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DOI: 10.1148/rg.253045092
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RadioGraphics 2005;25:603-618
© RSNA, 2005


EDUCATION EXHIBIT

Multidetector CT of Musculoskeletal Disease in the Pediatric Patient: Principles, Techniques, and Clinical Applications1

Laura M. Fayad, MD, Pamela Johnson, MD and Elliot K. Fishman, MD

1 From the Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 601 N Wolfe St, JHOC 3171-C, Baltimore, MD 21287. Presented as an education exhibit at the 2003 RSNA Scientific Assembly. Received April 23, 2004; revision requested June 8; received and accepted January 24, 2005. All authors have no financial relationships to disclose. Address correspondence to L.M.F. (e-mail: lfayad1{at}jhmi.edu).

Computed tomography (CT) plays an important role in the evaluation of musculoskeletal disease in the pediatric patient. With the advent of high-performance 16-section multidetector CT, images can be produced with subsecond gantry rotation times and with submillimeter acquisition, which yields true isotropic high-resolution volume data sets; these features are not attainable with older spiral CT technology. Such capabilities are particularly helpful in the evaluation of pediatric patients by virtually eliminating the need for sedation and minimizing dependence on patient cooperation. The role of three-dimensional (3D) volume imaging in the evaluation of pediatric musculoskeletal disease continues to evolve, with this technique becoming increasingly important in detection and characterization of lesions as well as in decisions about patient care. Specific designs and protocols for multidetector CT studies can be selected to minimize radiation dose to the patient. Principal clinical applications of 3D CT in evaluation of the pediatric musculoskeletal system include developmental abnormalities, trauma, neoplasms, and postoperative imaging.

© RSNA, 2005

Abbreviations: DDH = developmental dysplasia of the hip, MPR = multiplanar reformation, SCFE = slipped capital femoral epiphysis, 3D = three-dimensional




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