From the Division of Pediatric Radiology, Department of Radiology, Stanford University School of Medicine, 725 Welch Rd, Room 1927, Palo Alto, CA 94304.
Radiographics. 2022 Oct;42(6):1580-1597. doi: 10.1148/rg.220019.
The field of pediatric interventional radiology encompasses the treatment of a broad range of patients. Whether treating a premature infant who weighs less than 1 kg or treating an adult-sized teenager who weighs more than 100 kg, the innovative skills of the interventional radiologist are required to adapt equipment designed for adult patients, to meet the needs of children. Moreover, children cannot be treated simply as small adults owing to a number of factors, including differences in physiology, disease processes, and treatment techniques between pediatric and adult patients. In this article, the unique medical needs of children are highlighted, noting specific areas the interventional radiologist should be aware of when treating patients of all ages. Specific focus is placed on the unique considerations related to children in terms of their periprocedural needs and the procedural modifications required for routine pediatric procedures, with specific diseases of the liver, chest, and musculoskeletal system highlighted. The broader topic of vascular anomalies, although an important part of pediatric interventional radiology, was intentionally excluded to highlight some of the lesser-known procedures performed. RSNA, 2022.
儿科介入放射学领域涵盖了广泛的患者治疗。无论是治疗体重不足 1 公斤的早产儿，还是治疗体重超过 100 公斤的成年大小的青少年，介入放射学家都需要运用创新技能，调整为成人患者设计的设备，以满足儿童的需求。此外，由于儿童在生理、疾病过程和治疗技术等方面与成人存在差异，不能简单地将他们视为小大人。本文强调了儿童的独特医疗需求，指出介入放射科医生在治疗各年龄段患者时应注意的特定领域。特别关注与儿童相关的特殊考虑因素，包括围手术期需求和常规儿科手术所需的程序修改，重点介绍了肝脏、胸部和肌肉骨骼系统的特定疾病。尽管血管畸形是儿科介入放射学的一个重要组成部分，但为了突出一些鲜为人知的操作，本文故意将其排除在外。RSNA，2022 年。
