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 MRE protocols can be optimized in children and adolescents to be diagnostic and well tolerated, both of which are important with increasing use of serial MRE in pediatric IBD for monitoring treatment response and evaluating complications. MRI is especially suited to this role given its lack of ionizing radiation. MRE compliance can be improved through patient education. Differing from adult MRE, pediatric MRE protocols use weight-based formulas to calculate oral and intravenous contrast media and antispasmodic agent doses, using either hyoscine-N-butylbromide or glucagon. Nausea is more commonly experienced with glucagon; however vomiting occurs in <10% of children with either agent. Standard and advanced sequences applied in adults are also used in children and adolescents. These include static and cinematic balanced steady-state free precession sequences, single-shot T2-weighted sequences, diffusion-weighted imaging and pre- and post-contrast 3-D T1-weighted gradient echo sequences. Magnetization transfer imaging and quantitative assessment of bowel to distinguish inflammation and fibrosis are not yet standard in pediatric MRE, but show promise.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Greer MLdoi
10.1007/s00247-016-3596-9subject
Has Abstractpub_date
2016-05-01 00:00:00pages
818-28issue
6eissn
0301-0449issn
1432-1998pii
10.1007/s00247-016-3596-9journal_volume
46pub_type
杂志文章,评审abstract::Ligamentous injuries of the pediatric wrist, once thought to be relatively uncommon, are increasingly recognized in the context of acute high-energy mechanism trauma and chronic axial loading, including those encountered in both recreational and high-performance competitive sports. Recent advances in MR-based techniqu...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4111-2
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Adrenocortical carcinoma (ACC), a tumor that is rare among children, causes clinically evident hormonal disturbances. Imaging methods are used to stage disease and to plan surgical resection. OBJECTIVE:To describe the findings of the various imaging methods used to evaluate ACC. MATERIALS AND METHODS:We re...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050013
更新日期:2000-01-01 00:00:00
abstract::We present a case of Kniest dysplasia, a rare form of the type II collagenopathies, with prenatal MRI. Sonography revealed only short limbs in the fetus. Fetal MRI findings included enlarged hyaline cartilaginous structures with abnormally high T2 signal intensity, delayed ossification of the pubic and ischial bones, ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1444-x
更新日期:2010-03-01 00:00:00
abstract::Glenoid dysplasia is an anomaly of the scapula characterized by underdevelopment of the bony glenoid and adjacent part of the scapular neck which may be seen as a primary isolated condition, in patients with multiple anomalies or ill-defined syndromes, in well-described syndromes, in mucopolysaccharidoses and related ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s002470050287
更新日期:1998-01-01 00:00:00
abstract::The hypothesis that the normal distribution of relative heart volume in the neonatal period is a mixture of two different populations, with different means and variances, has been tested. The definition of the two populations was (i) normally patent ductus and (ii) closed ductus arteriosus. The assumed frequencies of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973155
更新日期:1983-01-01 00:00:00
abstract::Extracranial hematoma without significant head trauma is uncommon. We discuss a 9-year-old girl who presented with sudden head swelling, bilateral proptosis, extraocular muscle palsy, and progressive visual disturbance after hair braiding. The diagnosis of a large subgaleal hematoma with extension into the superior as...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1176-y
更新日期:2009-06-01 00:00:00
abstract::Langerhans cell histiocytosis of the head and neck is an uncommon histiocytic proliferative disorder that often clinically resembles an inflammatory process. A pseudoaneurysm of the external carotid artery was found by contrast-enhanced CT and confirmed by Doppler ultrasonography and angiography in a 9 year old girl w...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02020220
更新日期:1993-01-01 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::Three children with adult cadaveric bone allografts for the treatment of bone malignancies are presented. Follow-up magnetic resonance (MR) imaging demonstrated decreased signal on T1-weighted imaging and increased signal on T2-weighted imaging in the allograft without clinical evidence of recurrent disease. These sig...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015006
更新日期:1994-01-01 00:00:00
abstract::Sixty-two patients with interstitial lung fibrosis in the age range 2 to 34 years were followed up from 3 to 26 years. The authors stress the important role of an experienced radiologist, who may make a correct diagnosis on the basis of a plain chest radiograph and who plays an important role in follow-up studies beca...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00971813
更新日期:1981-01-01 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: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::Dideoxyinosine (ddI) is a widely used antiretroviral agent in treatment of HIV infection. Pancreatitis is a serious side effect. Two cases are reported, one with rapid development of a pseudocyst. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050099
更新日期:1997-02-01 00:00:00
abstract::In a group of 70 premature and newborn infants, treated with artificial ventilation, 24.3% developed bronchopulmonary dysplasia (BPD). Only in a very few cases did the typical radiological stages, as described by Northway, succeed each other in a chronological order. It is impossible to differentiate BPD stage I or II...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973978
更新日期:1977-03-17 00:00:00
abstract::Chylopericardium rarely occurs in pediatric patients, but when it does it is most often a result of lymphatic injury during cardiothoracic surgery. Primary idiopathic chylopericardium is especially rare, with few cases in the pediatric literature. We report a 10-year-old boy who presented with primary idiopathic chylo...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3182-y
更新日期:2015-06-01 00:00:00
abstract::Unilateral thalamic bleeding with associated intraventricular hemorrhage is reported in three full-term neonates. The first presented within 48 hours from birth with early onset streptococcal meningitis, persistent pulmonary hypertension, tonic seizures and a tense fontanelle. The second presented 6 days after birth w...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/BF02011312
更新日期:1992-01-01 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::We present a 16-year-old boy with autoimmune liver disease and longstanding portal hypertension in whom a CT arteriogram demonstrated a large aneurysm arising from the distal, extra-parenchymal portion of the splenic artery. Because of its location adjacent to multiple venous collaterals, the aneurysm was indistinguis...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1493-1
更新日期:2010-07-01 00:00:00
abstract::Anomalous origin of the left pulmonary artery in tetralogy of Fallot was diagnosed in a 4-year-old boy be cardiac catheterization. Corrective surgery was performed. The child died immediately following the surgical procedure. Postmortem examination revealed obstructive pulmonary vascular disease of the left lung and n...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388368
更新日期:1985-01-01 00:00:00
abstract::Atlas anomalies in terms of clefts and aplasia are rare. They can sometimes simulate fractures and need further evaluation. Imaging in terms of CT and MR can help resolve diagnostic confusion and also outline associated neurological involvement. A rare anomaly of anterior and posterior atlas arch, previously unclassif...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100542
更新日期:2001-11-01 00:00:00
abstract::Isolated oesophageal leiomyomatosis in children is very rare. The association between leiomyomatosis of oesophagus and female genital tract and an Alport like hematuric nephritis has been recognized as a distinct entity by Garcia-Torres and Guarner. Since then few other cases of this syndrome have been observed. Conge...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012602
更新日期:1991-01-01 00:00:00
abstract::Aspergillus is the most common fungal infectious pathogen in immunocompromised individuals, but the diagnosis is hard to obtain. In a patient with spinal cord involvement, MRI proved to be excellent. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02013175
更新日期:1990-01-01 00:00:00
abstract::Two cases of neonatal spontaneous rupture of the esophagus are described, one of which is associated with a duodenal stenosis. Seventeen cases have been reported. They present clinically with non-specific signs of respiratory insufficiency and radiologically by a right-sided hydropneumothorax. Esophageal opacification...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386871
更新日期:1986-01-01 00:00:00
abstract::Gorham's disease may develop in any region of the skeleton, but shows a predilection for the bones of the shoulders and pelvic girdles. Less frequently, the disease may involve the spine, and it is the proximity to the spinal cord which may worsen the patient's outcome. We report the clinical outcomes of two children ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012113
更新日期:1994-01-01 00:00:00
abstract::Inflammatory bowel diseases (IBDs), including Crohn disease (CD) and ulcerative colitis (UC), often affect children and adolescents. Their diagnosis is based on the integration of clinical, biological, endoscopic, histological and radiological data. The paediatric radiologist may help the clinician in many ways. In ch...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-007-0573-3
更新日期:2007-11-01 00:00:00
abstract::Seventy-five premature infants weighing between 600 and 3200 g were studied over a period of 1 year. All of the infants received surfactant therapy for hyaline membrane disease immediately after birth and, thereafter, up to four doses every 6 h. The roentgenographic findings in all patients were documented at birth an...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01372230
更新日期:1996-01-01 00:00:00
abstract::We report a rare case of atypical teratoid/rhabdoid tumor that presented with imaging findings similar to those of optic pathway glioma. The diagnosis of atypical teratoid/rhabdoid tumor was determined following surgical resection of the tumor by collective histologic and immunohistochemical staining, and cytogenetic ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0923-9
更新日期:2008-10-01 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 case of a 12 year old girl with a hamartoma of the liver is reported. A preoperative liver scan showed accumulation of technetium-99m sulfur colloid in the tumor with isotopic and contrast arteriography demonstration of a hypervascular intrahepatic mass. Although these diagnostic findings are not pathognomonic of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00975347
更新日期:1976-04-14 00:00:00
abstract::Gonadal dysgenesis and coarctation of the aorta were found in four patients to be associated with premature sternal fusion but possible etiologic relationship to shield chest deformity in suggested. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386775
更新日期:1985-01-01 00:00:00