Lane F. Donnelly - Pediatric Imaging E-Book: The Fundamentals

Pediatric Imaging

The Fundamentals

First Edition

Lane F. Donnelly, MD

Radiologist-in-Chief, Department of Radiology, Cincinnati Childrens Hospital Medical Center

Professor of Radiology and Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio

Saunders Elsevier

Front Matter

The Fundamentals

Lane F. Donnelly, MD

Radiologist-in-Chief, Department of Radiology

Cincinnati Childrens Hospital Medical Center

Professor of Radiology and Pediatrics

University of Cincinnati Col lege of Medicine

Cincinnati, Ohio

Copyright

SAUNDERS

ELSEVIER

1600 John F. Kennedy Blvd.

Suite 1800

Philadelphia, Pennsylvania 19103-2899

PEDIATRIC IMAGING ISBN: 978-1-4160-5907-3

Copyright 2009, by Saunders, an imprint of Elsevier Inc.

.

Notice

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment, and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on his or her own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the publisher nor the author assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.

The Publisher

Library of Congress Cataloging-in-Publication Data (in PHL)

Donnelly, Lane F.

Pediatric imaging: the fundamentals/Lane F. Donnelly. 1st ed.

p. ; cm.

Includes bibliographical references.

ISBN 978-1-4160-5907-3

1. Pediatric diagnostic imaging. I. Title.

[DNLM: 1. Diagnostic Imagingmethods. 2. Child. 3. Infant. WN 240 D685p 2009]

RJ51. D5D66 2009

618.92'00754dc22 2008038937

Senior Acquisitions Editor: Rebecca S. Gaertner

Developmental Editor: Elizabeth Hart

Publishing Services Manager: Tina K. Rebane

Designer: Steve Stave

Marketing Manager: Catalina Nolte

Printed in China.

Last digit is the print number: 9 8 7 6 5 4 3 2 1

Dedication

For my wife, Carolina V. Guimaraes, MD. You are everything to me.

Preface

I know that as a resident, I retained more useful information when I read short and basic books over and over than when I read longer, more detailed texts once. The intention of this book is to serve as a basic introductory text on pediatric imaging. The book is written in prose, rather than as an outline, and is intended to be readable. The emphasis is on commonly encountered imaging scenarios and pediatric diseases. The topics included reflect questions that I am commonly asked by residents on the pediatric radiology service, important issues that the rotating residents often seem not to know about, and commonly made mistakes. The book is intended to serve as an excellent introduction or review for a resident or medical student who is about to begin a rotation in pediatric radiology or prepare for radiology oral boards. This book may also serve as a review for a general radiologist who wishes to brush up on pediatric radiology. Pediatric residents or pediatricians who want to learn more about pediatric radiology may also benefit from reading this book.

Lane F. Donnelly, MD

Acknowledgments

I would like to thank Marlena Tyre for help with proofreading; Judy Racadio, MD, for her help with medical editing and proofreading; James Leach, MD, for his help with the advanced neuroimaging section; and Glenn Minnano for his help with the diagrams. The information in this book is a summation of the material that was taught to me by numerous radiologists, and I would like to thank them for their time and efforts. The case material in this book is the result of the hard work of the faculty, technologists, and trainees in the Department of Radiology at Cincinnati Childrens Hospital Medical Center and the referring physicians who care for these patients. I would like to acknowledge their efforts, without which this book would not be possible.

Table of Contents

CHAPTER ONE

Special Considerations in Pediatric Imaging