Abstract
After the introduction of ultrasound (US), the new imaging modality was first warmly
welcomed, but then lost reputation and importance particularly in radiology leading
to an increasing number of other—particularly computed tomography (CT)—investigations,
which especially in pediatrics was a potentially dangerous development considering
the radiation hazards.
However, innovative and creative US approaches as well as new US techniques such as
amplitude-coded color Doppler, harmonic and high-resolution imaging, and US contrast
media or three-dimensional US have been introduced over the past decade and significantly
broadened the potential of US. Thus, now, the role of US has been widened in many
conditions and queries, and US today may well play a more pronounced and essential
role in modern imaging algorithms at still relatively low cost, with sufficient diagnostic
accuracy and conspicuity. Particularly in the pediatric setting, these new capabilities
are applicable in many queries and almost all body regions and should be used to reduce
the number of more invasive or radiating and relatively costly examinations that often
additionally need some sedation or intravenous iodinated contrast material. To readily
provide this approach for sick children, we need to promote the knowledge about modern
US capabilities, to train US staff to guarantee 24-h availability of adequate pediatric
US performance, and to make it known to the referring clinicians.
Keywords
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Further reading
CT in children
- Dose reduction in pediatric CT: a rational approach.Radiology. 2003; 228: 352-360
- Estimated risk of radiation-induced fatal cancer from pediatric CT.AJR Am J Roentgenol. 2001; 176: 289-296
- Fallout from recent articles on radiation dose and pediatric CT.Pediatr Radiol. 2001; 31 ([discussion 389-391])
- Minimizing radiation dose for pediatric body applications of single-detector helical CT: strategies at a large children's hospital.AJR Am J Roentgenol. 2001; 176: 303-306
- Helical CT of the body: are settings adjusted for pediatric patients?.AJR Am J Roentgenol. 2001; 176: 297-301
Modern US applications; specific pediatric conditions
- Sonographic features related to volvulus in neonatal intestinal malrotation.J Ultrasound Med. 2000; 19: 371-376
- Midgut malrotation, the reliability of sonographic diagnosis.Pediatr Radiol. 1992; 22: 21-23
- Sonography of acute appendicitis in children: 7 years experience.Pediatr Radiol. 1998; 28: 147-151
- Color Doppler in the diagnoses of the gastro-esophageal reflux: comparison to pH measurements and B-mode ultrasound.Pediatr Radiol. 1996; 26: 132-135
- Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign.Pediatr Radiol. 1992; 22: 18-20
- Pediatric ultrasound. I. Abdomen.Eur Radiol. 2001; 11: 2354-2368
- The role of sonography in the evaluation of gastroesophageal reflux-correlation to pH-metry.Eur J Pediatr. 1992; 151: 655-657
- Potential of modern sonographic techniques in paediatric uroradiology.Eur J Radiol. 2002; 43: 110-121
Transperineal ultrasound
- Posterior urethral valves in male infants and newborns: detection with US of the urethra before and during voiding.Radiology. 1993; 198: 387-391
- Potential of modern sonographic techniques in paediatric uroradiology.Eur J Radiol. 2002; 43: 110-121
- Ultrasound (US) of the urethra in infants: comparison US versus VCUG.J Ultrasound Med. 2004; 23: 769-776
- Transperineal sonography in children.AJR Am J Roentgenol. 1997; 168: 1263-1267
M-Mode
- Application of functional M-mode sonography in pediatric patients.Eur Radiol. 1998; 8: 145-147
- Application of functional M-mode sonography in pediatric patients.Eur Radiol. 1998; 8: 1457-1461
- M-mode sonography of the caudal spinal cord in patients with meningocele.Radiology. 1992; 184: 263-265
- Diaphragmatic paralysis in children: diagnosis by TM-mode ultrasound.Pediatr Radiol. 1994; 24: 564-568
Harmonic imaging
- Harmonic imaging with ultrasound contrast agents.Clin Radiol. 1996; 51: S150-S155
- Harmonic versus conventional ultrasound imaging of the urinary tract in children.Pediatr Radiol. 2005; 35: 655-660
- Comparison of tissue harmonic imaging with conventional US in abdominal disease.Radiographics. 2000; 20: 1127-1135
- Tissue harmonic imaging: utility in abdominal and pelvic sonography.J Clin Ultrasound. 1999; 27: 135-142
Extended field-of-view US
- Extended field-of-view ultrasound.Semin Ultrasound CT MR. 2001; 22: 65-77
- Extended field-of-view sonography: utility in clinical practice.J Ultrasound Med. 1999; 18: 335-341
Modern Doppler sonography aspects
- Effect of color Doppler system on the twinkling sign associated with urinary tract calculi.J Clin Ultrasound. 1999; 27: 433-439
- Power Doppler sonography: basic principles and clinical applications in children.Pediatr Radiol. 1996; 26: 109-115
- Power versus conventional color Doppler sonography: comparison in the depiction of normal intrarenal vasculature.Radiology. 1994; 192: 777-780
- Characterization of urinary calculi: in vitro study of “twinkling artifact” revealed by color-flow sonography.AJR Am J Roentgenol. 1998; 17: 1055-1060
- Power Doppler sonographic pattern of acute pyelonephritis in children: comparison with CT.AJR Am J Roentgenol. 1996; 166: 1451-1455
- Doppler sonographic detection of increased flow velocities in the celiac trunk and superior mesenteric artery in infants with necrotizing enterocolitis.Pediatr Radiol. 1993; 23: 578-582
- Detection of low-grade vesicoureteral reflux in children by color Doppler imaging mode.Pediatr Surg Int. 1998; 12: 38-43
- Power Doppler imaging: clinical experience and correlation with color Doppler US and other imaging modalities.Radiographics. 1997; 17: 499-513
- Genitourinary lesions showing twinkling artifacts on color Doppler ultrasound.J Ultrasound Med. 2000; 8: 239-242
- Amplitude coded color Doppler sonography in pediatric renal disease.Eur Radiol. 2001; 11: 861-866
- Sonography and color Doppler sonography for monitoring conservatively treated infantile hypertrophic pyloric stenosis.J Ultrasound Med. 2001; 20: 997-1002
- Amplitude coded color Doppler sonography of the neonatal and infant brain.Childs Nerv Syst. 2002; 18: 663-669
- Power Doppler US: a potential useful alternative to mean frequency based Doppler US.Radiology. 1994; 190: 853-856
- Power Doppler sonographic evaluation of acute pyelonephritis in children.J Ultrasound Med. 1996; 15: 91-96
Echo-enhanced Ultrasound in children, including ee-cystosonography
- Potential role of colour-Doppler cystosonography with echocontrast in the screening and follow-up of vesicoureteral reflux.Acta Pediatr. 2000; 89: 1336-1339
- Cystosonography with echocontrast: a new imaging modality to detect vesicoureteric reflux in children.Pediatr Radiol. 1998; 28: 250-255
- Reflux in young patients: comparison of voiding US of the bladder and the retrovesical space with echoenhancement versus voiding cystourethrography for diagnosis.Radiology. 1999; 210: 201-207
- Contrast-enhanced harmonic imaging for the diagnosis of vesicoureteral reflux in pediatric patients.AJR Am J Roentgenol. 2001; 177: 1411-1415
- Reduction in voiding cysto-urethrographies after introduction of contrast enhanced sonographic reflux diagnosis.Pediatr Radiol. 2001; 31: 790-795
- Diagnosis of vesicoureteric reflux with low-dose contrast-enhanced harmonic ultrasound imaging.Pediatr Radiol. 2005; 35: 73-78
- Echo-enhanced ultrasound voiding cystography in children: a new approach.Pediatr Nephrol. 2000; 14: 297-300
- Detection of parenchymal abnormalities in acute pyelonephritis by pulse inversion harmonic imaging with or without microbubble ultrasonographic contrast agent: correlation with computed tomography.J Ultrasound Med. 2001; 20: 5-14
- Contrast-enhanced sonography of vesicoureteral reflux in children: preliminary results.AJR Am J Roentgenol. 1999; 173: 737-740
- Contrast enhanced color Doppler sonography in children and adolescents.J Ultrasound Med. 2000; 19: 783-788
- Echo-enhanced color Doppler cystosonography of vesico-ureteral reflux in children: improvement by stimulated acoustic emission.Acta Radiol. 2003; 44: 18-23
- Contrast-enhanced gray-scale and color Doppler voiding urosonography versus voiding cystourethrography in the diagnosis and grading of vesicoureteral reflux.J Clin Ultrasound. 2001; 29: 65-71
3DUS
- Potential applications of three-dimensional ultrasound in the pediatric urinary tract: pictorial demonstration based on preliminary results.Eur Radiol. 2003; 13: 2680-2687
- Potential of three-dimensional ultrasound in neonatal and pediatric neurosonography: a pictorial essay.Eur Radiol. 2003; 13: 2082-2093
- In vivo three-dimensional sonographic measurement of organ volume: validation in the urinary bladder.J Ultrasound Med. 1996; 15: 627-632
- Pediatric three-dimensional ultrasound: basics and potential clinical value.J Clinical Imag. 2005; 29: 1-5
- Hydronephrotic kidney: pediatric three-dimensional US for relative renal size assessment-initial experience.Radiology. 2005; 236: 276-283
- Three-dimensional ultrasonographic imaging of the neonatal brain in high risk neonates: preliminary study.J Ultrasound Med. 2000; 19: 549-555
Article info
Publication history
Published online: January 23, 2006
Accepted:
November 1,
2005
Received in revised form:
October 28,
2005
Received:
October 12,
2005
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.