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 children with primary or secondary osteoporosis. MATERIALS AND METHODS:Three radiologists independently assessed lateral spine radiographs of 50 children with suspected reduction in bone mineral density using a modified ABQ scoring system and following simplification to include only clinically relevant parameters, a simplified ABQ score. A final consensus of all observers using simplified ABQ was performed as a reference standard for fracture characterisation. Kappa was calculated for interobserver agreement of the components of both scoring systems and intraobserver agreement of simplified ABQ based on a second read of 29 randomly selected images. RESULTS:Interobserver Kappa for modified ABQ scoring for fracture detection, severity and shape ranged from 0.34 to 0.49 Kappa for abnormal endplate and position assessment was 0.27 to 0.38. Inter- and intraobserver Kappa for simplified ABQ scoring for fracture detection and grade ranged from 0.37 to 0.46 and 0.45 to 0.56, respectively. Inter- and intraobserver Kappa for affected endplate ranged from 0.31 to 0.41 and 0.45 to 0.51, respectively. Subjectively, observers' felt simplified ABQ was easier and less time-consuming. CONCLUSION:Observer reliability of modified and simplified ABQ was similar, with slight to moderate agreement for fracture detection and grade/severity. Due to subjective preference for simplified ABQ, we suggest its use as a semi-objective measure of diagnosing paediatric vertebral fractures.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Adiotomre E,Summers L,Allison A,Walters SJ,Digby M,Broadley P,Lang I,Offiah ACdoi
10.1007/s00247-015-3537-zsubject
Has Abstractpub_date
2016-05-01 00:00:00pages
680-8issue
5eissn
0301-0449issn
1432-1998pii
10.1007/s00247-015-3537-zjournal_volume
46pub_type
评论,杂志文章abstract：:Perigraft seroma is a rare complication of synthetic vascular grafts. We describe a new sign observed in two children who underwent computed tomography of the chest for further evaluation of seromas complicating modified Blalock-Taussig procedures in which a polytetrafluoroethylene graft was used. In both patients con...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050141
更新日期：1997-04-01 00:00:00
abstract：:A case of Wilms' tumor metastatic to the liver with previously undescribed MR findings is presented. Although there is no evidence that there were hepatic metastases at presentation in this case, small lesions with this appearance would be difficult to detect with MRI. This could lead to incorrect staging of Wilms' tu...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02467310
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Hirschsprung disease (HD) is a functional obstruction of the bowel caused by the absence of intrinsic enteric ganglion cells. The diagnosis of total colonic HD (TCHD) based on contrast enemas is difficult in newborns because radiological findings vary. OBJECTIVE:To evaluate the radiographic and contrast ene...
journal_title：Pediatric radiology
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doi：10.1007/s00247-008-0952-4
更新日期：2008-11-01 00:00:00
abstract：:Relapses of lymphoblastic leukaemia traditionally involve the central nervous system and testes in boys. Involvement of the female pelvic organs is frequently found at autopsy; however, involvement of the cervical uterus is rare and even less commonly symptomatic. A 13-cm uterine mass was discovered in a 15-year-old a...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-007-0661-4
更新日期：2008-03-01 00:00:00
abstract：:Twelve children with suspected septic arthritis of the elbow were prospectively studied with plain-film radiography and ultrasound. Imaging data were correlated with clinical history and final diagnosis. Joint effusion was seen by sonography in six patients, four of whom underwent ultrasound-guided joint aspiration, c...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02015794
更新日期：1995-01-01 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：: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：:A case of pneumopericardium in an infant complicating aspiration of a foreign body is reported. In addition to X-ray studies echocardiography is valuable for the control of the disease. The pathogenesis and the treatment are discussed and a short review of the literature is given. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00975684
更新日期：1978-06-19 00:00:00
abstract：BACKGROUND:While several studies have investigated the dose from scattered radiation from X-ray procedures in a pediatric nursery, they examined scatter from chest procedures only, or the types of examination were not specified. OBJECTIVE:The aim of this study was to collect scatter and transmission data from several ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-003-0999-1
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:Various reports support the use of cervical spine (c-spine) CT over conventional radiography in screening of c-spine injury. Interest now exists in diagnostic radiation-induced morbidity. OBJECTIVE:To estimate excess relative risk for developing cancer from c-spine high-resolution CT radiation exposure. MA...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-007-0728-2
更新日期：2008-06-01 00:00:00
abstract：:Magnetic resonance enterography (MRE) now plays a central role in diagnosing pediatric inflammatory bowel disease (IBD), and its role in other intestinal pathologies such as scleroderma is gradually expanding. MRE helps distinguish between Crohn disease and ulcerative colitis, defining extent and severity. Standard MR...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-016-3596-9
更新日期：2016-05-01 00:00:00
abstract：:This report describes a case of ectopic intra-thoracic kidney, in which there was delayed appearance of this condition after a documented prior normal chest film. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02343442
更新日期：1984-01-01 00:00:00
abstract：BACKGROUND:Children with hepatoblastoma routinely undergo repetitive surveillance imaging, with CT scans for several years after therapy, increasing the risk of radiation-induced cancer. OBJECTIVE:The purpose of this study was to determine the utility of surveillance CT scans compared to serum alpha-fetoprotein (AFP) ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-014-3000-6
更新日期：2014-10-01 00:00:00
abstract：:In a period of 6 years 144 asymptomatic boys with cryptorchidism, of mean age 7 +/- SD 3.5 years, underwent orchiopexy. None of these boys referred to a history of a known urological anomaly, urinary tract infection, haematuria, palpable mass in the renal region, bladder extrophy, epispadias, hypospadias or anorectal ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02395760
更新日期：1988-01-01 00:00:00
abstract：:We present a child with double aberrant left brachiocephalic vein (ALBCV) that was an incidental finding on CT. The anterior and thin branch was above the aortic arch and behind the truncus brachiocephalicus and drained into the superior vena cava (SVC). The posterior and thick branch of the ALBCV coursed posterior to...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-007-0663-2
更新日期：2008-03-01 00:00:00
abstract：:Current imaging modalities are accurate in establishing the diagnosis and extent of thoracic Hodgkin disease. After treatment, however, it is extremely difficult to differentiate potential residual active neoplastic disease from scar tissue, or identify early recurrence. We evaluated the contribution of MRI in the ass...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02010921
更新日期：1993-01-01 00:00:00
abstract：:The grey scale ultrasound features of 30 cases of Wilms' tumour examined using a water delay scanner are presented. Eighty-seven percent of masses were of uniform texture, with echogenicity equal to or slightly greater than that of liver with small hypo-echoic areas. There were no totally cystic tumours in the series....
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02387500
更新日期：1986-01-01 00:00:00
abstract：:We sonographically investigated the internal jugular veins of 40 children who had undergone catheterization of the vein (group A: silastic catheter, n = 24; group B: polyurethane catheter, n = 16) in the neonatal period. The average age at catheter implantation was 43 +/- 73 days, the average birthweight 2414 +/- 1145...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012737
更新日期：1994-01-01 00:00:00
abstract：:Lenticulostriate vasculopathy can be seen in an increasing number of clinical conditions, among which congenital infections and chromosomal abnormalities are best known. Two further patients with this ultrasound finding are reported, who were both recipients in the twin-to-twin transfusion syndrome. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：PURPOSE:The Haller index is an accepted CT method for evaluating thoracic dimensions in patients with pectus excavatum. The purpose of this study is to establish age- and gender-related norms for the Haller index in childhood. MATERIALS AND METHODS:We retrospectively reviewed 574 consecutive chest CT examinations (M=2...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-003-1116-1
更新日期：2004-04-01 00:00:00
abstract：:Fifteen newborn infants developed roentgenographic evidence of rickets while on long-term intravenous hyperalimentation. In each instance, the initial diagnosis of rickets was suggested on the chest roentgenogram, where characteristic cupped and frayed upper humeral metaphyses were noted; subsequent knee and wrist roe...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02386710
更新日期：1978-12-04 00:00:00
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journal_title：Pediatric radiology
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doi：10.1007/s00247-006-0183-5
更新日期：2006-08-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02075217
更新日期：1990-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-018-4322-6
更新日期：2019-04-01 00:00:00
abstract：:Sonographic examination of the adrenal glands of three newborns with congenital adrenal hyperplasia demonstrated a cerebriform pattern. This is introduced as a sonographic feature specific to the disease. This finding in patients with ambiguous genitalia should suggest the diagnosis even if the adrenals are not signif...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012391
更新日期：1993-01-01 00:00:00
abstract：:Vascular malformations and hemangiomas are common in children but remain a source of confusion during diagnosis, in part because of the lack of a uniform terminology. With the existing treatments for hemangiomas and vascular malformations, it is important to make the correct diagnosis initially to prevent adverse phys...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-012-2584-y
更新日期：2013-03-01 00:00:00
abstract：:Many pitfalls result from the limited ability of Doppler instruments to record low flow velocities. These include a misleading resistance or pulsatility index due to diastolic cut-off and taking no signal to equal no flow assuming that no signal means no flow. Comparison of actual flow velocities as measured in an in-...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02013161
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:Medical examination is the main source of artificial radiation exposure. Because children present an increased sensitivity to ionising radiation, radiology practices at a national level in paediatrics should be monitored. OBJECTIVE:This study describes the ionising radiation exposure from diagnostic medical...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-014-3065-2
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:Magnetic resonance imaging (MRI) T1 relaxometry (mapping) has been reported as a quantitative biomarker of liver injury due to inflammation and fibrosis. OBJECTIVE:To assess the relationship between liver MRI T1 relaxometry measurements obtained using a modified Look-Locker inversion recovery (MOLLI) pulse ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-020-04663-8
更新日期：2020-06-01 00:00:00
abstract：:In infants and children the association of paravertebral widening and abdominal tumour has been regarded as typical of neuroblastoma. However, a paraspinal mass may develop in other malignant tumours too, but seems to be extremely rare in nephroblastoma. The fourth case so far on record is reported. Microscopically th...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00971775
更新日期：1982-01-01 00:00:00
