This page intentionally left blank Essentials of Pediatric Radiology A Multimodality Approach Essentials of Pediatric Radiology A Multimodality Approach Edited by HeikeE.Daldrup-Link AssociateProfessorofRadiologyandPediatrics,DepartmentofRadiologyandBiomedicalImaging, UniversityofCaliforniaSanFranciscoMedicalCenter,SanFrancisco,USA CharlesA.Gooding ProfessorEmeritusofRadiologyandPediatrics,DepartmentofRadiologyandBiomedicalImaging, UniversityofCaliforniaSanFranciscoMedicalCenter,SanFrancisco,USA CAMBRIDGEUNIVERSITYPRESS Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo, Delhi, Dubai, Tokyo Cambridge University Press The Edinburgh Building, Cambridge CB2 8RU, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521515214 © Cambridge University Press 2010 This publication is in copyright. Subject to statutory exception and to the provision of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published in print format 2010 ISBN-13 978-0-511-78965-6 eBook (NetLibrary) ISBN-13 978-0-521-51521-4 Hardback Cambridge University Press has no responsibility for the persistence or accuracy of urls for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Every effort has been made in preparing this book to provide accurate and up-to- date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use. Contents List of contributors vi Preface ix 1 The normal child: growth anddevelopment ofthe 9 Metabolic bone disorders 256 infant and child; frequentand importantnormal Paul Babyn variants 1 10 Skeletaldysplasias andsyndromes 292 Karl Schneider Keith A. Kronemer andThomas E. Herman 2 Neonatal imaging 19 11 Transplant imaging inchildren 323 Beverley NewmanandLauraVarich Govind Chavhan and Paul Babyn 3 Congenital cardiac malformations 40 12 Iatrogenic devices 350 Alison Meadows Soni C.Chawla 4 Pediatrictrauma 75 13 Radiationprotection in children undergoing Sandra Wootton-Gorges medical imaging 390 5 Nontraumatic pediatric emergencies 98 DonaldP. Frush HarveyTeo andDavid Stringer 6 Infections, inflammations andHIV 138 Kate M.ParkandCatherine M. Owens Index 403 7 Pediatrictumors 181 Jane Kim, Soonmee Cha, Heike E. Daldrup-Link and Robert Goldsby 8 Ischemiain children 220 Kevin M. Baskin,Charles R.Fitz,Max Wintermark and John J. Crowley v Contributors Paul Babyn, MD Charles R. Fitz,MD Radiologist in Chief, Professor of Radiology, Hospital for Sick Children, University of Pittsburgh School of Medicine Section Toronto, Ontario, Canada Head Neuroradiology, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA Kevin M. Baskin, MD Assistant Professor of Radiology, Donald P.Frush,MD University of Pittsburgh School of Medicine Chief, Professor of Radiology and Pediatrics and Chief, Vascular and Interventional Radiology, Division of Pediatric Radiology, Duke University Children’s Hospital of Pittsburgh of UPMC, Medical Center, Durham, NC, USA Pittsburgh, PA, USA RobertGoldsby, MD SoonmeeCha, MD Associate Professor of Clinical Pediatrics, Division of Pediatric Hematology/Oncology, Associate Professor of Radiology, University of California San Francisco, Department of Radiology and Biomedical Imaging, San Francisco, CA, USA Neuroradiology Section, University of California, San Francisco, CA, USA Charles A. Gooding, MD, FACR, FRCR (London, Honorary) Govind Chavhan, MD, DNB Professor Emeritus of Radiology and Pediatrics, Clinical Fellow, Department of Radiology and Biomedical Imaging, The Hospital for Sick Children, University of California San Francisco Medical Center, Toronto, Ontario, Canada San Francisco, CA, USA Soni C.Chawla,MD Thomas E. Herman, MD, FACR Assistant Professor of Radiology, Associate Professor of Radiology, Department of Radiological Sciences, Washington University School of Medicine, Olive View–UCLA Medical Center, Mallinckrodt Institute of Radiology, and Associate University of California Los Angeles, Radiologist, St. Louis Children’s Hospital, Los Angeles, CA, USA St. Louis, MO, USA John J. Crowley, MD Jane Kim, MD University of Pittsburgh School of Medicine Section Assistant Professor of Radiology, Head Neuroradiology, San Francisco General Hospital, Children’s Hospital of Pittsburgh of UPMC, Neuroradiology Section, University of California, Pittsburgh, PA, USA San Francisco, CA, USA Heike E. Daldrup-Link, MD,PhD Keith A. Kronemer,MD Associate Professor of Radiology and Pediatrics, Assistant Professor of Radiology, Pediatric Radiology Section, Washington University School of Medicine, Department of Radiology and Biomedical Imaging, Mallinckrodt Institute of Radiology, and Radiologist, University of California San Francisco Medical Center, St. Louis Children’s Hospital, San Francisco, CA, USA St. Louis, MO, USA vi Listofcontributors Alison Meadows, MD,PhD David Stringer,MD Assistant Professor of Clinical Radiology and Pediatrics, Head of Department, Department of Radiology and Department of Cardiology, Diagnostic and Interventional Imaging, University of California San Francisco, KK Women’s and Children’s Hospital, San Francisco, CA, USA Singapore Beverley Newman, MD HarveyTeo, MD Associate Professor of Radiology, Department of Diagnostic and Interventional Imaging, Department of Radiology, KK Women’s and Children’s Hospital, Stanford University School of Medicine, Singapore Associate Chief of Pediatric Radiology, Lucile Packard Children’s Hospital, LauraVarich,MD Stanford, CA, USA Department of Pediatric Radiology, Lucile Packard Children’s Hospital, CatherineM. Owens,BSc MBBSMRCP FRCR Stanford University School of Medicine, Director Cardiothoracic CT and Consultant Radiologist, Stanford, CA, USA Great Ormond Street Hospital for Children, London, UK Max Wintermark, MD Associate Professor of Radiology and Director, Kate M. Park,BABM BCh MRCP FRCR Neuroradiology Division, Radiology Fellow, University of Virginia, Department of Imaging, Department of Radiology, Great Ormond Street Hospital for Children, London, UK Charlottesville, VA, USA Karl Schneider, MD Sandra Wootton-Gorges, MD ProfessorofRadiologyandPediatricsand Director of Pediatric Imaging and Professor of Radiologist-in-Chief, Clinical Radiology, DepartmentofPediatricRadiology, University of California, Children’sHospitaloftheUniversityofMunich, Davis Medical Center and UC Davis Children’s Hospital, Munich,Germany Sacramento, CA, USA vii
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