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The Use of Enteric Contrast Media for Diagnostic CT, MRI, and Ultrasound in Infants and Children: A Practical
Michael J Callahan1, Jennifer M Talmadge2, Robert MacDougall1
11 Department of Radiology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115.
Insights
Enteric contrast media are essential for pediatric diagnostic imaging. This review covers their use in CT, MRI, and ultrasound, highlighting key differences from adult imaging for better patient outcomes.
Area of Science:
- Pediatric radiology
- Gastrointestinal imaging
- Medical imaging techniques
Background:
- Enteric contrast media are frequently used in pediatric diagnostic imaging.
- Cross-sectional imaging studies like CT, MRI, and ultrasound rely on these agents.
- Experience at a tertiary care pediatric teaching hospital informs this review.
Purpose of the Study:
- To review the application of enteric contrast media in pediatric CT, MRI, and ultrasound.
- To discuss the use of these agents in infants, children, and adolescents.
- To share practical experiences and insights from a major pediatric center.
Main Methods:
- Review of enteric contrast media administration for pediatric imaging.
- Analysis of techniques for CT, MRI, and ultrasound examinations.
- Case experience from a large tertiary care pediatric teaching hospital.
Main Results:
- Enteric contrast media use in pediatric imaging is evolving with technology.
- Principles of use share similarities with adult imaging.
- Specific considerations for infants and children are crucial.
Conclusions:
- Enteric contrast material use in pediatric diagnostic imaging is dynamic.
- Understanding pediatric-specific differences from adult imaging is vital.
- Optimizing imaging examinations and patient experience is achievable.
Objective:
Enteric contrast media are commonly administered for diagnostic cross-sectional imaging studies in the pediatric population. The purpose of this manuscript is to review the use of enteric contrast media for CT, MRI, and ultrasound in infants, children, and adolescents and to share our experiences at a large tertiary care pediatric teaching hospital.
Conclusion:
The use of enteric contrast material for diagnostic imaging in infants and children continues to evolve with advances in imaging technology and available enteric contrast media. Many principles of enteric contrast use in pediatric imaging are similar to those in adult imaging, but important differences must be kept in mind when imaging the gastrointestinal tract in infants and children, and practical ways to optimize the imaging examination and the patient experience should be employed where possible.
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