RESUMO
In our experience, questions about the appropriate use of enteric contrast media for pediatric fluoroscopic studies are common. The purpose of this article is to provide a comprehensive review of enteric contrast media used for pediatric fluoroscopy, highlighting the routine use of these media at a large tertiary care pediatric teaching hospital.
Assuntos
Meios de Contraste , Gastroenteropatias/diagnóstico por imagem , Intensificação de Imagem Radiográfica/métodos , Criança , Pré-Escolar , Fluoroscopia , Humanos , Lactente , Doses de RadiaçãoRESUMO
OBJECTIVE: Enteric contrast media are commonly administered for diagnostic cross-sectional imaging studies in the pediatric population. The purpose of this manuscript is to review the use of enteric contrast media for CT, MRI, and ultrasound in infants, children, and adolescents and to share our experiences at a large tertiary care pediatric teaching hospital. CONCLUSION: The use of enteric contrast material for diagnostic imaging in infants and children continues to evolve with advances in imaging technology and available enteric contrast media. Many principles of enteric contrast use in pediatric imaging are similar to those in adult imaging, but important differences must be kept in mind when imaging the gastrointestinal tract in infants and children, and practical ways to optimize the imaging examination and the patient experience should be employed where possible.
Assuntos
Meios de Contraste , Doenças do Sistema Digestório/diagnóstico , Trato Gastrointestinal , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Imageamento por Ressonância Magnética , Doses de Radiação , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
PURPOSE: To evaluate the effect of sacroplasty on patient mobility and pain when performed as a treatment for sacral insufficiency fractures. MATERIALS AND METHODS: Imaging with computed tomography (CT), magnetic resonance imaging, or bone scan confirmed the diagnosis of sacral insufficiency fractures. Baseline clinical mobility scale (CMS) score and visual analog scale (VAS) pain score were recorded. Sacroplasty was performed under CT guidance. Follow-up CMS and VAS scores were assessed at 4, 24, and 48 weeks. RESULTS: Eighteen elderly patients (age 80 y ± 8.5; 17 women) were treated. Repeated-measures analysis of variance was conducted to assess changes in CMS and VAS scores over time. Pairwise comparisons revealed a significant increase in average CMS score between baseline and all three follow-up points-4 weeks (P < .001), 24 weeks (P < .001), and 48 weeks (P < .001)-indicating improvement in mobility over time. Pairwise comparisons revealed significant differences in mean VAS scores between baseline and all three follow-up time points-4 weeks (P < .001), 24 weeks (P < .001), and 48 weeks (P < .001)-indicating improvement in overall pain level over time. CONCLUSIONS: Treatment with CT-guided sacroplasty for sacral insufficiency fractures in this elderly population resulted in significant improvement in patient mobility.