Ertl-Wagner B, Wagner M W
Derek Harwood Nash Chair of Pediatric Neuroradiology, Division Head Neuroradiology, SickKids-The Hospital for Sick Children, University of Toronto, 555 University Ave, M5G 1X8, Toronto, Ontario, Canada.
Chief Fellow Pediatric Neuroradiology, SickKids-The Hospital for Sick Children, University of Toronto, 555 University Ave, M5G 1X8, Toronto, Ontario, Canada.
Radiologe. 2019 Dec;59(12):1097-1106. doi: 10.1007/s00117-019-00610-3.
Magnetic resonance imaging (MRI) is increasingly being used for infants and small children due to rapid sequence protocols, broader scanner availability and good monitoring possibilities. The sequence protocol should always be adapted to the individual clinical needs of the infant or toddler. For some clinical indications, such as control of ventricular width in children with shunted hydrocephalus, ultrafast protocols can be used with a scanning time of just a few minutes. For more complex clinical questions, more extensive sequence protocols are warranted. Particularly for neonates and using a rapid investigation protocol, MRI examinations can very often be performed without sedation. The necessity of using gadolinium-based contrast agents has to be critically deliberated in infants and neonates and has to be exactly tailored to the clinical needs. In many cases MRI examinations of the brain in infants and neonates do not require gadolinium-based contrast agents.
由于快速序列协议、更广泛的扫描仪可用性以及良好的监测可能性,磁共振成像(MRI)在婴幼儿中的应用越来越广泛。序列协议应始终根据婴幼儿的个体临床需求进行调整。对于某些临床指征,如分流性脑积水患儿脑室宽度的监测,可使用超快协议,扫描时间仅需几分钟。对于更复杂的临床问题,则需要更广泛的序列协议。特别是对于新生儿,采用快速检查协议时,MRI检查通常无需镇静即可进行。对于婴儿和新生儿,必须审慎考虑使用钆基造影剂的必要性,且必须严格根据临床需求来决定。在许多情况下,婴儿和新生儿的脑部MRI检查并不需要钆基造影剂。