From the Department of Radiology, Monroe Carell Jr Children's Hospital at Vanderbilt, 2200 Children's Way, Nashville, TN 37232 (A.M.F., L.J., R.K., D.C.M., E.S., T.T., S.P., A.S.); Department of Radiology, Phoenix Children's Hospital, Phoenix, AZ (J.V.); and Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA (K.S.).
Radiographics. 2024 Oct;44(10):e240027. doi: 10.1148/rg.240027.
The vast array of acute nontraumatic diseases encountered in the head and neck of pediatric patients can be intimidating for radiologists in training in a fast-paced emergency setting. Although there is some overlap of pediatric and adult diseases, congenital lesions and developmental variants are much more common in the pediatric population. Furthermore, the relative incidences of numerous infections and neoplasms differ between pediatric and adult populations. Young patients and/or those with developmental delays may have clinical histories that are difficult to elicit or nonspecific presentations, underscoring the importance of imaging in facilitating accurate and timely diagnoses. It is essential that radiologists caring for children be well versed in pediatric nontraumatic head and neck emergency imaging. The authors provide an on-call resource for radiology trainees, organized by anatomic location and highlighting key points, pearls, pitfalls, and mimics of many acute nontraumatic diseases in the pediatric head and neck. RSNA, 2024 Supplemental material is available for this article.
儿科头颈部急性非创伤性疾病种类繁多，在快节奏的急诊环境中，这可能会令培训中的放射科医师望而却步。儿科疾病与成人疾病虽有一定程度的重叠，但先天性病变和发育变异在儿科人群中更为常见。此外，许多感染和肿瘤的相对发病率在儿科和成人人群中也有所不同。年幼的患者和/或有发育迟缓的患者可能病史难以获取或表现不典型，这凸显了影像学在辅助准确、及时诊断方面的重要性。儿科头颈部非创伤性急症影像学的诊治对儿科放射科医师至关重要。本文作者按解剖部位组织内容，重点介绍了许多儿科头颈部急性非创伤性疾病的要点、要点、陷阱和类似疾病，为放射科住院医师提供了一个随叫随到的资源。RSNA，2024 补充材料可用于本文。
