Department of Radiodiagnosis, Post Graduate Institute of Medical Education & Research (PGIMER), Sector-12, Chandigarh, 160012, India.
Department of Paediatric Pulmonology and Allergology, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.
Pediatr Radiol. 2022 Feb;52(2):295-311. doi: 10.1007/s00247-021-05090-z. Epub 2021 May 26.
Imaging speed, spatial resolution and availability have made CT the favored cross-sectional imaging modality for evaluating various respiratory diseases of children - but only for the price of a radiation exposure. MRI is increasingly being appreciated as an alternative to CT, not only for offering three-dimensional (3-D) imaging without radiation exposure at only slightly inferior spatial resolution, but also for its superior soft-tissue contrast and exclusive morpho-functional imaging capacities beyond the scope of CT. Continuing technical improvements and experience with this so far under-utilized modality contribute to a growing acceptance of MRI for an increasing number of indications, in particular for pediatric patients. This review article provides the reader with practical easy-to-use protocols for common clinical indications in children. This is intended to encourage pediatric radiologists to appreciate the new horizons for applications of this rapidly evolving technique in the field of pediatric respiratory diseases.
成像速度、空间分辨率和可用性使 CT 成为评估儿童各种呼吸系统疾病的首选横断面成像方式——但这是以辐射暴露为代价的。MRI 越来越被认为是 CT 的替代方法,不仅因为它可以在仅略低的空间分辨率下提供无辐射的三维 (3-D) 成像,还因为它具有优越的软组织对比度和超越 CT 范围的独特形态功能成像能力。该技术的持续技术改进和经验,以及这种迄今为止利用不足的方式,有助于越来越多的人接受 MRI 用于越来越多的适应症,特别是儿科患者。本文为读者提供了常见临床适应症的实用易用方案,旨在鼓励儿科放射科医生了解该快速发展的技术在儿科呼吸系统疾病领域的新应用前景。