Abstract:
:The incidental detection of small lung nodules in children is a vexing consequence of an increased reliance on CT. We present an algorithm for the management of lung nodules detected on CT in children, based on the presence or absence of symptoms, the presence or absence of elements in the clinical history that might explain these nodules, and the imaging characteristics of the nodules (such as attenuation measurements within the nodule). We provide suggestions on how to perform a thoughtfully directed and focused search for clinically occult extrathoracic disease processes (including malignant disease) that may present as an incidentally detected lung nodule on CT. This algorithm emphasizes that because of the lack of definitive information on the natural history of small solid nodules that are truly detected incidentally, their clinical management is highly dependent on the caregivers' individual risk tolerance. In addition, we present strategies to reduce the prevalence of these incidental findings, by preventing unnecessary chest CT scans or inadvertent inclusion of portions of the lungs in scans of adjacent body parts. Application of these guidelines provides pediatric radiologists with an important opportunity to practice patient-centered and evidence-based medicine.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Westra SJ,Thacker PG,Podberesky DJ,Lee EY,Iyer RS,Hegde SV,Guillerman RP,Mahani MGdoi
10.1007/s00247-014-3269-5subject
Has Abstractpub_date
2015-04-01 00:00:00pages
634-9issue
5eissn
0301-0449issn
1432-1998journal_volume
45pub_type
杂志文章,评审abstract::Magnetic resonance imaging has been used to evaluate 10 children with lymphomas and was able to identify disease in all 10 cases and monitor response to therapy in all three patients with follow-up studies. It could not distinguish between the different histological types of lymphoma. The image intensity of a diseased...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388606
更新日期:1985-01-01 00:00:00
abstract::Appropriate management of the child with malrotation and/or midgut volvulus requires a multi-disciplinary approach with early clinical suspicion, rapid confirmation of diagnosis, and expedient operative intervention in order to obtain the most effective outcomes. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-008-1129-x
更新日期:2009-04-01 00:00:00
abstract::58 paediatric patients with pneumonia, in whom an etiological agent had been isolated, were reviewed. The patients were designated to have either viral or bacterial pneumonia on the basis of proposed clinical and radiological criteria. These presumed diagnoses were then compared to the microbiologically proven diagnos...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00974077
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Lymphatic malformations (LMs) are congenital lesions of the lymphatic system and consist of lymphatic channels and cystic spaces of varying sizes. Recent evidence has shown that LMs respond well to intralesional sclerotherapy. OBJECTIVE:The purpose of this retrospective study is to evaluate the outcome and ...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00247-012-2406-2
更新日期:2012-09-01 00:00:00
abstract::We retrospectively reviewed the imaging and surgical findings in 17 patients with duodenal atresia to determine (a) the frequency of coexistent malrotation in patients with duodenal atresia and (b) the reliability of the upper gastrointestinal barium study (UGI) in differentiating malrotation from postoperative deform...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012180
更新日期:1994-01-01 00:00:00
abstract::Airway compression is a common problem in children with certain forms of congenital heart disease. Although various surgical approaches are available to overcome this form of airway obstruction, internal stenting is necessary in a minority of patients. It can be difficult to assess the success of stenting at the time ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0174-6
更新日期:2006-08-01 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
doi:10.1007/s00247-007-0433-1
更新日期:2007-05-01 00:00:00
abstract::A boy is described with severe hyperostosis of the cranium and facial bones, and many other abnormalities including macrocephaly, abnormal facies, cleft palate, conductive hearing loss, speech defect, dental and digital anomalies, delayed skeletal development, short fibulas, short stature of postnatal onset, cervical ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387953
更新日期:1986-01-01 00:00:00
abstract::As the number of patients with liver transplants continues to increase, radiologists need to be aware of the normal post-operative appearance of the different liver transplants currently performed along with the wide variety of complications encountered. The complications commonly affect the biliar and vascular system...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-010-1545-6
更新日期:2010-04-01 00:00:00
abstract::Primary malignant tumours of the stomach are very rare in children, most being lymphomas and sarcomas. The majority of primary gastric lymphomas are high-grade non-Hodgkin's lymphomas and are of B-cell origin. However, a significant number are low-grade B-cell lymphomas that are derived from mucosa-associated lymphoid...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0598-y
更新日期:2002-02-01 00:00:00
abstract::A case of thanatophoric dwarfism living for 10 weeks with minimal supportive care is presented. Although early death is usual, survival for months is compatible with the diagnosis. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00975319
更新日期:1976-12-15 00:00:00
abstract::Two patients with different patterns of soft tissue and bone involvement demonstrate the variability of extracutaneous manifestations of juvenile xanthogranuloma, a non-X histiocytosis, better known to dermatologists than to radiologists. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/BF02016261
更新日期:1992-01-01 00:00:00
abstract::Gastrointestinal (GI) tract involvement in Langerhans cell histiocytosis is probably not uncommon [1,2], but reports of radiologic findings have been limited to the small intestine and mesenteric lymph nodes [3-5]. We report a 16-month-old child with known Langerhans cell histiocytosis, who was found to have mucosal i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02014971
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:To present results of optimising scoliosis examination by changing from a conventional film/grid (F/G) to air-gap technique using computed radiography (CR), and to evaluate different methods for estimating effective radiation doses. MATERIALS AND METHODS:Forty-nine children and adolescents were examined with...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-1015-5
更新日期:2003-11-01 00:00:00
abstract::A 6-year-old boy with Bannayan-Riley-Ruvalcaba syndrome (BRRS) presented to the emergency department with periumbilical abdominal pain for 12 h. A contrast-enhanced abdominal and pelvis CT examination revealed significant interval change in the size and appearance of a previously seen hypoattenuating right mesocolic f...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3083-0
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Paediatric non-accidental injury is a considerable health problem, and imaging plays a fundamental role in its assessment. Since the introduction of joint guidelines published by the Royal College of Radiologists (RCR) and Royal College of Paediatrics and Child Health (RCPCH) in 2008, there has been a concer...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3063-4
更新日期:2014-12-01 00:00:00
abstract::Cystic fibrosis (CF) is a multiorgan disease caused by mutation of the CF transmembrane conductance regulator (CFTR) gene. Obstructive lung disease is the predominant cause of morbidity and mortality; thus, most efforts to improve outcomes are directed toward slowing or halting lung-disease progression. Current therap...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-005-1445-3
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:Food allergy may be partly due to impairment of the intestinal barrier and is frequently associated with atopic dermatitis (AD) in early life. OBJECTIVE:To determine whether bowel wall thickening, as demonstrated by US, is useful for the identification of food allergy. MATERIALS AND METHODS:We used US to s...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0593-3
更新日期:2002-01-01 00:00:00
abstract::Paternal uniparental disomy for chromosome 14 (patUPD14) is a rare condition, this being the eighth report. A male infant, born prematurely, was noted to have extremely lax skin and bilateral inguinal hernias. Skin biopsy confirmed the clinical diagnosis of congenital cutis laxa, but this did not explain the limb abno...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-003-0931-8
更新日期:2003-07-01 00:00:00
abstract::This paper compares the effects on patients of perforation with barium and with air during attempted intussusception reduction by reviewing the clinical, radiological, surgical and pathological findings and sequelae in seven children who received barium and seven who received air. In both groups perforation occurred i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010311
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Although there is much evidence supporting a relationship between primary varicocoele and venous incompetence of the saphenofemoral junction in adults, there is no evidence for such a relationship during adolescence. Because of the effect of age and future occupation (standing upright for long periods) on th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-0975-9
更新日期:2003-09-01 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:OBJECTIVE:Unenhanced MRI has emerged as a useful tool for diagnosing pediatric acute appendicitis. The use of contrast-enhanced MRI for diagnosing pediatric appendicitis has not been documented. The purpose of this study is to examine the diagnostic performance of contrast-enhanced MRI for acute appendicitis and altern...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-2952-x
更新日期:2014-08-01 00:00:00
abstract::This case report describes the incidental finding of intestinal leakage during bone scan imaging with Tc-99m methylene diphosphonate (MDP) in a patient with previously diagnosed protein-losing enteropathy (PLE). Most radiopharmaceuticals reported in the literature that are useful for making this diagnosis are not gene...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0924-8
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Pleural effusion at presentation in Hodgkin lymphoma has been associated with inferior outcome but has not been systematically evaluated. OBJECTIVE:To determine whether pleural effusion at presentation in children with Hodgkin lymphoma is a primary indicator of poor prognosis or secondary to associated fact...
journal_title:Pediatric radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00247-018-4197-6
更新日期:2018-11-01 00:00:00
abstract::Three-dimensional printing called rapid prototyping, a technology that is used to create physical models based on a 3-D computer representation, is now commercially available and can be created from CT or MRI datasets. This technical innovation paper reviews the specific requirements and steps necessary to apply biome...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-013-2788-9
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:The optimal treatment of perforated appendicitis remains controversial, but there is a trend toward nonoperative management. CT scanning might be helpful in determining which patients could benefit from this treatment option. OBJECTIVE:To determine the value of CT imaging in predicting clinical success or f...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0384-y
更新日期:2007-03-01 00:00:00
abstract::Rare earth filters are known to reduce radiation dose in radiological investigations. The present investigation used Er and Sm filters that were selected because of their chemical stability and ability to withstand prolonged exposure to the atmosphere. They were used in a comparison with a conventional aluminium filte...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01601887
更新日期:1984-01-01 00:00:00
abstract::A new task force dedicated to prenatal imaging was created in 2018 by the European Society of Pediatric Radiology. In order to establish a network of European prenatal imaging practice, we sent a questionnaire to radiologists practicing prenatal imaging in Europe. The questions were related to the type of institution,...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04710-4
更新日期:2020-11-01 00:00:00
abstract::Perlman syndrome is a rare autosomal recessive syndrome of macrosomia and nephromegaly associated with a significant predisposition to Wilms tumor. We report a premature infant with Perlman syndrome to demonstrate additional manifestations of this condition: large cisterna magna, intestinal malrotation, and skeletal a...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00