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Bildgebung auf der Kinderintensivstation

Radiology in pediatric intensive care units

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Zusammenfassung

Primäre Diagnosefindung und auch Therapiekontrolle sind Aufgaben der Bildgebung schwer kranker Kinder und Jugendlicher auf der Kinderintensivstation. Ziel ist eine Bildaufnahme möglichst vor Ort. Gründe hierfür sind zum einen die schnelle Verfügbarkeit des Bildergebnisses, zum anderen aber auch die Minimierung möglicher negativer Effekte eines Transports der schwer kranken Kinder und Jugendlichen in eine Bildgebungsabteilung. Dies erfordert spezielle, optimierte mobile Bildgenerierungssysteme. Im Vordergrund der Röntgendiagnostik steht die konventionelle Bildgenerierung. Hinsichtlich des Strahlenschutzes ist außer einer optimalen Aufnahmetechnik der Schutz von Angehörigen und anderen Patienten im Untersuchungsraum zu beachten. Ultraschalluntersuchungen, insbesondere unter Berücksichtigung der modernen Möglichkeiten funktioneller Untersuchungsarten (farbcodierte Dopplersonographie, Elastographie), stellen eine Ergänzung oder Alternative dar, die zunehmend eingesetzt wird. Als weitere Methoden werden die Fluoroskopie, die Computertomographie und auch die Magnetresonanztomographie eingesetzt. Auch wenn diese Bildgebungsmodalitäten einen Transport erfordern, ist ihr Einsatz zur weiterführenden Diagnostik oftmals indiziert und gerechtfertigt.

Abstract

The role of diagnostic imaging in pediatric intensive care units (PICU) includes primary diagnosis, monitoring of the patient’s progress, and the assessment of interventional procedures. Images should be acquired in the PICU, not only to minimize the time interval between image acquisition and image interpretation but also in order to avoid unnecessary and maybe harmful transportation of the patient. Portable, optimized equipment is warranted. Most images are acquired as conventional X-ray examinations. Thorough consideration of radiation protection based on optimized equipment also includes the protection of relatives and other children in the PICU room. Ultrasound is an expanding imaging modality adjunct or as alternative to conventional X-ray examinations, which allows the generation of functional information (color-coded duplex, elastography). Fluoroscopy, computed tomography, and magnetic resonance imaging are available as advanced diagnostic modalities in special circumstances, but require transportation of the patient.

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Authors and Affiliations

  1. Institut für Röntgendiagnostik, Abteilung für Kinderradiologie, Universitätsklinikum Würzburg, Josef-Schneider-Str. 2, 97080, Würzburg, Deutschland

    M. Beer, C. Wirth & H. Neubauer

  2. Universitäts-Kinderklinik, Universitätsklinikum Würzburg, Würzburg, Deutschland

    J. Wirbelauer

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  1. M. Beer
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  2. C. Wirth
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  3. H. Neubauer
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  4. J. Wirbelauer
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Correspondence to M. Beer.

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Beer, M., Wirth, C., Neubauer, H. et al. Bildgebung auf der Kinderintensivstation. Med Klin 106, 103–110 (2011). https://doi.org/10.1007/s00063-011-0056-z

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  • DOI: https://doi.org/10.1007/s00063-011-0056-z

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