Abstract:
BACKGROUND:Osteomyelitis is a challenging diagnosis for clinicians, particularly in very young children. At our institution, the magnetic resonance imaging (MRI) protocol in suspected osteomyelitis for children 5 years of age or younger includes a large field of imaging regardless of the clinical site of concern. OBJECTIVE:To determine if extended field of view (FOV) MRI contributes important information in young children with suspected osteomyelitis. MATERIALS AND METHODS:A retrospective study was performed including children 5 years of age or younger with suspected osteomyelitis from January 2011 to September 2015. All children underwent coronal fluid-sensitive MRI from neck to feet. Focused imaging was performed as necessary on abnormal sites depicted on survey imaging. Two radiologists reviewed the imaging findings, which were compared to the clinical outcome. RESULTS:We studied 51 children with a mean age of 2.2 years (range: 21 days-5.5 years); 53% were boys. Osteomyelitis was depicted by MRI in 20 subjects (39.2%). Survey coronal fluid-sensitive imaging was accomplished by adding a single fluid-sensitive series in 1 child, 2 series in 31 children, 3 series in 16 children and 4 series in 3 children. Survey imaging added a median total time of 6:51 min to the examination (range: 2.29-20.54 min). Extended FOV imaging added important information in 11/51 subjects (21.6%), in 6 cases (11.8%) of infection and in 5 cases (9.8%) by suggesting alternative diagnoses. CONCLUSION:The addition of extended FOV MRI in young children with suspected osteomyelitis added important clinical information in 21.6% of patients while only adding a median of 6:51 min to the examination. It is our experience that in children ≤5 years of age with suspected osteomyelitis, extended FOV imaging adds important information and may result in changes in management.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Lindsay AJ,Delgado J,Jaramillo D,Chauvin NAdoi
10.1007/s00247-018-4317-3subject
Has Abstractpub_date
2019-03-01 00:00:00pages
379-386issue
3eissn
0301-0449issn
1432-1998pii
10.1007/s00247-018-4317-3journal_volume
49pub_type
杂志文章abstract:BACKGROUND:Methylmalonic acidemia (MMA) is an autosomal-recessive inborn error of metabolism. OBJECTIVE:To recognize the CT and MR brain sectional imaging findings in children with MMA. MATERIALS AND METHODS:Brain imaging studies (47 MR and 5 CT studies) from 52 children were reviewed and reported by a neuroradiologi...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-008-0940-8
更新日期:2008-10-01 00:00:00
abstract::We report a case of eosinophilic granuloma at the fourth cervical vertebra in a 10-year-old girl presenting with a 1-month history of cervical pain and stiffness. This lesion was histologically diagnosed by needle biopsy and then treated by percutaneous vertebroplasty. After the procedure, the cervical pain and stiffn...
journal_title:Pediatric radiology
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doi:10.1007/s00247-007-0575-1
更新日期:2007-10-01 00:00:00
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journal_title:Pediatric radiology
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doi:10.1007/BF02386591
更新日期:1987-01-01 00:00:00
abstract::Congenital solitary nonparasitic cysts of the liver (CSNCL) are extremely rare causes of abdominal masses in newborns and infants. We describe a cystic abdominal mass virtually all extrahepatic in a newborn that proved to be a CSNCL. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02013009
更新日期:1992-01-01 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
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doi:10.1007/s00247-019-04463-9
更新日期:2019-09-01 00:00:00
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journal_title:Pediatric radiology
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更新日期:2015-06-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050299
更新日期:1998-02-01 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
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doi:10.1007/s00247-014-3063-4
更新日期:2014-12-01 00:00:00
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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更新日期:1991-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
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更新日期:1999-10-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-015-3499-1
更新日期:2016-04-01 00:00:00
abstract::The radiological manifestations of an unusual spondyloepiphyseal dysplasia have been observed in a girl. A peculiar epi-metaphyseal involvement that is "cone shaped epiphyses" appears to be the major feature. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388164
更新日期:1987-01-01 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
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4162-4
更新日期:2018-08-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02389002
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Presently, the only sonographic parameters used to follow puberty in girls are size and morphology of the uterus and ovaries. Doppler of the uterine artery appears a useful complementary parameter to follow puberty. OBJECTIVE:To determine the potential contribution of Doppler evaluation of the uterine arter...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100463
更新日期:2001-10-01 00:00:00
abstract::malrotation and Hirschsprung's disease are common gastrointestinal abnormalities in neonates and infants. Four patients with the association of malrotation and Hirschsprung's disease are reported. A delay in diagnosis may be complicated by midgut volvulus or enterocolitis. The diagnostic and therapeutic implications o...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01221703
更新日期:1982-01-01 00:00:00
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doi:10.1007/s00247-009-1411-6
更新日期:2010-02-01 00:00:00
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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更新日期:1997-10-01 00:00:00
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journal_title:Pediatric radiology
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更新日期:2015-09-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1201-1
更新日期:2009-07-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388718
更新日期:1985-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02389013
更新日期:1988-01-01 00:00:00
abstract::Cystic dysplasia of the testis is an uncommon benign cause of an intratesticular mass in children. It is often associated with renal abnormalities, which reflects the close developmental association between the kidneys and testes. The diagnosis is usually suspected based on sonographic findings. We present a case of c...
journal_title:Pediatric radiology
pub_type: 杂志文章
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更新日期:1998-12-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3395-8
更新日期:2015-10-01 00:00:00