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儿科实践中的心脏CT或MRI:该如何选择?

Cardiac CT or MRI in pediatric practice: Which one to choose?

作者信息

Sorensen C, Gach P, Pico H, Hugues N, Dabadie A, Desvignes C, Bourlière B, Aschero A, Colavolpe N, Petit P, Gorincour G

机构信息

Department of pediatric and prenatal imaging, La Timone Children's Hospital, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.

Medical and surgical pediatric cardiology department, La Timone Children's Hospital, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.

出版信息

Diagn Interv Imaging. 2016 May;97(5):513-7. doi: 10.1016/j.diii.2016.02.006. Epub 2016 Mar 8.

Abstract

The different factors involved in the choice of the best cardiovascular imaging examination for pediatric patients are justification, radiation protection, sedation, resolutions (spatial and contrast), morphology or function, intervention and contrast enhancement. Computed tomography is preferable for all coronary artery conditions, any arterial or venous abnormalities in newborns and infants and in the preoperative assessment for tetralogy of Fallot. Magnetic resonance imaging is used for any tumoral or functional assessment, cardiomyopathy or arrhythmia or if the child's participation and/or size of the structures being examined allows using this technique.

摘要

为儿科患者选择最佳心血管成像检查所涉及的不同因素包括正当理由、辐射防护、镇静、分辨率(空间分辨率和对比分辨率)、形态或功能、介入以及对比增强。计算机断层扫描对于所有冠状动脉疾病、新生儿和婴儿的任何动脉或静脉异常以及法洛四联症的术前评估而言是更可取的。磁共振成像用于任何肿瘤或功能评估、心肌病或心律失常,或者如果儿童的配合程度和/或被检查结构的大小允许使用该技术的话。

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