PET/MRI in Pediatric Neuroimaging: Primer for Clinical Practice.

Autor: Pedersen C; From the Department of Radiology (C.P., M.A.), Yale School of Medicine, New Haven, Connecticut., Aboian M; From the Department of Radiology (C.P., M.A.), Yale School of Medicine, New Haven, Connecticut., McConathy JE; Division of Molecular Imaging and Therapeutics (J.E.M.), Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama., Daldrup-Link H; Department of Radiology and Pediatrics (H.D.-L.), Stanford University School of Medicine, Palo Alto, California., Franceschi AM; Neuroradiology Division (A.M.F.), Department of Radiology, Northwell Health/Donald and Barbara Zucker School of Medicine, Lenox Hill Hospital, New York, New York afranceschi@northwell.edu.
Jazyk: angličtina
Zdroj: AJNR. American journal of neuroradiology [AJNR Am J Neuroradiol] 2022 Jul; Vol. 43 (7), pp. 938-943. Date of Electronic Publication: 2022 May 05.
DOI: 10.3174/ajnr.A7464
Abstrakt: Modern pediatric imaging seeks to provide not only exceptional anatomic detail but also physiologic and metabolic information of the pathology in question with as little radiation penalty as possible. Hybrid PET/MR imaging combines exquisite soft-tissue information obtained by MR imaging with functional information provided by PET, including metabolic markers, receptor binding, perfusion, and neurotransmitter release data. In pediatric neuro-oncology, PET/MR imaging is, in many ways, ideal for follow-up compared with PET/CT, given the superiority of MR imaging in neuroimaging compared with CT and the lower radiation dose, which is relevant in serial imaging and long-term follow-up of pediatric patients. In addition, although MR imaging is the main imaging technique for the evaluation of spinal pathology, PET/MR imaging may provide useful information in several clinical scenarios, including tumor staging and follow-up, treatment response assessment of spinal malignancies, and vertebral osteomyelitis. This review article covers neuropediatric applications of PET/MR imaging in addition to considerations regarding radiopharmaceuticals, imaging protocols, and current challenges to clinical implementation.
(© 2022 by American Journal of Neuroradiology.)
Databáze: MEDLINE