Computed tomographic scanning in children

The results of 100 consecutive CT whole-body scans in children with suspicion of a tumour and possible malignancy have been analysed. The final diagnoses were these: a tumour in 40 patients; non-tumoural lesions such as cysts, abscesses or malformations in 22; various medical conditions in 30 cases; and no abnormality in eight. The suspicion of malignancy was confirmed in 36 patients. CT proved to be an accurate method in the diagnosing and differentiation between solid or predominantly solid tumours and various non-tumoural lesions. The clinical value of CT was assessed by comparing the information from CT with those obtained by routine clinical and other radiological means. CT was positive informative in 57% of the patients and correctly excluding a tumour in 28%. CT was either non contributory or misleading in 15%. Finally, the quality of the scans were evaluated and the specific problems related to pediatric CT are discussed.

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CT in the surveillance and current control of children with extracranial malignant tumours

Damgaard-Pedersen

Yssing

1982

Pediatr Radiol

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The clinical value of computerized body tomography (CT) was analysed in 221 consecutive examinations performed in the evaluation and surveillance of 74 children with various types of extracranial solid malignant tumours. CT was performed as part of a routine diagnostic reassessment in 104 cases and was clinically indicated in 117. CT detected subclinical relapse in five cases in the first category of scans and was diagnostic of local recurrence, progression or complications in 20 of the clinically indicated examinations. CT has been non-contributory or incorrect in 12 cases, and informative about the therapeutic response or confirmative of remission in the remaining scans. In order to utilize the limited capacity of the scanner in the best way possible, CT should primarily be performed in patients, where clinical findings indicate need for further investigations. Its use as an adjunct in the periodic diagnostic reassessment should be restricted to high risk patients or selected cases, otherwise difficult to investigate.

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Computed tomographic scanning in children

Cited by 16 publications

References 17 publications

Dedicated CT Protocols for Children

Dedicated CT Protocols for Children

The clinical value of CT whole-body scanning in pediatric tumour investigation

CT in the surveillance and current control of children with extracranial malignant tumours

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