Diagnostic flowchart and imaging features of common congenital anomalies of the neonatal spine
Publication in refereed journal

香港中文大學研究人員
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摘要Paediatric spinal pathologies are commonly encountered in clinical practice. This article summarises the normal appearance of lumbar ultrasonography (LUS) and the imaging techniques used to examine the spine in neonates. The last section of this article is a pictorial illustration of ultrasonography and magnetic resonance imaging (MRI) features of common paediatric spinal pathologies. These include filar cyst, arachnoid cyst, filarfibrolipoma, low-lying cord, syringomyelia, myelomeningocele, Chiari malformations and sacrococcygeal teratoma. Current literature and guidelines on the indications for imaging and available modalities for investigation of occult spinal dysraphism are also reviewed. Isolated simple sacral dimple is no longer an indication for neonatal LUS. Indications for LUS include other cutaneous stigmata, abnormal antenatal ultrasound, and low-risk congenital anomalies. For neonates presenting with neurological deficit, discharging lesion or high-risk congenital anomalies, MRI is indicated. This review also proposes a diagnostic flowchart for better triage of patients to the appropriate modality of imaging in order to achieve satisfactory diagnostic accuracy and enhance cost-effectiveness. © 2013 Hong Kong College of Radiologists.
著者Wong S.S.M., Wong K.M., So M.Y., Leung V.Y.F., Liu E.K.H., Chu W.C.W.
期刊名稱Hong Kong Journal of Radiology
出版年份2013
月份6
日期1
卷號16
期次2
出版社Hong Kong Academy of Medicine Press
出版地China
頁次84 - 93
國際標準期刊號2223-6619
電子國際標準期刊號2307-4620
語言英式英語
關鍵詞Magnetic resonance imaging, Pediatrics, Spinal dysraphism, Spine, Ultrasonography

上次更新時間 2020-25-11 於 00:56