Tschäppeler H
Padiatr Padol. 1983;18(3):269-80.
Today CT of the pediatric chest and abdomen is an accepted and established diagnostic modality. Detection of pulmonary metastases and the staging of malignant lymphoma of the mediastinum are main indications for thoracic CT, whereas in other neoplastic mediastinal or thoracic wall lesions, which are much rarer, CT is complementary to very valuable conventional examinations. However the cross-sectional display free of superposition and the possibility of density-measurement are outstanding advantages for both thoracic and abdominal CT. Abdominal extension of malignant lymphoma is accurately determined; pretherapeutic staging and followup evaluation of primary retroperitoneal, hepatic and pelvic neoplasms are further indications in selected patients. After blunt abdominal trauma CT does not only demonstrate the extent of parenchymatous laceration, but also provides exact assessment of perfusion and/or function of an organ.
如今，儿科胸部和腹部CT已成为一种被广泛接受且成熟的诊断方式。肺部转移瘤的检测以及纵隔恶性淋巴瘤的分期是胸部CT的主要适应证，而在其他更为罕见的纵隔或胸壁肿瘤性病变中，CT则是对非常有价值的传统检查的补充。然而，胸部和腹部CT的突出优势在于其无重叠的横断面显示以及密度测量的可能性。恶性淋巴瘤的腹部扩展情况能够被准确判定；对于部分患者，原发性腹膜后、肝脏及盆腔肿瘤的治疗前分期和随访评估是进一步的适应证。在腹部钝性创伤后，CT不仅能显示实质撕裂的程度，还能对器官的灌注和/或功能进行精确评估。
