE:To evaluate the precision of a modified adult algorithm-based qualitative (ABQ) technique, applicable to child...
journal_title:Pediatric radiology
pub_type: 评论,杂志文章
doi:10.1007/s00247-015-3537-z
更新日期:2016-05-01 00:00:00
abstract::Hepatocyte-specific contrast media are gadolinium chelates that are taken up by hepatocytes and partially cleared via the biliary tree. The absence of lesional uptake of the contrast media in the hepatobiliary phase is a marker of either the absence of hepatocytes or of poorly functioning, neoplastic hepatocytes. Upta...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4108-x
更新日期:2018-08-01 00:00:00
abstract::It is essential to diagnose thyroid dysfunction at an early stage because congenital hypothyroidism (CH) represents one of the most common preventable causes of delayed physical and psychological development, including mental retardation. US evaluates the shape of the thyroid gland. CT and scintigraphic examinations d...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-004-1145-4
更新日期:2004-07-01 00:00:00
abstract:PURPOSE:A retrospective study was carried out in order to determine the role of sonography in establishing the diagnosis in extremity osteomyelitis. MATERIALS AND METHODS:The imaging documents of 24 infants and children aged from 2 weeks to 13 years with osteomyelitis (acute 21, chronic 3) were reviewed. Sonograms and...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01372116
更新日期:1996-01-01 00:00:00
abstract::Two cases of aneurysms of the posterior cerebral artery, diagnosed by CT and confirmed angiographically, are reported. In the first case, the aneurysm was discovered fortuitously. The second began with intracerebral haemorrhage. A review of the literature is reported. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/BF00974088
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:After the insertion of a central venous catheter, a chest radiograph is usually obtained to ensure correct positioning of the catheter tip. OBJECTIVE:To determine in a paediatric population whether B-mode and colour Doppler sonography after central venous access is useful to evaluate catheter position, thus...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0307-y
更新日期:2006-12-01 00:00:00
abstract::The detailed radiographic features of triploidy, a fatal congenital disorder with 69 chromosomes, have not previously been reported. Radiographs of ten liveborn infants with chromosomally confirmed triploidy showed six findings highly suggestive of this diagnosis: harlequin orbits, small anterior fontanelle, gracile r...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386842
更新日期:1989-01-01 00:00:00
abstract::The purpose of this report is to describe imaging findings in activated protein C resistance, a hereditary cause of recurrent thrombosis. The case described was unusual in that a neonate was affected, whereas the vast majority of cases occur in adulthood. This entity is important to diagnose because of the recurrent n...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050424
更新日期:1998-08-01 00:00:00
abstract::Ectopic thyroid gland is a well-known developmental anomaly. We present a child with a unique anatomical variant of this anomaly, namely double ectopic thyroid. The purpose of this report is to demonstrate the scintigraphic findings and to emphasize the importance of performing a thyroid scan in every case of thyroid ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0787-3
更新日期:2002-12-01 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::We report a case of a child with D-transposition of the great arteries treated with prostaglandin E1 (PGE1) who subsequently developed extensive brown fat necrosis. To the best of our knowledge, no previous association among congenital heart disease, PGE1, and brown fat necrosis has been reported. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050536
更新日期:1999-01-01 00:00:00
abstract::The need for X-ray investigations of the urinary tract at the time of the first proven urinary infection, even in older girls, is stressed. This policy is the best way to detect chronic pyelonephritis and congenital anomalies of the urinary tract and provide timely and appropriate treatment. These conclusions are supp...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00972109
更新日期:1977-10-28 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:BACKGROUND:Preterm and low-birth-weight infants have an increased risk of sensorineural hearing loss. Brainstem auditory-evoked potentials (BAEP) are an effective method to detect subtle deficits in impulse conduction in the auditory pathway. Abnormalities on diffusion tensor imaging (DTI) have been shown to be associa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1278-6
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Peripherally inserted central catheter (PICC) is among the most common procedures performed in children in the hospital setting. PICC insertion can be simplified with the use of a sheathed needle as an alternative to the modified Seldinger technique. OBJECTIVE:To retrospectively evaluate PICC placement for ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-016-3629-4
更新日期:2016-09-01 00:00:00
abstract::We report an 18-year-old boy with occipital horn syndrome who developed aneurysms of the splenic and hepatic arteries. Occipital horn syndrome, also called X-linked cutis laxa or Ehlers-Danlos syndrome (EDS) type IX, is characterised by a skeletal dysplasia which includes occipital horns, broad clavicles, deformed rad...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s002470050526
更新日期:1999-01-01 00:00:00
abstract::Details of a female infant, who was born after 29 weeks gestation and who died within minutes of birth, are presented. The infant was hydropic, showed macroglossia and had very short limbs with normal sized hands and feet. Apart from a preductal aortic coarctation the pathological findings were confined to the skeleto...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388725
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:White matter maturation is characterised by increasing fractional anisotropy (FA) and decreasing mean diffusivity (MD). Contradictory results have been published on the effect of premature birth on white matter maturation at term-equivalent age. OBJECTIVE:To assess the association of gestational age and low...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-012-2352-z
更新日期:2012-06-01 00:00:00
abstract::Virus-associated hemophagocytic syndrome is characterized by the phagocytosis of erthythrocytes and other blood elements in multiple organ systems, especially the liver and spleen. Magnetic resonance imaging (MRI) can suggest this diagnosis in the proper clinical setting by demonstrating multiple, rounded signal voids...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050498
更新日期:1998-12-01 00:00:00
abstract::A case of vein of Galen aneurysm, studied with a fast gradient refocusing pulse MRI sequence, is presented. Fast MRI sequences allowed the acquisition of additional hemodynamic information that was not available with either routine MRI or angiography. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02013833
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of lateral decubitus high-resolution CT (HRCT) in detecting air trapping in children. MATERIALS AND METHODS:HRCT scans of 21 children with heterogeneous lung attenuation caused by air trapping (n = 10) or with infiltrative lung disease (n = 11) were reviewed retrospectively. The...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0622-2
更新日期:2002-03-01 00:00:00
abstract::The presence of fungus balls within the collecting system is an important clue to the radiological diagnosis of genitourinary candidiasis. In this report, an 8-month-old infant with this opportunistic infection is described. Emphasis is placed on the radiological findings of renal candidiasis, including previously unr...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000351
更新日期:2000-12-01 00:00:00
abstract::Magnetic resonance imaging (MRI) often provides better visualization of bone marrow abnormalities than computed tomography (CT) or fluoroscopy, but bone biopsies are usually performed using conventional CT or, more recently, C-arm CT guidance. Biopsies of bone lesions solely visible on MRI are often challenging to loc...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-017-3995-6
更新日期:2018-02-01 00:00:00
abstract::Cholelithiasis is very rare in the newborn infant and is usually not recognized until surgery or autopsy following perforation of the biliary tree. Two premature infants had calcified gallstones on abdominal radiographs. In one patient portal vein thrombosis was also present. The other had been treated with total pare...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973193
更新日期:1982-01-01 00:00:00