Godfrey Alan V, Opfer Erin K, Mardis Neil J
Department of Radiology, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
Department of Radiology, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA.
Pediatr Radiol. 2025 Jan 16. doi: 10.1007/s00247-024-06150-w.
Cross-sectional cardiac imaging plays an essential role in the evaluation of pediatric patients with congenital and acquired heart disease. While the focus of cardiac imaging is primarily on evaluating cardiac structures, it also provides valuable insights into extracardiac structures and associated abnormalities. The radiologists and cardiologists interpreting these exams play a critical role in recognizing these findings and providing recommendations for follow-up testing when indicated. Due to the excellent soft tissue resolution of cardiac magnetic resonance imaging (MRI) and computed tomography (CT), incidental findings can often be diagnosed without further imaging. Incidental findings are generally defined as lesions or masses detected by imaging that is performed for a different reason. In other cases, further imaging evaluation and testing may be necessary. This article aims to explore the spectrum of extracardiac findings encountered in pediatric cardiac imaging studies, their clinical significance, and the potential implications for patient care.
横断面心脏成像在评估患有先天性和后天性心脏病的儿科患者中起着至关重要的作用。虽然心脏成像的重点主要是评估心脏结构，但它也能为心脏外结构和相关异常提供有价值的见解。解读这些检查的放射科医生和心脏病专家在识别这些发现以及在需要时提供后续检查建议方面发挥着关键作用。由于心脏磁共振成像（MRI）和计算机断层扫描（CT）具有出色的软组织分辨率，偶然发现的情况通常无需进一步成像即可诊断。偶然发现一般定义为因其他原因进行成像检查时检测到的病变或肿块。在其他情况下，可能需要进一步的成像评估和检查。本文旨在探讨儿科心脏成像研究中遇到的心脏外发现的范围、它们的临床意义以及对患者护理的潜在影响。
