良性和恶性儿科肝脏质量:儿科LI-RADS工作组的放射病学更新
Mitchell A Rees1, Michael R Acord1, Lara E Berklite1
1From the Department of Radiology, Nationwide Children's Hospital, 700 Children's Dr, ED Bldg 4th Fl, Columbus, OH 43205 (M.A.R., E.M.C.); Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa (M.R.A.); Departments of Pathology (L.E.B.) and Radiology (C.E.M., G.R.S., A.J.T.), Cincinnati Children's Hospital, Cincinnati, Ohio; Department of Radiology and Imaging Sciences, Emory University and Children's Healthcare of Atlanta, Atlanta, Ga (A.L.A., G.K.); Department of Radiology, Mayo Clinic, Rochester, Minn (A.B.K.); Department of Medical Imaging, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill (E.R.); Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, Ill (E.R.); Department of Radiology, Stanford University, Stanford, Calif (A.B.S.); Department of Radiology, Section of Pediatric Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colo (E.R.T.); and Department of Radiology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa (J.H.S.).
本综述总结了常见的儿科肝脏瘤,区分良性和恶性类型. 了解与年龄相关的呈现和成像是准确诊断这些罕见的儿童癌症的关键.
科学领域:
- 儿科瘤学 儿科瘤学
- 肝病学 肝病学是一种肝病学.
- 诊断成像诊断成像的使用
背景情况:
- 初级儿科肝脏瘤不常见,但可能危及生命.
- 恶性肝脏瘤占儿科恶性瘤的1%-2%.
- 由于发病率低且结果可变,诊断具有挑战性.
研究的目的:
- 审查常见的良性和恶性儿科肝病变.
- 为了突出与成年人相比,呈现和治疗的差异.
- 更新当前对儿科肝脏瘤的理解.
主要方法:
- 对常见的儿科肝病变的综述,无论是良性还是恶性.
- 讨论特定年龄的诊断线索.
- 对成像特征的分析,包括MRI和对比度增强的US.
主要成果:
- 一些病变,如血瘤和肝细胞瘤是专门针对儿童的.
- 成人瘤,如肝细胞癌,可以发生在儿童身上,但呈现方式不同.
- 像MRI和US这样的成像模式提供了诊断洞察力,但也有局限性.
结论:
- 患者年龄对于小儿肝脏瘤的差异诊断至关重要.
- 整合成像发现与潜在的病理增强了诊断信心.
- 准确的诊断需要意识到特定的瘤行为和成像细微差别.
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