Ayyala Rama S, Khwaja Asef, Anupindi Sudha A
Department of Radiology, Division of Pediatric Radiology, Columbia University Medical Center, Morgan Stanley Children's Hospital, 3959 Broadway, CHONY 3N, New York, NY, 10032, USA.
Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Emerg Radiol. 2017 Dec;24(6):681-688. doi: 10.1007/s10140-017-1520-8. Epub 2017 May 25.
Acute pelvic pain in pediatric female patients is a common cause of emergency room visits. Imaging plays a crucial role in the clinical evaluation of these patients. Pelvic pain in female children can result from various pathologies. Ultrasound is the preferred first line imaging study; however, magnetic resonance imaging (MRI) is a helpful adjunct after hours, as it is available 24/7 in many institutions. Advantages of MRI include superior delineation of anatomy and higher tissue contrast resolution, particularly of the small pelvic structures. Given the lack of ionizing radiation, there is increasing use of MRI in children and adolescents, specifically in an emergent setting. In this pictorial review, we discuss pelvic MRI techniques and illustrate imaging findings of common etiologies of pelvic pain, emphasizing the advantages of MRI as an adjunct imaging modality.
小儿女性患者的急性盆腔疼痛是急诊室就诊的常见原因。影像学在这些患者的临床评估中起着至关重要的作用。女童盆腔疼痛可由多种病理情况引起。超声是首选的一线影像学检查；然而，磁共振成像（MRI）在非工作时间是一种有用的辅助检查，因为在许多机构中它可以全天候使用。MRI的优点包括对解剖结构的出色描绘和更高的组织对比分辨率，特别是对盆腔小结构。由于缺乏电离辐射，MRI在儿童和青少年中的使用越来越多，特别是在急诊情况下。在本图片综述中，我们讨论盆腔MRI技术，并举例说明盆腔疼痛常见病因的影像学表现，强调MRI作为辅助成像方式的优点。
