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Pulmonary embolism in children

Paul G Thacker1, Edward Y Lee

  • 11 Department of Radiology and Radiological Science, Medical University of South Carolina, MSC 322, 96 Jonathan Lucas St, Charleston, SC 29425.

AJR. American Journal of Roentgenology
|May 23, 2015
PubMed

Insights

Pediatric pulmonary thromboembolism (PE) is increasingly recognized. This review covers PE in children, focusing on diagnosis, treatment, and the crucial role of advanced imaging techniques like CT and MRI.

Area of Science:

  • Pediatric Radiology
  • Cardiovascular Imaging
  • Pulmonology

Background:

  • Pediatric pulmonary thromboembolism (PE) is an under-recognized condition.
  • Limited literature exists on pediatric PE, necessitating a comprehensive review.

Purpose of the Study:

  • To bridge the knowledge gap in pediatric PE.
  • To provide a comprehensive review of epidemiology, pathophysiology, diagnosis, and treatment.
  • To discuss future directions in imaging research for pediatric PE.

Main Methods:

  • Literature review and synthesis of current knowledge on pediatric PE.
  • Discussion of diagnostic modalities including nonimaging and imaging examinations.
  • Exploration of treatment strategies and prognostic factors.

Main Results:

  • PE in children requires a multidisciplinary approach.
  • Imaging is central to diagnosis, with CT and MRI being key modalities.
  • Emerging CT techniques and MRI offer improved diagnostic capabilities.

Conclusions:

  • Imaging is critical for diagnosing pediatric PE.
  • CT remains a primary tool, with dual-energy CT showing promise.
  • MRI presents a radiation-free alternative with high diagnostic accuracy.
Abstract

Keywords:
CTpediatricperfusion CTpulmonary embolismthoracic MR angiography

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