Pediatric Imaging and Intervention: Classic Diagnostic Cases and Their Management
Purpose or Case Report: To present nine classic pediatric diagnostic imaging cases and their subsequent interventional managements in order to emphasize the interventionalist's role in caring for the child and educate the pediatric radiologist to guide further care. Methods & Materials: Nine separate pediatric radiology diagnoses and their associated interventional procedures were selected from patients presenting to two tertiary care children's hospitals. Cases include perforated appendicitis/abscess and drainage, fibromuscular dysplasia and renal angiography/angioplasty, osteoid osteoma and radiofrequency ablation, biliary atresia and liver biopsy, venolymphatic malformation and sclerotherapy, osteomyelitis and bone biopsy/PICC placement, ureteropelvic junction obstruction and percutaneous nephrostomy, neonatal ischemia/encephalopathy and percutaneous gastrostomy tube placement, and portosystemic shunt and venous occlusion. Results: Nine common pediatric imaging diagnoses and their associated interventional procedures are presented with imaging figures and discussion emphasizing imaging findings and interventional technique/methodology. Conclusions: As pediatric interventional radiology continues to play a more common and prominent role in the care of children, it is important to be aware of the common pediatric-specific interventional radiology procedures and their associated imaging diagnoses. Recognizing the imaging findings is essential for initial diagnosis and understanding the associated interventional management is important when guiding further care with the referring clinician.
Metz, Terrence
( Children's Hospital of Michigan
, Detroit
, Michigan
, United States
)
Richer, Edward
( University of Michigan
, Ann Arbor
, Michigan
, United States
)
Vellody, Ranjith
( Children's National
, Washington DC
, District of Columbia
, United States
)
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