Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM, 87131, USA.
Department of Radiology, Eastern Virginia Medical School, Diagnostic Radiology, P.O. Box 1980, Norfolk, VA, 23501, USA.
Emerg Radiol. 2022 Aug;29(4):729-742. doi: 10.1007/s10140-022-02042-4. Epub 2022 Apr 8.
Pediatric radiology studies can be some of the most anxiety-inducing imaging examinations encountered in practice. This can be in part due to the wide range of normal anatomic appearances inherent to the pediatric population that create potential interpretive pitfalls for radiologists. The pediatric head is no exception; for instance, the inherent greater water content within the neonatal brain compared to older patients could easily be mistaken for cerebral edema, and anatomic variant calvarial sutures can be mistaken for skull fractures. This article reviews potential pitfalls emergency radiologists may encounter in practice when interpreting pediatric head CTs, including trauma, extra-axial fluid collections, intra-axial hemorrhage, and ventriculoperitoneal shunt complications.
儿科放射学研究可能是实践中最令人焦虑的影像学检查之一。这在一定程度上是由于儿科人群中存在广泛的正常解剖结构，这为放射科医生的解读带来了潜在的陷阱。儿科头部也不例外；例如，与老年患者相比，新生儿大脑中固有的更多水分很容易被误认为是脑水肿，而解剖变异的颅骨缝也可能被误认为是颅骨骨折。本文回顾了急诊放射科医生在解读儿科头部 CT 时可能遇到的潜在陷阱，包括外伤、外轴液体积聚、轴内出血和脑室-腹腔分流并发症。
