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Introduction to Pediatric Imaging
Introduction to Pediatric Imaging
Introduction to Pediatric Imaging
Introduction to Pediatric Imaging
Introduction to Pediatric Imaging
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Introduction to Pediatric Imaging
INTRODUCTION TO PEDIATRIC IMAGING
Dr Priya Chudgar.
Lecturer in Radiology,
Department of Radiology,
KEM Hospital,
Mumbai.
 

  • MRI - Lack of ionizing radiation, multiplanar imaging and excellent spatial resolution make MRI more advantageous than CT,especially in CNS & spinal pathologies.

    It consists of a magnet operating at a fixed strength, which induces a net proton magnetization in the long axis of the patient. Oscillating magnetic field pulses are used to perturb this magnetization following which it relaxes back to its original position & produces an electrical signal in the reservoir coil that surrounds the patient.

    Gadolinium is a commonly used constant medium in MRI. It aids in increasing the sensitivity for diagnosis of some pathologies.

    Any metallic implant (prosthetic valve/Aneer clip) is a contraindication to MRI. Claustrophobia with small gantry & high cost are the limiting factors for MRI.

INTERVENTIONAL RADIOLOGY :

It has made possible non-invasive treatment of various pathologies for e.g.

  • Percutaneous Angioplasty in Renal artery stenosis.
  • Embolization of vascular malformations.
  • Preoperative embolization of Hypervascular tumors.

PRECAUTIONS :

Radiation dosage - As no radiation is safe, it is essential to reduce the radiation dose as much as possible. All radiographic procedures use ionizing radiation.

Ratio of radiation dose to skin rads is as follows : ( Diagnostic Imaging in Pediatrics - Isky Gordon-1987)

Age (years) 1 5 10 15
IVU - 4 films 0.2 0.3 0.5 0.75
Angiography - 20 films 1.4 3.0 4.8 7.5
Fluoroscopy - 4 minutes 3.2 4.8 6.8 8.8

Hence, it is important to correctly use each radiographic modality & thus limit the radiation dose.

Thus, an appropriate and timely use of correct modality in the best possible manner would definitely aid in achieving early diagnosis.

Last updated on 20-01-2001


 
 
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