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 of the whole brain within a few seconds in adults. OBJECTIVE:To evaluate to which extent the new volume coverage method can be used to visualize cerebrospinal fluid and reduce the need for anesthesia in children. MATERIALS AND METHODS:We assessed 30 children ages 6 years and younger with suspected or proven hydrocephalus, hygroma or macrocephalus using volume coverage sequences with 20 slices per second in three planes. If necessary, a parent was placed in the bore together with the child for calming and gentle immobilization. We compared visualization of cerebrospinal fluid spaces and course of the shunt catheter in volume coverage sequences vs. fast spin-echo sequences. RESULTS:The clinical issue could be sufficiently assessed in all children with use of volume coverage sequences, whereas conventional fast spin-echo sequences performed moderately to poorly. Visualization of the tip of a shunt failed in 16% of volume coverage scans and 27% of turbo spin-echo scans. A subsequent examination under anesthesia was never necessary. None of the examinations had to be stopped prematurely. CONCLUSION:The motion-robust volume coverage sequences with T2-type contrast can be used to avoid sedation of children in the evaluation of cerebrospinal fluid spaces, even in the presence of vigorous motion. For other indications and contrasts, the technique must still be evaluated.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Gräfe D,Roth C,Weisser M,Krause M,Frahm J,Voit D,Hirsch FWdoi
10.1007/s00247-020-04771-5subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1751-1756issue
12eissn
0301-0449issn
1432-1998pii
10.1007/s00247-020-04771-5journal_volume
50pub_type
杂志文章abstract:BACKGROUND:Phalangeal microgeodic syndrome is an uncommon benign self-limiting condition that often occurs during cold weather. The etiology and the pathogenesis of the disease remain unclear. OBJECTIVE:To report a series of children with phalangeal microgeodic syndrome. MATERIALS AND METHODS:Twenty children with pha...
journal_title:Pediatric radiology
pub_type: 杂志文章
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更新日期:2018-08-01 00:00:00
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journal_title:Pediatric radiology
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doi:10.1007/BF02020160
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journal_title:Pediatric radiology
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doi:10.1007/s002470050342
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abstract::Spontaneous reduction of a presumed ileo-colonic intussusception was demonstrated by ultrasound examination followed by a barium enema. No premedication or anesthetic had been given to the child. This case illustrates the possible natural history of intussusception rarely confirmed by imaging studies. Intussusception ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02013178
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abstract::Sporotrichosis in children is rare, and its osteoarticular form is very unusual. Disseminated forms are described mostly in immunocompromised patients. We report a case of a 5-year-old immunocompetent boy with multiple suppurated cutaneous lesions that progressed to polyarthritis of the hands and feet. Radiographic im...
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387506
更新日期:1986-01-01 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...
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journal_title:Pediatric radiology
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更新日期:1983-01-01 00:00:00
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journal_title:Pediatric radiology
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abstract::Drainage problems due to catheter malpositioning are acutely life-threatening in patients undergoing extracorporeal membrane oxygenation. In order to reduce these complications we introduced sonographically guided catheter positioning. We compare the outcome in a group of patients with blind cannula positioning to tha...
journal_title:Pediatric radiology
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doi:10.1007/BF02011838
更新日期:1995-01-01 00:00:00
abstract::Part 1 of this series of two articles describes conventional and advanced MRI techniques that are useful for evaluating brainstem pathologies. In addition, it provides a review of the embryology, normal progression of myelination, and clinically and radiologically salient imaging anatomy of the normal brainstem. Final...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
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更新日期:2021-02-01 00:00:00
abstract::Intrathecal baclofen has long been known to be an efficacious treatment of spasticity in children with cerebral palsy. Test bolus administration is often necessary to ensure patients will benefit from this treatment. The introduction of a intrathecal catheter for test bolus administration can prove challenging in a su...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-017-3816-y
更新日期:2017-05-01 00:00:00
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journal_title:Pediatric radiology
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doi:10.1007/s00247-007-0459-4
更新日期:2007-07-01 00:00:00
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journal_title:Pediatric radiology
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doi:10.1007/BF00975540
更新日期:1978-02-28 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01387317
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010311
更新日期:1995-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-1500-0
更新日期:2005-11-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3171-1
更新日期:2014-12-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
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abstract:BACKGROUND:Focal liver lesions are common in children and adults after Fontan procedures. OBJECTIVE:To explore the relationship between liver shear stiffness, using magnetic resonance (MR) elastography, and the presence of focal liver lesions in patients after Fontan procedures (total cavopulmonary anastomosis). MATE...
journal_title:Pediatric radiology
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更新日期:2019-01-01 00:00:00
abstract::The analytical sensitivity of radionuclide 'milk' scans for detecting gastro-oesophageal reflux (GOR) has been assessed using an in vitro simulation test. Five factors were found to affect the ability to detect simulated reflux: isotope concentration, absolute gamma camera sensitivity, absorber thickness overlying the...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388354
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abstract::The isolated form of femoral bowing is an important differential diagnosis of campomelia. Therefore, knowledge of isolated anomalies is fundamental for prenatal diagnosis, especially for the differential diagnosis from severe syndromes. Four cases are presented to discuss the differential diagnosis of femoral bowing i...
journal_title:Pediatric radiology
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doi:10.1007/s00247-004-1375-5
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journal_title:Pediatric radiology
pub_type: 杂志文章,多中心研究
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abstract::Five cases of chronic, inflammatory, multifocal bone lesions of unknown etiology are reported. Although bone biopsy confirmed osteomyelitis in each case in none of them were organisms found inspite of an extensive work up. Different clinical course of the disease reflects different aetiology in respective cases. These...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01624396
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To evaluate skeletal abnormalities on post-mortem radiographs of fetuses with Down's syndrome. MATERIALS AND METHODS:Biometrical and morphological criteria, which are used for US prenatal detection of trisomy 21, were assessed. Limb long bones, biparietal diameter (BPD)/occipito-frontal diameter (OFD) ratio,...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050675
更新日期:1999-09-01 00:00:00
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journal_title:Pediatric radiology
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doi:10.1007/s00247-008-0973-z
更新日期:2008-11-01 00:00:00
abstract::Congenital cardiac malformations (CCM) are the commonest congenital anomalies. Using ultrasonography (US), the incidence of CCM in a selected group of fetuses and the impact of CCM on perinatal and postnatal care was evaluated. The indication for fetal echocardiography (F-ECHO) in 152 pregnancies was a positive family...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387894
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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