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儿童椎节不稳定,固定和狭窄的成像
Stephen B Little1, Asha Sarma1, Manish Bajaj1
1From the Departments of Radiology (S.B.L., M.B., J.D.) and Neurosurgery (B.B.), Children's Health Care of Atlanta, Emory University, Atlanta, Ga; and Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital, 2200 Children's Way, Nashville, TN 37323 (A.S., S.P.).
儿童椎结 (CVJ) 不稳定性,固定性和狭窄性需要先进的成像,如CT和MRI进行诊断. 早期检测心血管功能异常对于有效治疗和预防长期并发症至关重要.
科学领域:
- 儿科放射学 儿科放射学
- 神经辐射学神经辐射学
- 整形外科成像 整形外科成像
背景情况:
- 儿童的椎节 (CVJ) 异常,包括不稳定性,固定性和狭窄性,存在诊断挑战和显著的发病率.
- 对于心关节异常的高风险组包括患有三综合症的21岁儿童,青少年异常性关节炎,炎症状况和骨功能障碍的儿童.
研究的目的:
- 为了提供对儿童脊结障碍的成像评估的全面概述.
- 讨论放射学,CT和MRI在诊断心血管动脉不稳定,固定和狭窄方面的作用.
主要方法:
- 审查成像方式,包括放射,CT (多平面,3D,动态) 和MRI.
- 讨论CVJ形态测量用于评估骨关系和神经压缩.
- 重点是CT血管造影用于术前规划和MRI用于非骨化结构.
主要成果:
- CT对于识别先天性异常,大西洋轴旋固定 (AARF) 原因以及获得的骨异常非常有价值.
- 动态CT有助于评估耐火性脊柱炎,而CT血管学识别了血管变异.
- 磁力共振成像对于评估后脑,脊髓和软组织至关重要.
结论:
- 使用放射学,CT和MRI的综合成像方法对于诊断和管理儿科心血管疾病至关重要.
- 早期诊断和治疗AARF至关重要,以防止慢性化.
- 图像检测结果为儿童中心血管不稳定,固定和狭窄的治疗考虑指导.
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