Huisman Thierry A G M, Singhi Samata, Pinto Pedro S
Division of Pediatric Radiology, Department of Radiology and Radiological Science, Johns Hopkins Hospital-Baltimore, 600 North Wolfe Street, Nelson Basement, B-173, Baltimore, MD 21287-0842, USA.
Childs Nerv Syst. 2010 Oct;26(10):1275-95. doi: 10.1007/s00381-010-1203-1. Epub 2010 Jul 2.
The goal of this review is to discuss the different non-invasive imaging techniques as well as the age-specific pediatric vascular pathologies and their imaging features.
Ultrasound, computed tomography, and magnetic resonance imaging features of pediatric ischemic stroke, intracranial hemorrhage, aneurysms, cavernomas, developmental venous anomalies, and arteriovenous malformations are presented. In addition, multiple non-invasive angiographic techniques (CT and MR angiography) and functional MRI sequences (diffusion, perfusion, and susceptibility-weighted imaging) are discussed.
Neurovascular imaging plays a central role in the early, sensitive, and specific diagnosis of pediatric intracranial vascular disorders. A detailed knowledge of the quality and exact angioarchitecture of pediatric vascular pathologies as well as their impact on the cerebral hemo-dynamics is essential to guide and monitor treatment options and to predict functional outcome.
本综述的目的是讨论不同的非侵入性成像技术以及特定年龄段儿童的血管病变及其成像特征。
介绍了儿童缺血性中风、颅内出血、动脉瘤、海绵状血管瘤、发育性静脉异常和动静脉畸形的超声、计算机断层扫描和磁共振成像特征。此外，还讨论了多种非侵入性血管造影技术（CT和MR血管造影）和功能MRI序列（扩散、灌注和磁敏感加权成像）。
神经血管成像在儿童颅内血管疾病的早期、敏感和特异性诊断中起着核心作用。详细了解儿童血管病变的质量和确切血管结构及其对脑血流动力学的影响，对于指导和监测治疗方案以及预测功能预后至关重要。
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