Abstract:
:Alongside recent advances in treatment strategies for juvenile idiopathic arthritis (JIA), paediatric rheumatologists have taken increasing interest in the use of imaging. Magnetic resonance imaging (MRI) and musculoskeletal ultrasound, by providing more detailed information on disease activity than clinical examination and conventional radiography (CR), have become helpful diagnostic and managerial tools. The growing skeleton, however, with changing appearances over time, is still challenging in the establishment of valid scoring systems for pathological changes. Defining child- and age-specific reference standards is therefore a highly prioritized issue. The aim of this article is to raise awareness among radiologists of the substantial role that imaging can play to optimize the management of JIA patients and to describe the state-of-the-art validation process of imaging as an outcome measure. A closer collaboration between radiologists and pediatric rheumatologists is crucial to define a scheduled workflow for imaging in JIA.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Malattia C,Tzaribachev N,van den Berg JM,Magni-Manzoni Sdoi
10.1007/s00247-017-4014-7subject
Has Abstractpub_date
2018-06-01 00:00:00pages
785-791issue
6eissn
0301-0449issn
1432-1998pii
10.1007/s00247-017-4014-7journal_volume
48pub_type
杂志文章,评审abstract:BACKGROUND:New developments in processing of digital radiographs (DR), including multi-frequency processing (MFP), allow optimization of image quality and radiation dose. This is particularly promising in children as they are believed to be more sensitive to ionizing radiation than adults. OBJECTIVE:To examine whether...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-012-2385-3
更新日期:2012-09-01 00:00:00
abstract::Neonatal goiter is a rare cause of a neck mass and stridor. Often, the diagnosis can be made on clinical grounds exclusively, but there may be times when a neck mass becomes a diagnostic dilemma. There are several different imaging modalities available to the clinician that are useful in the rapid diagnosis of neonata...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01405300
更新日期:1996-01-01 00:00:00
abstract::A case of intramural esophageal pseudodiverticulosis in a five-year-old with a 16-year follow up is presented. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00971777
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Fluoroscopy is an important tool for diagnosis in the pediatric population, but it carries the risk of radiation exposure. Because radiology resident education and experience in the use of fluoroscopy equipment in children vary, we implemented an intervention to standardize fluoroscopy training. OBJECTIVE:T...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3108-8
更新日期:2015-02-01 00:00:00
abstract::Vascular rings and pulmonary slings are congenital anomalies of the aortic arch/great vessels and pulmonary arteries, respectively, that commonly present early during infancy and childhood with respiratory and/or feeding difficulties. The diagnosis of these conditions frequently utilizes a multi-modality radiological ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-011-2131-2
更新日期:2011-11-01 00:00:00
abstract::Xanthogranulomatous pyelonephritis (XGP), a rare chronic renal infection in children, usually presents as high fever, pyuria and an abdominal mass. This child with clinical and radiologic evidence of osteomyelitis was not suspected of renal disease until a non-functioning kidney was discovered during a bone scan. The ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388099
更新日期:1987-01-01 00:00:00
abstract::Abstract Papillary thyroid carcinoma is rare in children. Its clinical manifestation may deviate from that observed in adult patients. We present a 14-year-old girl with papillary thyroid carcinoma. We then discuss various distinctive sonographic signs that may aid diagnosis, and we discuss differences in clinical fea...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2189-x
更新日期:2012-03-01 00:00:00
abstract::A case of vein of Galen aneurysm, studied with a fast gradient refocusing pulse MRI sequence, is presented. Fast MRI sequences allowed the acquisition of additional hemodynamic information that was not available with either routine MRI or angiography. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02013833
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:To offer a descriptive review which characterizes and evaluates the significance of local physeal widening, (cartilaginous signal extending from the physis into the adjacent metaphysis), identified on magnetic resonance (MR) imaging. MATERIALS AND METHODS:MR images (recollected from exams performed between 1...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050206
更新日期:1997-08-01 00:00:00
abstract::Lissencephaly, a developmental malformation characterized by absence of sulci, may be suggested in dysmorphic or epileptic infants. Real time ultrasonographic findings correlated with typical electroencephalographic abnormalities establish the diagnosis. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02396608
更新日期:1987-01-01 00:00:00
abstract:PURPOSE:To evaluate (131)I-MIBG scintigraphic localization of xenotransplanted and spontaneously arising neuroblastomas in murine models of high-risk neuroblastoma. METHODS:Neuroblastoma xenografts were created by inoculation of human neuroblastoma cell suspensions into the subcutaneous flanks of athymic nude mice. In...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-1006-6
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Conventional MRI sequences are often affected in neuropediatric imaging by unavoidable movements. Therefore, children younger than 6 years usually have to be examined under sedation/anesthesia. A new real-time MRI technique with automatic slice advancement allows for motion-robust T2-weighted volume coverage...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04771-5
更新日期:2020-11-01 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::Restrictive dermopathy is an inherited syndrome characterized clinically by severe growth retardation, abnormal skin, characteristic facies, and multiple congenital contractures. Distinctive radiologic features include deficient mineralization of the clavicles and the skull, overtubulation and frequent modeling defect...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02014983
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::Developmental dysplasia of the hip (DDH) is an important but poorly defined entity, the natural history of which is incompletely understood. The term encompasses a disease spectrum ranging from a stable hip with a mildly dysplastic acetabulum to complete hip dislocation. Much controversy surrounds the diagnosis, imagi...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-012-2429-8
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Clotting factor replacement forms the pillar of treatment for children with hemophilia. Most children can be treated using peripheral venipuncture, but very young children and children with poor venous access might require a central venous catheter. Short-term and long-term complications of implantable venou...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-020-04668-3
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Recently a 320-detector-row CT (MDCT) scanner has become available that allows axial volumetric scanning of a 16-cm-long range (50 cm field of view) in a single 0.35-s rotation. For imaging neonates and small children, volume scanning is potentially of great advantage as the entire scan range can be acquired...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1436-x
更新日期:2010-03-01 00:00:00
abstract::In pediatric oncology, therapeutic decisions are made based on tumor response to chemotherapeutic agents. Sequential measurement of tumor bulk and its percent change on therapy must be accurately assessed. Will 3-dimensional (3-D) volumetric determination improve our ability to assess tumor response to therapy? Forty-...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02020828
更新日期:1995-01-01 00:00:00
abstract::Mid-cervical kyphosis in diastrophic dysplasia (DD) with cord compression and weakness has been recognized for the last three decades. A strikingly similar situation exists in Larsen's syndrome (LS), an otherwise unrelated problem of weakness with lay joints and dislocations with typical facies. Forty patients with DD...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010328
更新日期:1995-01-01 00:00:00
abstract::A retrospective study was performed of 39 children at the Children's Memorial Hospital, Chicago, Illinois, who underwent technetium-99m glucoheptonate (99mTcGH) scintigraphy for evaluation of possible urinary tract infection. Clinical and laboratory criteria classified the children as having pyelonephritis, cystitis, ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386819
更新日期:1986-01-01 00:00:00
abstract::The case report is presented of a neonate with a unilateral multicystic dysplastic kidney. An intravenous pyelogram revealed septations throughout this kidney with late pooling of contrast media within the cystic structures. The pathological data stresses the presence of normal appearing glomeruli interspersed between...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01000126
更新日期:1975-03-20 00:00:00
abstract::Congenital neutropenia is an uncommon entity which may be familial and has a wide spectrum of clinical expression. Three sisters with the severe form of the disease, that suffered from recurrent infections which lead to their demise, are described. Review of their radiographs revealed the presence of cortical thickeni...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388088
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Skeletal surveys are routinely performed in cases of suspected child abuse, but there are limited data regarding the yield of high-detail skeletal surveys in infants. OBJECTIVE:To determine the diagnostic yield of high-detail radiographic skeletal surveys in suspected infant abuse. MATERIAL AND METHODS:We ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3064-3
更新日期:2015-01-01 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:BACKGROUND:Excessive cervical flexion-extension accompanying mild to severe impact injuries can lead to C2 synchondrosal fractures in young children. OBJECTIVE:To characterize and classify C2 synchondrosal fracture patterns. MATERIALS AND METHODS:We retrospectively reviewed imaging and medical records of children who...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3224-5
更新日期:2015-06-01 00:00:00
abstract::Rib fractures are a common skeletal manifestation of non-accidental injury (NAI) in infants and young children and are generally considered to be highly specific for abuse. There are, however, relatively few descriptions of fractures involving the costochondral junctions in NAI. We present three children (two boys, on...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050436
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Oral contrast preparation is fundamental to ensuring diagnostic examination quality for magnetic resonance enterography (MRE), yet little is known about the relative palatability and tolerability of various oral contrast agents in pediatric patients with known or suspected inflammatory bowel disease. OBJECT...
journal_title:Pediatric radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00247-019-04378-5
更新日期:2019-06-01 00:00:00
abstract::Loss of bowel gas was observed in 18 out of 49 neonates on mechanical ventilation (37%). Its occurrence was correlated to the outcome and to the use of sedative or neuromuscular paralysing drugs. None of the babies had gastrointestinal disorders requiring surgical intervention. A gasless abdomen was found in 6 our of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01221704
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Whole-body MRI is used for staging paediatric Hodgkin lymphoma, commonly using size thresholds, which fail to detect disease in normal-size lymph nodes. OBJECTIVE:To investigate quantitative whole-body MRI metrics for nodal characterisation. MATERIALS AND METHODS:Thirty-seven children with Hodgkin lymphoma...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04463-9
更新日期:2019-09-01 00:00:00