Abstract:
PURPOSE:A retrospective study was carried out in order to determine the role of sonography in establishing the diagnosis in extremity osteomyelitis. MATERIALS AND METHODS:The imaging documents of 24 infants and children aged from 2 weeks to 13 years with osteomyelitis (acute 21, chronic 3) were reviewed. Sonograms and conventional radiographs were available in all patients. Additional skeletal scintigraphy had been performed in 13 patients and MRI in only 3. Special emphasis was put on the different ultrasound findings and their onset in the course of disease. RESULTS:Intra-articular fluid collections (in 15 cases) and/or subperiosteal abscess formation (in 12) were the most frequent early sonographic findings, and preceded any radiographic changes by several days in 11 of these cases. Together with positive clinical signs of inflammation, they were usually sufficient to establish the correct diagnosis. In selected cases, fluid or abscess puncture for immediate microscopic and later bacteriological studies was carried out under sonographic control. In addition, sonography was also able to detect superficial cortical erosion and even an intramedullary focus in a very young patient. CONCLUSION:Ultrasonography is a very helpful tool for establishing the correct diagnosis in osteomyelitis and reducing the frequency of additional imaging studies.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Riebel TW,Nasir R,Nazarenko Odoi
10.1007/BF01372116subject
Has Abstractpub_date
1996-01-01 00:00:00pages
291-7issue
4eissn
0301-0449issn
1432-1998journal_volume
26pub_type
杂志文章abstract::This case report describes the incidental finding of intestinal leakage during bone scan imaging with Tc-99m methylene diphosphonate (MDP) in a patient with previously diagnosed protein-losing enteropathy (PLE). Most radiopharmaceuticals reported in the literature that are useful for making this diagnosis are not gene...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0924-8
更新日期:2008-10-01 00:00:00
abstract::Pectus excavatum, the most common congenital deformity of the anterior chest wall, is both a cosmetic and functional abnormality. The degree of abnormal chest wall deformity determines its functional effect, particularly its cardiac and pulmonary impact. Although CT scanning is the most widely used cross-sectional ima...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2031-5
更新日期:2011-06-01 00:00:00
abstract::Two cases of neonatal spontaneous rupture of the esophagus are described, one of which is associated with a duodenal stenosis. Seventeen cases have been reported. They present clinically with non-specific signs of respiratory insufficiency and radiologically by a right-sided hydropneumothorax. Esophageal opacification...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386871
更新日期:1986-01-01 00:00:00
abstract::Uterine didelphys with obstructed hemivagina and ipsilateral renal anomalies is a rare congenital malformation of the female urogenital tract. While the urinary anomalies almost always involve renal agenesis, we report a rare case of a 17-year-old girl with the malformation associated with ectopic ureteral insertion i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1454-8
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Ultrasound has been utilized in the evaluation of compressive and traumatic peripheral nerve pathology. OBJECTIVE:To determine whether US can provide comprehensive evaluation of the post-ganglionic brachial plexus in the setting of neonatal brachial plexus palsy and whether this information can be used to g...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3524-4
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Despite regulations, insufficient information is provided to adult patients prior to their radiologic examinations. Information regarding paediatric patients has not been systematically studied. OBJECTIVE:To survey parents' experience and wishes for information in connection with their child's radiographic ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-018-4300-z
更新日期:2019-02-01 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::Twenty-six children who underwent an arterial switch operation for transposition of the great arteries were examined with MRI and Doppler ultrasound (US). The aim was to determine the capability of MRI for detecting a possible stenosis of the pulmonary arteries. In 10 children angiocardiography (ACG) was done after th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011950
更新日期:1993-01-01 00:00:00
abstract::Trichothiodystrophy is a rare neuroectodermal disorder of autosomal recessive inheritance that is characterized by brittle hair, nail dysplasia, ichthyosis, mental retardation, and gonadal failure. We describe a female patient whose cranial MRI revealed almost total lack of myelination in the supratentorial white matt...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-1495-6
更新日期:2005-10-01 00:00:00
abstract::Extensive vascular calcification in an 8-year-old girl with perinatally acquired AIDS is reported. Complicating factors included cardiomyopathy, chronic lung disease, disseminated Mycobacterium avium complex (MAC), and wasting syndrome with total nutrition dependence. Plain abdominal films and CT of the abdomen immedi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01395718
更新日期:1996-01-01 00:00:00
abstract::In 30 children with renal allografts the diagnostic validity of pulsed Doppler (PD) versus colour coded Doppler (CD) sonography was assessed prospectively. 46 PD examinations were performed calculating the resistive index (RI) in the segmental arteries in comparison to 46 CD scans, where renal blood flow throughout th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012486
更新日期:1992-01-01 00:00:00
abstract::Twenty-four patients with repaired diaphragmatic hernia had upper gastrointestinal series to assess the rotation and fixation of the bowel. A spectrum of rotational abnormalities was present in almost all patients, although those with repaired right-sided hernias demonstrated a more obvious anomaly of rotation than th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011092
更新日期:1995-01-01 00:00:00
abstract::Radiologically visible calcification in the wall of a uriniferous perirenal pseudocyst is rare. This unusual finding was seen in a newborn infant who was found to have a left flank mass on the first day of life. When perirenal pseudocysts occur in infants, they are usually caused by congenital obstructive lesions of t...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973970
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:White matter maturation is characterised by increasing fractional anisotropy (FA) and decreasing mean diffusivity (MD). Contradictory results have been published on the effect of premature birth on white matter maturation at term-equivalent age. OBJECTIVE:To assess the association of gestational age and low...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-012-2352-z
更新日期:2012-06-01 00:00:00
abstract::Several techniques have been used to diagnose gastroesophageal reflux (GER) in children, but no single test is sufficiently accurate to completely investigate the problem. Gastroesophageal US has been described as a widely available, noninvasive and sensitive method. It provides morphological and functional informatio...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-012-2344-z
更新日期:2012-05-01 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:BACKGROUND:Motion remains a major limitation of fetal magnetic resonance imaging (MRI). Some centers have required mothers to fast before MRI in an effort to reduce motion; however, there is no current literature that describes the effect of maternal diet on fetal activity. OBJECTIVE:The objective is to define associa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-018-4254-1
更新日期:2019-01-01 00:00:00
abstract::Fetus in fetu is a rare pathological condition, presenting as a congenital tumor. It consists of a malformed parasitic twin that is found within the body of its sibling. Less than 70 cases have been reported and in most of them a definite diagnosis was only made during surgery. We present a case with two fetuses in th...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012747
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:The Haller index is an accepted CT method for evaluating thoracic dimensions in patients with pectus excavatum. The purpose of this study is to establish age- and gender-related norms for the Haller index in childhood. MATERIALS AND METHODS:We retrospectively reviewed 574 consecutive chest CT examinations (M=2...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-1116-1
更新日期:2004-04-01 00:00:00
abstract::We report a 25-week fetus with lethal Ellis-van Creveld syndrome who was diagnosed prenatally from the US detection of a narrow chest, postaxial polydactyly of the hands, short acro-/mesomelic limbs and a ventricular septal defect. The postnatal radiographic features of the skeleton confirmed the diagnosis. Literature...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000421
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Patient organ doses may be estimated from CTDI values. More accurate estimates may be obtained by measuring KERMA (Kinetic Energy Released in Matter) in anthropomorphic phantoms and referencing these values to free-in-air X-ray intensity. OBJECTIVE:To measure KERMA ratios (R(K)) in pediatric phantoms at CT....
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2336-4
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:The optimal treatment of perforated appendicitis remains controversial, but there is a trend toward nonoperative management. CT scanning might be helpful in determining which patients could benefit from this treatment option. OBJECTIVE:To determine the value of CT imaging in predicting clinical success or f...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0384-y
更新日期:2007-03-01 00:00:00
abstract::Venous drainage to the portal vein in pulmonary sequestration is rare. A 7-month-old girl was referred to our hospital following surgery for ventricular septal defect because of a left upper abdominal mass with a large feeding artery from the abdominal aorta and venous drainage to the portal vein. She had had frequent...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000251
更新日期:2000-07-01 00:00:00
abstract::ACTH is used in childhood to treat infantile spasms and acute cerebellar encephalopathy (opsoclonus-cerebellar ataxia syndrome). We report two infants with ultrasonographic and CT evidence of massive, reversible adrenal enlargement secondary to exogenous ACTH therapy for these disorders. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012450
更新日期:1993-01-01 00:00:00
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: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::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:BACKGROUND:The expected MRI-based dimensions of the intracranial optic nerve and optic tract in neonates are unknown. OBJECTIVE:To evaluate the sizes of the intracranial optic nerve and optic tract in neonates at term-equivalent age using MRI. MATERIALS AND METHODS:We retrospectively analyzed brain MRI examinations i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3495-5
更新日期:2016-04-01 00:00:00
abstract::A case of spontaneous disappearance of an intrathoracic meningocele following insertion of a ventriculo-venous shunt is reported. The shunt was performed for treatment of hydrocephalus secondary to Arnold-Chiari malformation. The intrathoracic meningocele reappeared when the shunt obstructed and decreased in size when...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973987
更新日期:1977-03-17 00:00:00
abstract::Anomalous origin of the left pulmonary artery in tetralogy of Fallot was diagnosed in a 4-year-old boy be cardiac catheterization. Corrective surgery was performed. The child died immediately following the surgical procedure. Postmortem examination revealed obstructive pulmonary vascular disease of the left lung and n...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388368
更新日期:1985-01-01 00:00:00