By Lane F. Donnelly MD
Nearly 650 top quality, clinically suitable electronic pictures sincerely show crucial suggestions, strategies, and interpretation skills.
Advanced MR imaging subject matters comparable to MR enterography, MR urography, and cardiac CT and MRI are completely discussed.
Reader-friendly lists, tables, and pictures make reference fast and easy.
Edited through Lane F. Donnelly, MD, recipient of the Society of Pediatric Radiology’s 2009 Singleton-Taybi Award for pro lifetime commitment to scientific schooling.
Read Online or Download Fundamentals of Pediatric Imaging PDF
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Extra info for Fundamentals of Pediatric Imaging
Obstruction of the upper airway in infants and children. Radiol Clin North Am . 1968;6:265–277. S. The multiple presentations of foreign bodies in children. AJR. 1998;170:471–477. S. The spectrum of extrinsic lower airway compression in children: MR imaging. AJR. 1997;168:59–62. F. OSA in pediatric patients: evaluation with cine MR sleep studies. Radiology. 2005;236:768–778. S. Upper respiratory tract obstruction in infants and children. AJR. 1970;109:227–246. M, et al. Prenatal MRI findings of fetuses with congenital high airway obstruction sequence.
Such studies have been shown to influence management decisions and help to plan surgical interventions in the majority of cases. Sequences performed include 39 T1-weighted (for anatomy) images, T2-weighted images with fat saturation (depicts tonsillar tissue as bright on a dark background), and fast-gradient echo images that can be displayed in a cine, or movie, fashion to depict patterns of airway motion and collapse. Indications for MR sleep studies include persistent OSA despite previous airway surgery (most commonly tonsillectomy and adenoidectomy); predisposition to multilevel obstruction, such as in Down and other syndromes; OSA and severe obesity; and preoperative evaluation before complex airway surgery.
There is an increased propensity for inadvertent esophageal intubation to occur in neonates as compared with in adults. Although it would seem that esophageal intubation would be incredibly obvious clinically, this is not always the case. The authors have experienced cases in which a child has in retrospect been discovered to have been esophageally intubated for more than 24 hours. Therefore the radiologist may be the first to recognize esophageal intubation. Obviously, when the course of the endotracheal tube does not overlie the path of the trachea, the use of esophageal intubation is fairly obvious.
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