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Fundamentals of Pediatric Imaging E-Book

Fundamentals of Pediatric Imaging E-Book

Lane F. Donnelly

(2016)

Additional Information

Book Details

Abstract

Safely perform and accurately interpret pediatric imaging studies with this concise, highly illustrated resource! Written by Lane F. Donnelly, MD, Fundamentals of Pediatric Imaging, 2nd Edition, covers the essential concepts residents and practitioners need to know, laying a solid foundation for understanding the basics and making accurate radiologic diagnoses. This easy-to-use title in the Fundamentals of Radiology series emphasizes advanced imaging techniques, including neuro applications, while highlighting the basic anatomy needed to understand this complex specialty.

  • Nearly 650 high-quality, clinically relevant digital images clearly demonstrate essential concepts, techniques, and interpretation skills.
  • Advanced MR imaging topics such as MR enterography, MR urography, and cardiac CT and MRI are thoroughly discussed.
  • Reader-friendly lists, tables, and images make reference quick and easy.
  • Edited by Lane F. Donnelly, MD, recipient of the Society of Pediatric Radiology’s 2009 Singleton-Taybi Award for professional lifetime dedication to medical education.
  • Newly revised information on quality and safety topics, neurologic imaging, ultrasound in pediatric imaging, and much more.
  • For the first time, additional experts provide updates in their areas of expertise: neurologic, musculoskeletal, cardiac, chest, and GU imaging.

Table of Contents

Section Title Page Action Price
Front Cover Cover
FUNDAMENTALS OF Pediatric Imaging i
FUNDAMENTALS OF Pediatric Imaging iii
Copyright iv
Contributors v
Preface vi
Contents viii
1 - Special Considerations in Pediatric Imaging 1
PEDIATRIC RADIOLOGY AS A POTENTIAL CAREER 1
INTRODUCTION: SPECIAL CONSIDERATIONS IN PEDIATRIC IMAGING 1
Relationship Between Imager and Parents 1
Professionalism and Effective Communication 2
Inability to Cooperate 2
Variable Size and Physiology 5
Age-Related Changes in Imaging Appearance 5
Age-Related Differential Diagnoses 5
Quality and Patient Safety 5
RADIATION SAFETY 6
2 - AIRWAY\r 8
ACUTE UPPER AIRWAY OBSTRUCTION 8
Croup 8
Epiglottitis 8
Exudative Tracheitis 11
Retropharyngeal Cellulitis and Abscess 11
LOWER AIRWAY OBSTRUCTION 13
Extrinsic Lower Airway Compression 14
DOUBLE AORTIC ARCH 14
ANOMALOUS ORIGIN OF THE LEFT PULMONARY ARTERY (PULMONARY SLING) 14
RIGHT AORTIC ARCH WITH ABERRANT LEFT SUBCLAVIAN ARTERY 16
INNOMINATE ARTERY COMPRESSION SYNDROME 16
Intrinsic Lower Airway Obstruction 17
AIRWAY FOREIGN BODY 18
Obstructive Sleep Apnea 18
Recurrent and Enlarged Adenoid Tonsils 20
Enlarged Palatine Tonsils 21
Enlarged Lingual Tonsils 21
Glossoptosis 22
Hypopharyngeal (Retroglossal) Collapse 22
Abnormal Soft Palate 23
CONGENITAL AIRWAY OBSTRUCTION 24
3 - CHEST\r 26
NEONATAL CHEST 26
Diffuse Pulmonary Disease in the Newborn 26
Meconium Aspiration Syndrome 26
Transient Tachypnea of the Newborn 27
Neonatal Pneumonia 27
Surfactant-Deficient Disease 27
Surfactant Replacement Therapy 28
Group B Streptococcal Pneumonia 29
Persistent Pulmonary Hypertension of the Newborn 29
Neonatal Intensive Care Unit Support Apparatus 29
Umbilical Arterial and Venous Catheters 30
Peripherally Inserted Central Catheters in Children 31
EXTRACORPOREAL MEMBRANE OXYGENATION 31
Types of Ventilation: High-Frequency Oscillator versus Conventional Ventilation 32
Complications in the Neonatal Intensive Care Unit 32
Pulmonary Interstitial Emphysema 32
Causes of Acute Diffuse Pulmonary Consolidation 33
Bronchopulmonary Dysplasia 34
Focal Pulmonary Lesions in the Newborn 34
Congenital Lobar Emphysema 36
Congenital Pulmonary Airway Malformation 36
Congenital Diaphragmatic Hernia 37
Sequestration 38
Bronchogenic Cyst 39
ROLES OF IMAGING IN PEDIATRIC PNEUMONIA 39
Confirmation or Exclusion of Pneumonia 40
Characterization and Prediction of Infectious Agent 40
Exclusion of Other Pathologic Processes 44
Failure to Resolve 44
Complications of Pneumonia 44
PRIMARY EVALUATION OF PARAPNEUMONIC EFFUSIONS 44
EVALUATION OF PERSISTENT OR PROGRESSIVE SYMPTOMS 47
LUNG PARENCHYMAL COMPLICATIONS 47
CHRONIC LUNG COMPLICATIONS OF PNEUMONIA 48
Tuberculosis 50
COMMON CHRONIC OR RECURRENT PULMONARY PROBLEMS IN SPECIAL POPULATIONS 51
Pneumonia in Immunodeficient Children 51
Acute Chest Syndrome in Sickle Cell Anemia 51
Cystic Fibrosis 51
HIGH-RESOLUTION COMPUTED TOMOGRAPHY IN CHILDREN 53
High-Resolution Computed Tomography in Questioned Chronic Aspiration 53
Childhood Interstitial Lung Disease 53
Trauma 54
RIB FRACTURES AND LUNG CONTUSION 54
MEDIASTINAL INJURY 54
HYDROCARBON INGESTION 54
Mediastinal Masses 55
ANTERIOR MEDIASTINUM 55
NORMAL THYMUS 55
LYMPHOMA 57
Middle Mediastinal Masses 60
Posterior Mediastinal Masses 60
NEUROBLASTOMA 60
Pediatric Chest Wall Masses 62
4 - CARDIAC\r 66
IMAGING MODALITIES IN CONGENITAL HEART DISEASE 66
Echocardiography 66
Computed Tomography Angiography 66
Magnetic Resonance Imaging 67
Computed Tomography versus Magnetic Resonance Imaging 68
Catheter Angiography 68
Approach to the Chest Radiograph in Congenital Heart Disease 68
PULMONARY VASCULARITY 68
CARDIAC SIZE 69
SITUS 70
POSITION OF AORTIC ARCH 71
CATEGORIZATION OF CONGENITAL HEART DISEASE 72
Blue, Decreased Pulmonary Arterial Flow, Mild Cardiomegaly 72
TETRALOGY OF FALLOT 72
Blue, Decreased Pulmonary Arterial Flow, Massive Cardiomegaly 73
EBSTEIN ANOMALY 74
PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM 74
Blue, Increased Flow 75
TRUNCUS ARTERIOSUS 75
TOTAL ANOMALOUS PULMONARY VENOUS RETURN 77
Blue, Variable Pulmonary Arterial Flow 77
D-TRANSPOSITION OF THE GREAT ARTERIES 78
TRICUSPID ATRESIA 79
Pink, Increased Pulmonary Arterial Flow 79
Pink (or Dusky) With Increased Pulmonary Venous Flow 80
HYPOPLASTIC LEFT HEART SYNDROME 80
Pink, Normal Pulmonary Arterial Flow 81
OBSTRUCTIVE LESIONS 82
AORTIC STENOSIS 82
PULMONIC STENOSIS 83
COARCTATION OF THE AORTA 83
ABNORMALITIES OF CONOTRUNCAL ROTATION 84
SURGERIES FOR CONGENITAL HEART DISEASE 88
Acquired Heart Disease 88
KAWASAKI DISEASE 89
CARDIAC MASSES 89
5 - Gastrointestinal\r 92
NEONATAL 92
Necrotizing Enterocolitis 92
High Intestinal Obstruction in Neonates 93
DUODENAL ATRESIA, STENOSIS, WEB, AND ANNULAR PANCREAS 94
MALROTATION AND MIDGUT VOLVULUS 95
Performing an Upper Gastrointestinal Series in an Infant 98
Low Intestinal Obstruction in Neonates 100
MECONIUM ILEUS 101
HIRSCHSPRUNG DISEASE 101
MECONIUM PLUG SYNDROME 102
Esophageal Atresia and Tracheoesophageal Fistula 105
Abnormalities of Anterior Abdominal Wall 106
The Vomiting Infant 106
Hypertrophic Pyloric Stenosis 107
INTESTINAL OBSTRUCTION IN CHILDREN 108
Appendicitis 108
Intussusception 109
Imaging-Guided Reduction of Intussusception 110
Meckel Diverticulum 113
Gastrointestinal Duplication Cysts 114
SWALLOWED FOREIGN BODIES 114
ABNORMALITIES OF THE PEDIATRIC MESENTERY 116
Mesenteric Adenitis 117
NEONATAL JAUNDICE 117
Biliary Atresia versus Neonatal Hepatitis 117
Choledochal Cyst 118
LIVER MASSES 118
Hepatoblastoma 119
Childhood Liver Hemangiomas 120
Mesenchymal Hamartoma of the Liver 120
BLUNT ABDOMINAL TRAUMA 122
Parenchymal Organ Injuries 122
Bowel Injury 122
Hypoperfusion Complex 123
THE IMMUNOCOMPROMISED CHILD 124
Pseudomembranous Colitis 124
Neutropenic Colitis 125
Graft-versus-Host Disease 126
Mucositis 126
Lymphoproliferative Disorder 126
COMPLICATIONS RELATED TO CYSTIC FIBROSIS 127
INFLAMMATORY BOWEL DISEASE IN CHILDREN 127
PEDIATRIC OBESITY 128
6 - Genitourinary\r 130
URINARY TRACT INFECTIONS 130
Renal Ultrasound 130
Magnetic Resonance Urography 131
Fluoroscopic Voiding Cystourethrogram 131
Acute Pyelonephritis 132
Chronic Pyelonephritis 132
EVALUATION OF PRENATALLY DIAGNOSED HYDRONEPHROSIS 133
Congenital Anomalies 133
Vesicoureteral Reflux 134
Ureteropelvic Junction Obstruction 135
Multicystic Dysplastic Kidney 136
Ureteropelvic Duplications 137
URETEROCELE 140
Renal Ectopia and Fusion 140
Primary Megaureter 142
Posterior Urethral Valves 142
Urachal Abnormalities 142
Prune-Belly Syndrome 145
Hydrometrocolpos 145
Renal Cystic Disease 147
AUTOSOMAL RECESSIVE POLYCYSTIC KIDNEY DISEASE 147
AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE 147
RENAL TUMORS 147
Wilms Tumor 147
Nephroblastomatosis 149
Multilocular Cystic Nephroma 149
Mesoblastic Nephroma 151
Other Renal Tumors 151
ANGIOMYOLIPOMA 151
ADRENAL GLANDS 153
Neuroblastoma 153
Neonatal Adrenal Hemorrhage 154
PELVIC RHABDOMYOSARCOMA 155
SACROCOCCYGEAL TERATOMA 155
SCROTUM 156
Testicular Microlithiasis 159
The Acute Scrotum 159
ACUTE PELVIC PAIN IN OLDER GIRLS AND ADOLESCENTS 160
7 - Musculoskeletal\r 164
NORMAL VARIANTS AND COMMON BENIGN ENTITIES 164
Apophyseal and Epiphyseal Irregularity 164
Distal Femoral Metaphyseal Irregularity 164
Benign Fibrous Cortical Defects 168
TRAUMA 170
Involvement of the Physis 171
Commonly Encountered Fractures by Anatomic Location 172
WRIST 175
ELBOW 175
ANKLE 178
Toddler Fracture 182
Avulsion Fractures in Adolescents 183
Child Abuse 185
PERIOSTEAL REACTION IN THE NEWBORN 192
TORCH Infections 192
CONGENITAL RUBELLA SYNDROME 192
SYPHILIS 192
Caffey Disease (Infantile Cortical Hyperostosis) 194
LUCENT PERMEATIVE LESIONS IN CHILDREN 194
Osteomyelitis 194
Langerhans Cell Histiocytosis 197
Ewing Sarcoma 199
Metastatic Disease 199
FOCAL SCLEROTIC LESIONS IN CHILDREN 199
Osteoid Osteoma 199
Stress Fracture 199
Osteosarcoma 203
MULTIFOCAL BONE LESIONS IN CHILDREN 205
CONSTITUTIONAL DISORDERS OF BONE 207
Skeletal Dysplasias 207
ACHONDROPLASIA 209
Mucopolysaccharidoses 209
Osteogenesis Imperfecta 209
Osteopetrosis 212
HIP DISORDERS 214
Developmental Dysplasia of the Hip 214
Chronic Hip Subluxation 216
Proximal Focal Femoral Deficiency 217
Septic Arthritis 217
Toxic Synovitis 219
Legg-Calvé-Perthes Disease 219
Slipped Capital Femoral Epiphysis 220
METABOLIC DISORDERS 221
Rickets 221
Lead Poisoning 221
MISCELLANEOUS DISORDERS 221
Scoliosis 221
Osteochondral Lesions 223
Panner Disease 223
Abnormalities of Skeletal Maturity: Bone Age 223
Juvenile Idiopathic Arthritis 225
Hemophilia 225
Sickle Cell Anemia and Thalassemia 228
Radial Dysplasia 229
Blount Disease 229
Neurofibromatosis 229
Clubfoot (Talipes Equinovarus) 229
Tarsal Coalition 231
DISORDERS AFFECTING PRIMARILY SOFT TISSUES 232
Vascular anomalies 232
VASCULAR TUMORS 233
VASCULAR MALFORMATIONS 235
Dermatomyositis 237
Soft Tissue Malignancies 238
Mimickers of Soft Tissue Malignancies 238
MYOSITIS OSSIFICANS 240
CHRONIC FOREIGN BODY 240
POSTTRAUMATIC FAT NECROSIS 240
FIBROMATOSIS COLLI 242
8 - Neuro 243
Diffusion-Weighted Imaging 243
Diffusion Tensor Imaging and Tractography 244
Perfusion 247
Magnetic Resonance Spectroscopy 247
Functional Magnetic Resonance Imaging 249
NEONATAL HEAD ULTRASOUND 252
Germinal Matrix Hemorrhage 252
Hypoxic Ischemic Insult and White Matter Injury of Prematurity 255
Benign Enlargement of Extraaxial Spaces 256
NORMAL MYELINATION 257
DEVELOPMENTAL ABNORMALITIES 260
Chiari 260
CHIARI TYPE 1 260
CHIARI TYPE 2 262
Holoprosencephaly 267
Septo-optic Dysplasia 267
Dysgenesis of Corpus Callosum 269
Posterior Fossa Anomalies with Enlarged Cerebrospinal Fluid Spaces 270
Gray Matter Heterotopias 271
Lissencephaly (Agyria-Pachygyria) 271
Schizencephaly 274
Polymicrogyria 274
Cortical Dysplasia 274
Hemimegalencephaly 275
Vein of Galen Malformations 275
SEQUELAE OF IN UTERO INSULTS 277
Porencephaly and Encephalomalacia 277
Hydranencephaly 278
NEUROCUTANEOUS SYNDROMES 279
Neurofibromatosis 279
Tuberous Sclerosis 279
Sturge-Weber Syndrome 283
METABOLIC AND DEGENERATIVE DISORDERS 283
INFECTION 285
Congenital Infections 285
Encephalitis 285
TUMORS 287
Posterior Fossa Tumors 287
CEREBELLAR ASTROCYTOMA 290
MEDULLOBLASTOMA 290
BRAINSTEM GLIOMA 293
EPENDYMOMA 293
Supratentorial Tumors 295
Intraventricular Tumors 298
Sellar and Suprasellar Tumors 298
OPTIC AND HYPOTHALAMIC ASTROCYTOMA 298
GERM CELL TUMOR 298
CRANIOPHARYNGIOMA 298
HYPOTHALAMIC HAMARTOMA 299
PINEAL TUMORS 299
TRAUMA 300
Abuse 301
HYDROCEPHALUS AND VENTRICULOPERITONEAL SHUNTS 301
CRANIOSYNOSTOSIS 302
LACUNAR SKULL 306
HEAD AND NECK INFLAMMATORY AND INFECTIOUS PROCESSES 308
Orbital Cellulites 308
Acute Otomastoiditis 309
Suppurative Adenites 309
RETINOBLASTOMA 310
NECK MASSES 310
CONGENITAL VERTEBRAL ANOMALIES 311
SPINAL DYSRAPHISM 312
SPINAL TRAUMA 314
NORMAL VARIANTS AND CONGENITAL ANOMALIES OF THE CERVICAL SPINE 316
ATLANTOAXIAL INSTABILITY 318
SPONDYLOLYSIS AND SPONDYLOLISTHESIS 318
INDEX 321
A 321
B 322
C 322
D 324
E 325
F 325
G 326
H 327
I 327
J 328
K 328
L 328
M 328
N 329
O 330
P 331
Q 332
R 332
S 332
T 333
U 333
V 333
W 334
Z 334