Abstract:
:In the context of health care, risk assessment is the identification, evaluation and estimation of risk related to a particular clinical situation or intervention compared to accepted medical practice standards. The goal of risk assessment is to determine an acceptable level of risk for a given clinical treatment or intervention in association with the provided clinical circumstances for a patient or group of patients. In spite of the inherent challenges related to risk assessment in pediatric cross-sectional imaging, the potential risks of ionizing radiation and sedation/anesthesia in the pediatric population are thought to be quite small. Nevertheless both issues continue to be topics of discussion concerning risk and generate significant anxiety and concern for patients, parents and practicing pediatricians. Recent advances in CT technology allow for more rapid imaging with substantially lower radiation exposures, obviating the need for anesthesia for many indications and potentially mitigating concerns related to radiation exposure. In this review, we compare and contrast the potential risks of CT without anesthesia against the potential risks of MRI with anesthesia, and discuss the implications of this analysis on exam selection, providing specific examples related to neuroblastoma surveillance imaging.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Callahan MJ,MacDougall RD,Bixby SD,Voss SD,Robertson RL,Cravero JPdoi
10.1007/s00247-017-4023-6subject
Has Abstractpub_date
2018-01-01 00:00:00pages
21-30issue
1eissn
0301-0449issn
1432-1998pii
10.1007/s00247-017-4023-6journal_volume
48pub_type
杂志文章,评审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::Diffusion-weighted MRI of the brain is becoming clinically available as a tool to investigate cerebral ischaemia. We report a newborn girl presenting with seizures in whom diffusion-weighted MRI showed a large hyperintensity in the area perfused by the left middle cerebral artery. Short-term neurological follow-up bef...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100442
更新日期:2001-05-01 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:BACKGROUND:Dose reduction by combined tube current modulation has not been evaluated in pediatric low-dose CT. OBJECTIVE:This study was performed to evaluate tube current reduction in non-ECG-gated heart CT angiography in children by combined tube current modulation, and to assess the effects of body weight, age, sex,...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00247-005-0105-y
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Hepatic involvement is frequent in patients with cystic fibrosis (CF), with focal biliary cirrhosis being the pathognomonic hepatic manifestation. In around one-quarter of CF patients, it results in CF-associated liver disease (CFLD). This occurs as a relatively early complication with the majority of patien...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1531-z
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:MRI is the most sensitive imaging modality in juvenile idiopathic arthritis (JIA), but has practical limitations. Optimizing the scanning protocol is, therefore, necessary to increase feasibility and patient comfort. OBJECTIVE:To determine the feasibility of bilateral non-contrast-enhanced open-bore MRI of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2306-x
更新日期:2012-04-01 00:00:00
abstract::High-attenuation mucus plugging is a rare finding in both adults and children. When it occurs, the field of differential diagnoses is typically quite small and includes acute hemorrhage, aspiration of radiodense material, and allergic bronchopulmonary aspergillosis (ABPA). The last of these three diagnoses is the most...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-007-0471-8
更新日期:2007-06-01 00:00:00
abstract::A retrospective study of the CT data of the brain was carried out in 48 newborns with neonatal subarachnoid hemorrhage. In addition to the posterior interhemispheric opacities generally accepted as an index of this type of bleeding, anterior interhemispheric, paravermian, cisternal and supratentorial hyperdensities mu...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012955
更新日期:1990-01-01 00:00:00
abstract::The original version of this paper included errors in Fig. 3. The corrected Fig. 3 is presented here. ...
journal_title:Pediatric radiology
pub_type: 已发布勘误
doi:10.1007/s00247-020-04665-6
更新日期:2020-05-01 00:00:00
abstract::A 15-year-old boy with caecal haematoma required a right hemicolectomy due to development of small bowel obstruction and near caecal perforation having presented several days after an episode of minor trauma. The position of the caecum between intraperitoneal and extraperitoneal bowel requires special treatment consid...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-013-2754-6
更新日期:2014-01-01 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::Technical and clinical aspects of esophageal transit scintigraphy in pediatric patients are reviewed via several illustrative cases that highlight its utility in evaluating primary and secondary esophageal motility disorders. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4301-y
更新日期:2019-05-01 00:00:00
abstract::Despite the availability of Doppler ultrasound, angiography still forms part of the protocol for evaluating children after orthotopic liver transplantation (OLT) at our department. To investigate whether Doppler ultrasound is a reliable method for evaluating the patency of the hepatic artery, portal vein, inferior ven...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015783
更新日期:1995-01-01 00:00:00
abstract::Imaging is a crucial part of the evaluation of children with primary liver malignancies. In addition to staging the intrahepatic extent of the tumour, the 2005 revision of the PRETEXT system specifies certain criteria for assessment of extrahepatic disease. This article reviews the imaging findings of two of these cri...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-007-0513-2
更新日期:2007-11-01 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::Imaging is often a fundamental part in the evaluation of an injured or ill child. A variety of imaging modalities (radiography, angiography/fluoroscopy, sonography, CT, magnetic resonance imaging and scintigraphy) are among the options. CT is worth focused attention because of its usefulness in a variety of emergency ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-008-0863-4
更新日期:2008-11-01 00:00:00
abstract::We describe five boys, all of whom presented with urinary tract infection or acquired urinary incontinence some years after surgery for a high anorectal malformation (ARM). All were found to have a posterior urethral diverticulum thought to represent the remains of the original rectourethral fistula accompanying the h...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01372089
更新日期:1996-01-01 00:00:00
abstract::The case of a young boy with primary hyperparathyroidism due to an adenoma is reported. The tumor was localized by ultrasonography, and a close correlation between the image and the surgical findings was found. Since primary hyperparathyroidism in children under 15 years of age is frequently due to adenomata larger th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386732
更新日期:1984-01-01 00:00:00
abstract::A patient with tuberous sclerosis and a normal intravenous urogram 5 years previously presented with a large and palpable upper pole renal mass. Since patients with tuberous sclerosis have small bilateral hamartomas, a Wilms' tumor was suspected. In retrospect, inhomogenous nephrograms should have alerted the radiolog...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01092953
更新日期:1980-07-01 00:00:00
abstract::The published version of this article incorrectly lists the authors' affiliations. The correct affiliations are given below. The Publisher regrets this mistake. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,已发布勘误
doi:10.1007/s00247-017-4064-x
更新日期:2018-07-01 00:00:00
abstract::The technique of inversion-ligation appendectomy is used by some surgeons to eliminate the risk of peritoneal contamination as the result of incidental appendectomy during an otherwise clean surgical procedure. In most cases, the intussuscepted appendix necroses and sloughs into the cecum after several days. We presen...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100492
更新日期:2001-08-01 00:00:00
abstract::Thirteen newborns with lethal short rib-polydactyly (SRP) have been reviewed, 11 with SRP type III (Verma-Naumoff) and 2 with SRP type II (Majewski). In the former group there were three sets of siblings. The excess of males with SRP type III (Verma-Naumoff) is confirmed in this present study. A high frequency of phen...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388282
更新日期:1987-01-01 00:00:00
abstract::Omental cyst is a rare lesion occurring primarily during childhood and young adulthood. It is closely related to mesenteric and retroperitoneal cysts, all conditions most likely being of congenital or benign neoplastic lymphatic origin. Omental cysts usually present as abdominal distention of long duration, less frequ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01006901
更新日期:1975-06-13 00:00:00
abstract::Pediatric cancers often have specific molecular fingerprints making them primary candidates for the development of targeted imaging techniques. Tumor-targeted tracers have the potential to substantially advance the sensitivity and specificity of imaging techniques by improving tumor detection and characterization. Thi...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-008-0878-x
更新日期:2008-11-01 00:00:00
abstract::We present the MRI findings in a case of subcutaneous fat necrosis of the newborn. To our knowledge, the MRI findings of this entity have not been reported. Subcutaneous fat necrosis of the newborn is an uncommon, benign process in full-term infants. Hypercalcemia may be a potentially life-threatening complication of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050696
更新日期:1999-10-01 00:00:00
abstract::Two cases of Gorham's disease (massive osteolysis, idiopathic osteolysis, vanishing bone disease) involving the thoracic skeleton are reported. Both patients were adolescent females with involvement of multiple ribs. Involvement of the thoracic spine and pleural effusions--unusual manifestations carrying a poor progno...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012145
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Intestinal blood-flow changes after birth. Objective. To elucidate the factors influencing intestinal blood-flow velocity in preterm infants during the early neonatal period. MATERIALS AND METHODS:We measured blood-flow velocity in the superior mesenteric artery by pulsed Doppler US in 44 uncomplicated infa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050621
更新日期:1999-06-01 00:00:00
abstract::In order to evaluate the role of gadolinium-DOTA enhanced MRI in the management of painful osseous crises in children with sickle cell anemia (SCA), nine children with SCA underwent MRI, bone scans and ultrasonographic studies during 11 osseous crises. Imaging findings were compared with the final diagnosis: three acu...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02020160
更新日期:1994-01-01 00:00:00
abstract::We review our experience with unusual ocular pathologies, some mimicking retinoblastoma, that were referred to our institution during the past two decades. After presenting the imaging anatomy of the normal eye, we discuss pertinent clinical and pathological features, and illustrate the US and MRI appearance of retino...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-012-2374-6
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Cerebellar low-grade astrocytomas (CLGAs) of childhood are benign tumours and are usually curable by surgical resection alone or combined with adjuvant radiotherapy. OBJECTIVE:To undertake a retrospective study of our children with CLGA to determine the optimum schedule for surveillance imaging following in...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-1546-z
更新日期:2005-11-01 00:00:00