Peltola Ville, Ruuskanen Olli, Svedström Erkki
Department of Paediatrics, Turku University Hospital, Turku, Finland.
Pediatr Radiol. 2008 Nov;38(11):1225-31. doi: 10.1007/s00247-008-0987-6. Epub 2008 Aug 23.
The advantages and limitations of MRI in lung infections in children have not been well established. This article illustrates the MRI findings in children with pneumonia caused by Mycoplasma pneumoniae, Streptococcus pneumoniae, and other pathogens. Lung parenchymal, pleural, and lymph node abnormalities are well characterized by MRI. Loculation of pleural fluid is detected in children with empyema. Contrast enhancement may be useful in the differentiation of active inflammation from noninflammatory changes. MRI can be particularly useful in the follow-up of children with chronic pulmonary diseases.
磁共振成像(MRI)在儿童肺部感染中的优势和局限性尚未完全明确。本文阐述了肺炎支原体、肺炎链球菌及其他病原体所致儿童肺炎的MRI表现。MRI能够很好地显示肺实质、胸膜及淋巴结的异常情况。在脓胸患儿中可检测到胸腔积液的分隔。对比增强检查可能有助于鉴别活动性炎症与非炎症性改变。MRI在慢性肺部疾病患儿的随访中可能特别有用。