Whole body imaging;
Immune complex diseases;
Pediatrics;
LANGERHANS CELL HISTIOCYTOSIS;
ROLLING TABLE PLATFORM;
MRI;
RADIOGRAPHY;
D O I:
暂无
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
Aim. Whole-body MRI (WBMRI) is a non-irradiating imaging technique, suitable to investigate the extent of multisystemic diseases in pediatric patients. However its real impact on diagnosis and management of non-oncological pediatric diseases remains unclear. We present our experience of pediatric WBMRI in various pathologies. Methods. We retrospectively reviewed medical files of all non- oncologic patients who underwent WBMRI from January 2008 to November 2012. The MRI protocol included T1 weighted and 3D SPACE Inversion Recovery (IR) and fat saturated diffusion weighted (DWI) sequence. We reviewed medical records in order to determine if performing WBMRI added useful information for diagnostic purposes and/or changed clinical management. Results. Forty-two children were included in the study (19 F, 23 M) (median age 4.7 years). Twenty-one children underwent general anesthesia. WBMRI was a useful tool to provide correct diagnosis in chronic recurrent multifocal osteomyelitis (CRMO), and to identify the origin of fever or arthralgia of unknown etiology. WBMRI allowed to determine the extent of disease in juvenile idiopathic arthritis (JIA), chronic granulomatous disorder, enchondromatosis, Langerhans cell histiocytosis, and in the assessment of tumor burden in neurofibromatosis type I. For the battered child syndrome, the influence on management was rather minimal. For each of these pathologies we performed a review of recent literature. Conclusion. WBMRI is easy to perform in children and allows the assessment of systemic diseases or discovery of lesions ignored by clinical examination. WBMRI influenced the decisional process and clinical management of various pathologies in our series.
机构:
Johns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Univ Tubingen, Dept Diagnost Radiol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Fritz, Jan
;
Tzaribatchev, Nikolay
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tubingen, Univ Childrens Hosp, Div Pediat Rheumatol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Tzaribatchev, Nikolay
;
Claussen, Claus D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tubingen, Dept Diagnost Radiol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Claussen, Claus D.
;
Carrino, John A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USAJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Carrino, John A.
;
Horger, Marius S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tubingen, Dept Diagnost Radiol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Jaremko, Jacob L.
;
MacMahon, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
MacMahon, Peter J.
;
Torriani, Martin
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Torriani, Martin
;
Merker, Vanessa L.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Neurol, Boston, MA 02114 USA
Massachusetts Gen Hosp, Ctr Canc, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Merker, Vanessa L.
;
Mautner, Victor F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Med Ctr Hamburg Eppendorf, Dept Neurol, Hamburg, GermanyMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Mautner, Victor F.
;
Plotkin, Scott R.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Neurol, Boston, MA 02114 USA
Massachusetts Gen Hosp, Ctr Canc, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Plotkin, Scott R.
;
Bredella, Miriam A.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
机构:
Johns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Univ Tubingen, Dept Diagnost Radiol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Fritz, Jan
;
Tzaribatchev, Nikolay
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tubingen, Univ Childrens Hosp, Div Pediat Rheumatol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Tzaribatchev, Nikolay
;
Claussen, Claus D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tubingen, Dept Diagnost Radiol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Claussen, Claus D.
;
Carrino, John A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USAJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
Carrino, John A.
;
Horger, Marius S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tubingen, Dept Diagnost Radiol, Tubingen, GermanyJohns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Sch Med, Baltimore, MD 21287 USA
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Jaremko, Jacob L.
;
MacMahon, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
MacMahon, Peter J.
;
Torriani, Martin
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Torriani, Martin
;
Merker, Vanessa L.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Neurol, Boston, MA 02114 USA
Massachusetts Gen Hosp, Ctr Canc, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Merker, Vanessa L.
;
Mautner, Victor F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Med Ctr Hamburg Eppendorf, Dept Neurol, Hamburg, GermanyMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Mautner, Victor F.
;
Plotkin, Scott R.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Neurol, Boston, MA 02114 USA
Massachusetts Gen Hosp, Ctr Canc, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Plotkin, Scott R.
;
Bredella, Miriam A.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA