Abstract:
:There are few descriptions of the magnetic resonance (MR) appearance of hyperfunctioning adrenocortical tumours, particularly those occurring in childhood. We studied five patients, two girls and three boys, aged 6-14.3 years, presenting with clinical syndromes of adrenocortical hyperfunction. The diagnoses were Cushing's syndrome (n = 2), virilisation (n = 2), and Conn's syndrome (n = 1). Biochemical features suggested an adrenal lesion in each case. MR and ultrasound were performed in all five cases, with CT in four. Each patient had a functional adrenal tumour secreting either cortisol, androgens or aldosterone alone, or a combination of cortisol, androgens and oestradiol. The histological diagnosis was adenoma in four cases and tumour of indeterminate nature in one case. MR clearly showed the tumours (diameter 1.0-7.5 cm), all the lesions being of high signal intensity relative to liver on T2-weighted sequences. CT revealed an adrenal mass in each of the four patients scanned, three of which enhanced after intravenous contrast medium injection. The multiplanar imaging of MR allowed better distinction from adjacent structures and also demonstrated an unenlarged contralateral adrenal gland. In the patient with a 1-cm Conn's adenoma the lesion was more easily seen on MR than CT. Ultrasound showed the four larger tumours but was unable to visualise the contralateral adrenal or the Conn's adenoma. In conclusion, the MR appearances of four adrenocortical adenomas and one indeterminate tumour in children are described. MR has been found to be at least equal to CT in the detection of these tumours, with some possible advantages. Both techniques are superior to ultrasound.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Hanson JA,Weber A,Reznek RH,Cotterill AM,Ross RJ,Harris RJ,Armstrong P,Savage MOdoi
10.1007/BF01396204subject
Has Abstractpub_date
1996-11-01 00:00:00pages
794-9issue
11eissn
0301-0449issn
1432-1998journal_volume
26pub_type
杂志文章abstract::The detailed radiographic features of triploidy, a fatal congenital disorder with 69 chromosomes, have not previously been reported. Radiographs of ten liveborn infants with chromosomally confirmed triploidy showed six findings highly suggestive of this diagnosis: harlequin orbits, small anterior fontanelle, gracile r...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386842
更新日期:1989-01-01 00:00:00
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
更新日期:1990-01-01 00:00:00
abstract::Rapidly involuting congenital hemangioma (RICH) is a recently recognized entity in which the vascular tumor is fully developed at birth and undergoes rapid involution. Angiographic findings in two infants with congenital hemangioma are reported and compared with a more common postnatal infantile hemangioma and a conge...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0726-3
更新日期:2003-01-01 00:00:00
abstract::Aplasia, hypoplasia and stenosis of the pulmonary artery showed, on scintigraphic investigation, unilateral, homogenous decreased in lung perfusion. In 3 of 4 children with pulmonary sequestration there was a difference in blood flow between the two lungs, or in one part of the lung. Isolated anomalous drainage of pul...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00978815
更新日期:1975-11-24 00:00:00
abstract:BACKGROUND:A pull-back tube esophagogram (PBTE) is widely accepted in the literature as the radiological investigation of choice for the diagnosis of tracheoesophageal fistula without esophageal atresia. However, PBTE is rarely performed in our institution, as we have been successful in confirming the presence of such ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0269-0
更新日期:2006-11-01 00:00:00
abstract::Primary malignant tumours of the stomach are very rare in children, most being lymphomas and sarcomas. The majority of primary gastric lymphomas are high-grade non-Hodgkin's lymphomas and are of B-cell origin. However, a significant number are low-grade B-cell lymphomas that are derived from mucosa-associated lymphoid...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0598-y
更新日期:2002-02-01 00:00:00
abstract::The clinical and radiological features of Trisomy of the short arm of the ninth chromosome and of the Nail Patella Syndrome, both of which conditions are related to abnormalities of the ninth chromosome, are compared. Dislocation of the head of radius is seen in both conditions, as is a diminished patello condylar rat...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00975540
更新日期:1978-02-28 00:00:00
abstract:BACKGROUND:Gaining access into non-dilated renal collecting systems for percutaneous nephrolithotripsy, particularly in patients with prohibitive body habitus and/or scoliosis, is often challenging using conventional techniques. OBJECTIVE:To evaluate the feasibility of cone-beam CT for percutaneous nephrostomy placeme...
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::Technical and clinical aspects of esophageal transit scintigraphy in pediatric patients are reviewed via several illustrative cases that highlight its utility in evaluating primary and secondary esophageal motility disorders. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4301-y
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The neurocentral synchondrosis (NCS) is a cartilaginous growth plate that since the early 1900s has been implicated as a potential cause of adolescent idiopathic scoliosis (AIS). Previous studies have focused only on the closure age without characterizing normal NCS development. Using MRI, the...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0771-y
更新日期:2002-11-01 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:Fetal MRI can be performed in the second and third trimesters. During this time, the fetal brain undergoes profound structural changes. Interpretation of appropriate development might require comparison with normal age-based models. Consultation of a hard-copy atlas is limited by the inability to compare mul...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1411-6
更新日期:2010-02-01 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::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::We review the clinical and imaging characteristics of the most common ovarian neoplasms in children and adolescents. Because of the widespread use of diagnostic imaging, incidental ovarian neoplasms might be encountered during the evaluation of abdominal pain, trauma or other indications and might pose a diagnostic di...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-011-2128-x
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Foreign body aspiration is common in children, especially those under 3 years of age. Chest radiography and CT are the main imaging modalities for the evaluation of these children. Management of children with suspected foreign body aspiration (SFBA) mainly depends on radiological findings. OBJECTIVE:To inve...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0331-y
更新日期:2007-01-01 00:00:00
abstract::Common systemic disorders that cause cerebral venous thrombosis (CVT) in children include dehydration, trauma, infection and haematological diseases. No cause for CVT is identified in one quarter of all cases. We report a child with thalamic infarcts due to internal CVT who had congenital heterozygous protein-C defici...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050776
更新日期:2000-06-01 00:00:00
abstract::Rickets is characterized by impaired mineralization and ossification of the growth plates of growing children caused by a variety of disorders, the most frequent of which is nutritional deficiency of vitamin D. Despite ample knowledge of its etiology and the availability of cost-effective methods of preventing it, vit...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-012-2532-x
更新日期:2013-01-01 00:00:00
abstract::Up to now, the presence of elevated intracranial pressure (ICP) in acute neurological disorders is suspected by clinical and neuroimaging findings, but its verification depends on invasive techniques. Based on our experimental findings of rapid dilatation of human optic nerve sheaths (ONS), we investigated whether thi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01383384
更新日期:1996-10-01 00:00:00
abstract::The human immunodeficiency virus (HIV) epidemic seems largely controlled by anti-retroviral treatment with resultant large numbers of children growing up with the disease on long-term treatment, placing them at higher risk to develop HIV-related brain injury, ongoing cognitive impairment and treatment-related neurolog...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4310-x
更新日期:2019-05-01 00:00:00
abstract::Primary vesicoureteral reflux (VUR) is thought to be largely independent of obstruction. Therefore, in patients with urethral obstruction due to posterior urethral valves (PUV) the occurrence of VUR is coincidental. In addition, primary VUR is reported to be uncommon in black children. If these two premises are correc...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388405
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Childhood idiopathic chondrolysis of the hip (ICH) causes progressive destruction of the articular cartilage of the hip joint with associated bone remodelling. The MRI features of this disease have not previously been described. OBJECTIVE:To document the MRI features of childhood ICH and determine which fea...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0853-x
更新日期:2003-03-01 00:00:00
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
pub_type: 杂志文章
doi:10.1007/BF02011838
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine normal resistive index (RI) values for term neonates during the first day of life as part of an ongoing prospective study of RI values in term infants with perinatal asphyxia. MATERIALS AND METHODS:Forty normal term neonates underwent cranial sonography and Doppler du...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000286
更新日期:2000-09-01 00:00:00
abstract::We present the CT and MRI findings of an 8-day-old infant with an infected cephalhaematoma complicated by skull osteomyelitis, venous sinus thrombosis and left cerebellar haemorrhage. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-001-0647-6
更新日期:2002-05-01 00:00:00
abstract::As the number of patients with liver transplants continues to increase, radiologists need to be aware of the normal post-operative appearance of the different liver transplants currently performed along with the wide variety of complications encountered. The complications commonly affect the biliar and vascular system...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-010-1545-6
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Little published research has shown the relationship between noninvasive US shear wave speed (SWS) measurements and degree of liver fibrosis as established by percutaneous biopsy in children. OBJECTIVE:To assess the relationship between liver US shear wave speed (SWS) measurements and parenchymal fibrosis i...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3345-5
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Traditionally, every patient with an acute scrotum needed surgical exploration for definitive exclusion of testicular torsion. OBJECTIVE:In this study, we aimed to evaluate the improved accuracy in clinical diagnosis with colour Doppler Ultrasonography (US) added to normal clinical assessment. MATERIALS AN...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-1411-0
更新日期:2005-06-01 00:00:00
abstract::A 10-year-old girl presented with a cerebral malignant ectomesenchymoma (MEM), a very unusual tumour with undifferentiated mesenchymal as well as ectodermal elements. Somatostatin receptor scintigraphy (SRS) was performed during the diagnostic workup. The recurrent residual tumour mass was exactly visualized with SRS,...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000404
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:A new children's hospital provided the impetus to investigate radiation dose and image quality in a fluoroscope that was specially engineered for pediatric fluoroscopy. Radiation protection management recommends radiation exposures that are as low as reasonably achievable, while still maintaining diagnostic ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050728
更新日期:2000-04-01 00:00:00