Abstract:
BACKGROUND:Children with sickle cell disease (SCD) often undergo MRI studies to assess brain injury or to quantify hepatic iron. MRI requires the child to lie motionless for 30-60 min, thus sedation/anesthesia might be used to facilitate successful completion of exams, but this poses additional risks for SCD patients. To improve children's ability to cope with MRI examinations and avoid sedation, our institution established preparation and support procedures (PSP). OBJECTIVE:To investigate the impact of PSP in reducing the need for sedation during MRI exams among children with SCD. MATERIALS AND METHODS:Data on successful completion of MRI testing were compared among 5- to 12-year-olds who underwent brain MRI or liver R2*MRI with or without receiving PSP. RESULTS:Seventy-one children with SCD (median age 9.85 years, range 5.57-12.99 years) underwent a brain MRI (n = 60) or liver R2*MRI (n = 11). Children who received PSP were more likely to complete an interpretable MRI exam than those who did not (30 of 33; 91% vs. 27 of 38; 71%, unadjusted OR = 4.1 (P = 0.04) and OR = 8.5 (P < 0.01) when adjusting for age. CONCLUSION:PSP can help young children with SCD complete clinically interpretable, nonsedated MRI exams, avoiding the risks of sedation/anesthesia.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Cejda KR,Smeltzer MP,Hansbury EN,McCarville ME,Helton KJ,Hankins JSdoi
10.1007/s00247-012-2422-2subject
Has Abstractpub_date
2012-10-01 00:00:00pages
1223-8issue
10eissn
0301-0449issn
1432-1998journal_volume
42pub_type
杂志文章abstract:BACKGROUND:Intraspinal rib head dislocation is an important but under-recognized consequence of dystrophic scoliosis in patients with neurofibromatosis 1 (NF1). OBJECTIVE:To present clinical and imaging findings of intraspinal rib head dislocation in NF1. MATERIALS AND METHODS:We retrospectively reviewed clinical pre...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-010-1789-1
更新日期:2010-12-01 00:00:00
abstract::Part 1 of this series of two articles describes conventional and advanced MRI techniques that are useful for evaluating brainstem pathologies. In addition, it provides a review of the embryology, normal progression of myelination, and clinically and radiologically salient imaging anatomy of the normal brainstem. Final...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-020-04953-1
更新日期:2021-02-01 00:00:00
abstract::Pyloric atresia is an uncommon congenital gastric outlet obstruction, accounting for only 1% of gastrointestinal atresias. Up to 55% of cases have associated anomalies, the most common of which is epidermolysis bullosa. Fetal MRI findings of the epidermolysis bullosa-pyloric atresia association have not been previousl...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-013-2737-7
更新日期:2013-12-01 00:00:00
abstract::Physiologic changes in renal transplant patients, such as transiently low central venous pressure, may be related to increased intra-abdominal pressure, from the volume of the transplanted kidney itself. Using intraoperative and postoperative Doppler ultrasound of the transplant renal vessels, we identified changes in...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-1094-3
更新日期:2004-05-01 00:00:00
abstract::A case of Darrow-Gamble disease is presented with review of the radiographic and ultrasonographic appearance of this rare cause of profound chronic diarrhea beginning at birth. The disease is caused by a defect of active intestinal chloride transport which results in a large loss of the electrolytes and water. To prev...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02020230
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Massive ovarian edema is a rare benign condition that predominantly affects childbearing women as well as preadolescent girls. It is thought to result from intermittent or partial torsion of the ovary compromising the venous and lymphatic drainage but with preserved arterial supply. The clinical features of ...
journal_title:Pediatric radiology
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doi:10.1007/s00247-017-3782-4
更新日期:2017-05-01 00:00:00
abstract::Hydranencephaly is an encephaloclastic central nervous system disorder characterised by severe destruction of the cerebral hemispheres with preservation of posterior fossa structures. We present MRI and neurosonography features of a unique case of hydranencephaly involving cerebellum (in the form of complete liquefact...
journal_title:Pediatric radiology
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更新日期:2011-02-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
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更新日期:2013-10-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386714
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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doi:10.1007/s00247-004-1346-x
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Traditionally, every patient with an acute scrotum needed surgical exploration for definitive exclusion of testicular torsion. OBJECTIVE:In this study, we aimed to evaluate the improved accuracy in clinical diagnosis with colour Doppler Ultrasonography (US) added to normal clinical assessment. MATERIALS AN...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-1411-0
更新日期:2005-06-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
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更新日期:1984-01-01 00:00:00
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pub_type: 已发布勘误
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更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Pyeloplasty is an established treatment for pelviureteric junction (PUJ) obstruction. The postoperative change in the size of the renal pelvis and the kidney parenchyma are variable. OBJECTIVE:To document the changes in renal pelvic size and renal parenchymal thickness following pyeloplasty and to establish...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050342
更新日期:1998-04-01 00:00:00
abstract::Alagille syndrome, or arteriohepatic dysplasia, is a disorder characterized by paucity of intrahepatic bile ducts, peculiar facies and skeletal anomalies. We report a typical case of this syndrome in an 18-year-old girl, in whom abdominal CT showed bilateral renal cysts and aortic wall calcification, findings unreport...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011114
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Resistivity index (RI) of the pericallosal artery as is commonly measured during head ultrasound (US) examination in neonates. Some studies have shown that RI measured with gentle compression of the fontanelle provides additional information in cases of neonatal brain anomalies. OBJECTIVE:The purpose of thi...
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pub_type: 杂志文章
doi:10.1007/s00247-019-04347-y
更新日期:2019-05-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011620
更新日期:1992-01-01 00:00:00
abstract::Radiation-induced injuries from fluoroscopic procedures in pediatric patients have occurred, and young patients are at greatest risk of many radiation-induced neoplasms. Some fluoroscopists have been injured from their use of fluoroscopy, and they are known to be at risk of radiation-induced neoplasm when radiation is...
journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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更新日期:2007-11-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011961
更新日期:1993-01-01 00:00:00
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
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journal_title:Pediatric radiology
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doi:
更新日期:1995-11-01 00:00:00
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journal_title:Pediatric radiology
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更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:In order to assess relationships between thyroid hormone status and findings on brain MRI, a subset of babies was recruited to a multi-centre randomised, placebo-controlled trial of levothyroxine (LT4) supplementation for babies born before 28 weeks' gestation (known as the TIPIT study, for Thyroxine supplem...
journal_title:Pediatric radiology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2014-08-01 00:00:00
abstract::This paper is a comprehensive review of the Doppler waveform appearance of ureteric jets. Six jet waveform patterns have been identified: monophasic, biphasic, triphasic, polyphasic, square and continuous. Details of the physical properties of jet patterns and their changes under various physiological conditions are i...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
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更新日期:2007-05-01 00:00:00