Abstract:
:Necrotizing enterocolitis (NEC) is associated with considerable morbidity and mortality in infants. The diagnosis relies heavily upon radiographic and clinical features. Failure to accurately diagnose NEC is associated with a risk of complications and death, however overdiagnosis also causes both morbidity and mortality as well as excessive medical costs. This report documents the use of barium enema to evaluate suspected clinical or radiographic NEC in 31 premature infants with ambiguous clinical and radiographic signs. The enema was normal in 26 infants and no treatment for NEC was given. Only one of these infants developed signs of NEC subsequent to the examination. Five infants had radiographic evidence of colitis including small ulcerations, spasm, intramural extravasation of barium and mucosal irregularity. Two of the five positive cases are pathologically documented. The barium enema can represent a significant improvement in the specificity of the diagnosis of NEC. Its greatest value is in the exclusion of NEC in ambiguous cases.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Uken P,Smith W,Franken EA,Frey E,Sato Y,Ellerbroek Cdoi
10.1007/BF02395755subject
Has Abstractpub_date
1988-01-01 00:00:00pages
24-7issue
1eissn
0301-0449issn
1432-1998journal_volume
18pub_type
杂志文章abstract::An infant with complex cyanotic congenital heart disease was recently encountered whose radiographs seemed to show enhancement of pericardium, peritoneal mesothelium and body wall fascial planes without enhancement of the liver or spleen after very large doses of intravenous contrast. Although patterns of postcontrast...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2249-2
更新日期:2012-06-01 00:00:00
abstract::Primary liver malignancies are rare in children. Hepatoblastoma and hepatocellular carcinoma (HCC) together represent the overwhelming majority of cases. Overall survival of hepatoblastoma approaches 80% with multimodal treatment approaches that include chemotherapy, surgery and transplantation. However, there remains...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4068-1
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this paper is to review and categorize the CT appearances of primary and secondary intraperitoneal neoplasms in children. MATERIALS AND METHODS:We retrospectively reviewed the CT images of 14 cases of intraperitoneal neoplasms. They were reviewed for bowel wall thickening, mesenteric nodules, ...
journal_title:Pediatric radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s002470050363
更新日期:1998-05-01 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::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::Gastrointestinal tract duplications are relatively uncommon in the paediatric age group. This is a report of an infant who had a tubular duplication of the jejunum which extended into the thoracic cavity via the aortic hiatus of the diaphragm. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015363
更新日期:1992-01-01 00:00:00
abstract::The CT findings in 120 cerebral palsied children are analysed. The 72.5% positive findings are correlated with the clinical types, as well as the aetiological basis for the cerebral palsy. The spastic type, 83.3% of the total number of children, had the highest positive findings. The yield was increased in children wi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010628
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:Unenhanced MRI has emerged as a useful tool for diagnosing pediatric acute appendicitis. The use of contrast-enhanced MRI for diagnosing pediatric appendicitis has not been documented. The purpose of this study is to examine the diagnostic performance of contrast-enhanced MRI for acute appendicitis and altern...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-2952-x
更新日期:2014-08-01 00:00:00
abstract::We present a child with a rapidly growing mass and lytic skull lesion that on pathologic evaluation was diagnosed as cranial fasciitis. This disease entity is not widely known by radiologists, and should be included in the differential diagnosis of lytic skull lesions. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011971
更新日期:1993-01-01 00:00:00
abstract::The CT appearance of oropharyngeal tularemia in a 3 1/2 year-old boy is described. Tularemia should be considered in the differential diagnosis of massive adenotonsillar enlargement and extensive necrotic cervical adenopathy. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02075217
更新日期:1990-01-01 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
abstract::The safety and diagnostic efficacy of the new non-ionic, monomeric contrast medium iopentol (Imagopaque) were evaluated and compared with those of the ionic medium metrizoate (Isopaque), in urography in children in a randomized, double-blind, parallel study. The trial comprised 59 children aged from 3 months to 8 year...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF02020165
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:To evaluate fast spin-echo and multi-shot echo-planar fluid-attenuated inversion recovery (FLAIR) sequences in paediatric brain imaging. MATERIALS AND METHODS:Matched images from 32 patients with suspected tumour or white matter disease were independently evaluated by two paediatric neuroradiologists. The obse...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050177
更新日期:1997-06-01 00:00:00
abstract::Prenatal imaging with high-resolution US and rapid acquisition MRI plays a key role in the accurate diagnosis of congenital chest masses. Imaging has enhanced our understanding of the natural history of fetal lung masses, allowing for accurate prediction of outcome, parental counseling, and planning of pregnancy and n...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2171-7
更新日期:2012-01-01 00:00:00
abstract::An unusual case of multicentric/multifocal osteolysis with unique clinical and radiographic features in a 17-year-old girl is reported. The brother of the patient who was probably also affected could not be examined. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010815
更新日期:1990-01-01 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::Rare earth filters are known to reduce radiation dose in radiological investigations. The present investigation used Er and Sm filters that were selected because of their chemical stability and ability to withstand prolonged exposure to the atmosphere. They were used in a comparison with a conventional aluminium filte...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01601887
更新日期:1984-01-01 00:00:00
abstract::Post-traumatic subperiosteal hematoma of the iliac bone may present insidiously without external evidence of bleeding or go undetected in the acute setting. In some cases, the patient may come to medical attention due to femoral nerve palsy rather than hip or groin pain. In this report, we describe a case of femoral n...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-016-3581-3
更新日期:2016-08-01 00:00:00
abstract::Four hundred and fifty-four kidneys were evaluated by real time ultrasound for appearance of renal cortical echogenecity, medullary pyramids and central sinus echoes. These renal parameters were correlated with age in 227 patients ranging in age from 0-15 years. The renal parenchymal echogenicity was observed to chang...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388162
更新日期:1987-01-01 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:BACKGROUND:The number of multislice CT (MSCT) scans performed in polytraumatized children has increased rapidly. There is growing concern regarding the radiation dose in MSCT and its long-term consequences, especially in children. OBJECTIVE:To determine the effective dose to polytraumatized children who undergo whole-...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-1091-7
更新日期:2009-03-01 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
pub_type: 杂志文章
doi:10.1007/s00247-007-0575-1
更新日期:2007-10-01 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::Epidermoid cyst of the testis, extremely rare in children, is a non-teratomatous benign tumor, and testis-sparing surgery should be the treatment of choice. To prevent unnecessary orchiectomy, recognition of this rare tumor in children is essential. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-1052-0
更新日期:2004-02-01 00:00:00
abstract::This retrospective study documents the incidence and distribution of fractures in 117 children with end-stage liver disease who underwent orthotopic liver transplantation (OLT) over a 6-year period (1987-1993). Both the pre- and post-OLT phases were included. Nineteen children (16.2 %) sustained a total of 69 fracture...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVE:To assess the value of head ultrasound (HUS) in neurologically normal infants with macrocephaly and to develop a rational approach to radiological investigation of macrocephalic infants. MATERIALS AND METHODS:A retrospective analysis of infants with macrocephaly (seen by one pediatric neurologist at this ins...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050315
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Chronic lung disease (CLD) in premature infants shows a variable clinical course with different radiological manifestations. OBJECTIVE:To evaluate the correlation between parameters of trans-membrane permeability [albumin/secretory component (SC)] and oxidative stress [malondialdehyde (MDA)/SC] in tracheal ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100444
更新日期:2001-05-01 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:BACKGROUND:Peripherally inserted central catheter (PICC) is among the most common procedures performed in children in the hospital setting. PICC insertion can be simplified with the use of a sheathed needle as an alternative to the modified Seldinger technique. OBJECTIVE:To retrospectively evaluate PICC placement for ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-016-3629-4
更新日期:2016-09-01 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