关键词: Adrenals Congenital anomalies Disorders of sex development Genital tract Magnetic resonance imaging Neonates Sexual differentiation Ultrasound

Mesh : Advisory Committees Consensus Diagnosis, Differential Disorders of Sex Development / classification diagnostic imaging Europe Female Humans Infant, Newborn Magnetic Resonance Imaging / standards Male Pregnancy Ultrasonography / standards Ultrasonography, Prenatal / standards

来  源:   DOI:10.1007/s00247-019-04414-4   PDF(Sci-hub)

Abstract:
This consensus article elaborated by the European Society for Paediatric Radiology task force on gastrointestinal and genitourinary imaging is intended to standardize the imaging approach in newborns with disorders of sex development. These newborns represent a difficult and stressful situation necessitating a multidisciplinary team approach. Imaging plays an important role in the work-up but needs to be optimized and customized to the patient. Ultrasound plays the central role in assessing the genital anatomy. The examination must be conducted in a detailed and systematic way. It must include transabdominal and transperineal approaches with adapted high-resolution transducers. The pelvic cavity, the genital folds, the inguinal areas and the adrenals must be evaluated as well as the rest of the abdominal cavity. A reporting template is proposed. The indications of magnetic resonance imaging and cysto- and genitography are discussed as well as they may provide additional information. Imaging findings must be reported cautiously using neutral wording as much as possible.
摘要:
欧洲儿科放射学学会关于胃肠道和泌尿生殖系统成像的共识文章旨在标准化患有性发育障碍的新生儿的成像方法。这些新生儿代表了困难和压力的情况,需要多学科团队方法。成像在后处理中起着重要作用,但需要针对患者进行优化和定制。超声在评估生殖器解剖结构中起着核心作用。检查必须以详细和系统的方式进行。它必须包括具有适应的高分辨率换能器的经腹和经会阴入路。盆腔,生殖器褶皱,必须评估腹股沟区域和肾上腺以及腹腔的其余部分。提出了报告模板。讨论了磁共振成像以及膀胱和生殖器造影的适应症,以及它们可能提供的其他信息。必须尽可能使用中立的措辞谨慎地报告成像结果。
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