Greenbaum Larry A
Division of Pediatric Nephrology, Children's Healthcare of Atlanta, Emory University, 2015 Uppergate Drive NE, Atlanta, GA 30322, USA.
Pediatr Radiol. 2008 Jan;38 Suppl 1:S70-5. doi: 10.1007/s00247-007-0586-y. Epub 2007 Dec 11.
Renal dysplasia is a common abnormality in children. The role of MRI in evaluating children with renal dysplasia is evolving. More information is clearly necessary before MRI replaces conventional imaging modalities. In order to appropriately use MRI, the radiologist must have an understanding of the clinical questions that are important in the management of children with renal dysplasia. This review provides background information on renal dysplasia for the pediatric radiologist. The focus is on unilateral disease, especially multicystic dysplastic kidneys, and bilateral dysplasia, which is the most common cause of kidney failure in children. The emphasis is on the important clinical issues, and the potential of MRI as a methodology for providing clinically useful information not otherwise available from other imaging modalities.
肾发育异常是儿童常见的异常情况。MRI在评估肾发育异常儿童中的作用正在不断发展。在MRI取代传统成像方式之前,显然需要更多信息。为了合理使用MRI,放射科医生必须了解在肾发育异常儿童管理中重要的临床问题。本综述为儿科放射科医生提供了有关肾发育异常的背景信息。重点是单侧疾病,尤其是多囊性发育不良肾,以及双侧发育异常,这是儿童肾衰竭最常见的原因。重点是重要的临床问题,以及MRI作为一种能够提供其他成像方式无法获得的临床有用信息的方法的潜力。