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Published on: January 7, 2019
MR imaging characteristics of soft tissue vascular anomalies in children
Shrey K Thawait1, Kate Puttgen, John A Carrino
1Department of Radiology, Yale University-Bridgeport Hospital, Bridgeport, CT 06610, USA.
Insights
Accurate classification of pediatric soft tissue vascular anomalies (VA) is crucial for effective treatment. Magnetic resonance imaging (MRI) aids in precise diagnosis and management of these complex conditions.
Area of Science:
- Pediatric Radiology
- Vascular Biology
- Medical Imaging
Background:
- Accurate classification of soft tissue vascular anomalies (VA) is essential for appropriate treatment and management.
- The Mulliken and Glowacki classification (1982) and its update by the International Society for the Study of Vascular Anomalies (1996) form the basis for current nomenclature.
- While clinical evaluation is often sufficient, imaging is vital for determining extent, monitoring treatment, and confirming diagnoses in complex cases.
Purpose of the Study:
- To review the key magnetic resonance imaging (MRI) features of common pediatric soft tissue vascular anomalies.
- To highlight the importance of MRI in the diagnosis and management of these conditions.
Main Methods:
- Review of key magnetic resonance imaging (MRI) features.
- Discussion of the role of dynamic contrast-enhanced magnetic resonance angiography (DCE-MRA).
Main Results:
- MRI provides high soft tissue resolution and dynamic contrast-enhanced imaging to assess hemodynamics.
- MRI is crucial for evaluating the full anatomical extent, treatment response, and diagnosis confirmation of pediatric vascular anomalies.
Conclusions:
- Magnetic resonance imaging (MRI) is a critical tool for the accurate classification and management of soft tissue vascular anomalies in children.
- The non-ionizing nature and detailed soft tissue visualization offered by MRI make it indispensable for pediatric vascular anomaly evaluation.
Abstract:
Accurate classification of soft tissue vascular anomalies is critical since treatment options and morbidity differ significantly for the various groups of vascular anomalies (VA). A classification system introduced by Mulliken and Glowacki in 1982 explained the biology of VA, thus resulting in improved management and communication between different disciplines taking care of children with soft tissue vascular anomalies. This classification has been updated by the International Society for the Study of Vascular Anomalies in 1996 and forms the basis for the current nomenclature. Although the majority of vascular anomalies can be accurately classified by their clinical history and a physical exam, imaging is necessary to determine the full anatomical extent of the anomaly, to follow up treatment response, to confirm diagnosis, and to provide correct classification in challenging cases when necessary. This article will review the key magnetic resonance imaging (MRI) features of most common soft tissue vascular anomalies in children. MRI and dynamic contrast-enhanced magnetic resonance angiography are crucial for the evaluation of vascular anomalies in children because of lack of radiation, high soft tissue resolution, and the capability of dynamic contrast-enhanced images to reflect the hemodynamics of the anomalies.
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