Pediatric craniospinal spiral CT: Current applications and future potential

doi:10.1016/S0887-2171(05)80097-6

Seminars in Ultrasound, CT and MRI

Volume 15, Issue 2, April 1994, Pages 148-155

https://doi.org/10.1016/S0887-2171(05)80097-6 Get rights and content

Spiral CT has a definite role in pediatric neuroimaging. It is fast and offers relatively artifact-free planar and three-dimensional reconstructions. It also provides dynamic vascular phase imaging, a significant decrease in radiation and contrast media requirements, and a potential decrease in sedation while still producing good diagnostic image quality. The complete role of spiral CT angiography in pediatric neuroimaging is, as yet, incompletely explored, but potentially is very useful in the clinical setting of acute head and spine trauma.

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There are more references available in the full text version of this article.

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Joint Quality Improvement Guidelines for Pediatric Arterial Access and Arteriography: From the Societies of Interventional Radiology and Pediatric Radiology
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Improvements in coil design and higher-field MR units (ie, ≥3.0 T) also have significantly improved spatial resolution of vascular imaging (127). The role of CT angiography is also increasing in importance (128,129). Unique technical issues such as contrast agent volume, injection rates, sedation, radiation dose, breath-holding factors, and timing of scan initiation must be addressed to successfully perform pediatric CT angiography (130,131).
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1999, European Journal of Radiology
The case of a 48-year-old woman, suffering from a diastematomyelia, is presented. This case and the diagnostic findings are used to demonstrate the demands on imaging methods with respect to a new classification of split cord malformations (SCMs) recently published. Although MRI is the method of choice for imaging of the spinal cord generally, only X-ray methods and especially conventional computer tomography provide the information necessary for correct classification of SCMs. Additional 3D-reconstructions from suitable CT-data are helpful in visualizing complex anomalies of bony structures found in most cases of SCM.
Imaging of the neonatal central nervous system
1998, Neurosurgery Clinics of North America
This article presents some of the important technical and clinical evaluation of the immature and developing central nervous system. Emphasis is given to ultrasonography, computed tomography, and magnetic resonance imaging. It is our hope that these principles will assist in the evaluation of the neonate and young infant with neurologic problems requiring neurosurgical consultation and intervention.
Efficacy of Unanesthetized Spiral Computed Tomography Scanning in Initial Evaluation of Childhood Leukocoria
1995, Ophthalmology
Purpose: To evaluate the use of spiral/helical computed tomography (CT) in the preoperative evaluation of pediatric leukocoria.
Methods: A total of 34 patient charts and imaging studies were reviewed from a consecutive series of children referred with the diagnosis of presumed retinoblastoma. Of these patients, 31 had a confirmed diagnosis of retinoblastoma. Three patients had simulating lesions, including one patient with persistent hyperplastic primary vitreous and two with Coats disease.
Results: In all patients, a diagnosis of intraocular retinoblastoma could be established or excluded at the same clinical level by spiral CT as by conventional CT. Spiral CT of the eye, orbit, and midline structures was performed without a requirement for patient anesthesia. This technique resulted in a reduced volume of contrast material required for evaluation of the central nervous system and a small decrease in total radiation exposure. There was an attendant reduction in the amount of monitoring equipment required and the necessity for attending anesthesia staff.
Conclusions: The primary advantage of spiral CT is reduced anesthesia risk in small children. In addition, this technique provides necessary clinical information with a reduction in image acquisition time, monitoring equipment, and monitoring staff.
Imaging of the Pediatric Orbit
2017, Pediatric Oculoplastic Surgery
Decreasing the effective radiation dose in pediatric craniofacial CT by changing head position
2010, Pediatric Radiology

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¹: From the Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA.

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Pediatric craniospinal spiral CT: Current applications and future potential

Spiral scan capability increases utility of CT

Diagn Imaging

Pediatric craniocervical spiral, CT

Neuroradiology

Single breath-hold spiral volumetric computed tomography (SVCT) by continuous patient translation and scanner rotation

Spiral volumetric CT with single breath hold technique, continuous transport and continuous scanner rotation

Radiology