Stichnoth F A, Kehr S, Baumer K
Zentrale Strahlenklinik, Krankenhauszweckverbandes Kempten.
Monatsschr Kinderheilkd. 1990 Apr;138(4):221-3.
Adrenal hemorrhages in newborns are usually diagnosed by sonography. Magnetic resonance imaging is indicated when morphological change, clinical appearance and follow-up do not allow differentiation of adrenal hemorrhage and neuroblastoma. Using artefact-suppressing sequences, the adrenal gland can be examined with modern MRI systems. The adrenal gland hemorrhage is characterized by a typical signal behaviour. If a haematoma persists over a longer period, a circular methemoglobin zone can be observed. An additional contrast application (Gadolinium-DTPA) can aid in demonstrating vascular tumors.
新生儿肾上腺出血通常通过超声检查来诊断。当形态学改变、临床表现及随访结果无法区分肾上腺出血和神经母细胞瘤时，需进行磁共振成像检查。使用伪影抑制序列，可通过现代MRI系统检查肾上腺。肾上腺出血具有典型的信号表现。如果血肿持续较长时间，可观察到一个圆形的高铁血红蛋白区。额外应用造影剂（钆喷酸葡胺）有助于显示血管肿瘤。
