{"id":10952,"date":"2021-01-22T17:25:02","date_gmt":"2021-01-22T22:25:02","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=10952"},"modified":"2021-01-22T17:29:42","modified_gmt":"2021-01-22T22:29:42","slug":"whats-new-in-pediatric-imaging-chinese-december-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/whats-new-in-pediatric-imaging-chinese-december-2020\/","title":{"rendered":"What\u2019s new in Pediatric Imaging (Chinese) \u2013 December 2020"},"content":{"rendered":"<h3><span style=\"color: #800080;\"><strong>\u4f53\u90e8\u6210\u50cf<\/strong><\/span><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u80be\u6e90\u6027<\/strong><strong>\u6b8b\u7559<\/strong><strong>\u4e0e\u5c0f\u80be\u6bcd\u7ec6\u80de\u7624\u7684\u5f71\u50cf\u5b66\u7279\u5f81<\/strong><strong>:<\/strong><strong>\u6765\u81ea\u513f\u7ae5\u80bf\u7624\u7ec4<\/strong><strong>AREN03B2<\/strong><strong>\u7814\u7a76\u7684\u62a5\u544a<\/strong><\/span><\/h5>\n<p>Sandberg JK, Chi YY, Smith EA et al.<\/p>\n<p>Imaging characteristics of nephrogenic rests versus small Wilms tumors: a report from the Children\u2019s Oncology Group Study AREN03B2.<\/p>\n<p><em>AJR<\/em> 2020;214:987-994.<\/p>\n<p>doi.org\/10.2214\/AJR.19.22301<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u54ea\u4e9b\u5f71\u50cf\u5b66\u7279\u5f81\u53ef\u4ee5\u7528\u6765\u533a\u5206\u80be\u6e90\u6027\u6b8b\u7559\u548c\u80be\u6bcd\u7ec6\u80de\u7624?<\/p>\n<p><strong>\u8bbe\u8ba1 <\/strong>\u4ece2006\u5e747\u6708\u81f32016\u5e748\u6708\u7684\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u673a\u6784<\/strong> \u6240\u6709\u75c5\u4f8b\u5747\u6765\u81ea\u513f\u7ae5\u80bf\u7624\u7ec4(COG) AREN03B2\u7684\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong> \u5728AREN03B2\u8bd5\u9a8c\u4e2d\uff0c52\u540d\u5e74\u9f84\u5c0f\u4e8e5\u5c81\u3001\u7b26\u5408\u4ee5\u4e0b\u4e24\u9879\u7eb3\u5165\u6807\u51c6\u4e2d\u5176\u4e2d\u4e00\u9879\u7684\u60a3\u8005\uff1a\u4e2d\u5fc3\u75c5\u7406\u8bca\u65ad\u4e3a\u80be\u6e90\u6027\u6b8b\u7559\u6216\u5c0f(\u76f4\u5f84\u5c0f\u4e8e5\u5398\u7c73)\u80be\u6bcd\u7ec6\u80de\u7624<\/p>\n<p><strong>\u65b9\u6cd5<\/strong> \u589e\u5f3aCT\u6216MRI\u4e0a\u75c5\u53d8\u7684\u5f71\u50cf\u5b66\u8bc4\u4f30\uff0c\u8fd9\u4e9b\u75c5\u53d8\u5747\u7ecf\u75c5\u7406\u8bc1\u5b9e<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9<\/strong> \u5f71\u50cf\u5b66\u7279\u5f81\uff0c\u5982\u80bf\u7624\u76f4\u5f84\u3001\u5f62\u72b6(\u7403\u5f62\u6216\u975e\u7403\u5f62)\u3001\u5916\u751f\u6027\u8868\u73b0\u3001\u75c5\u7076\u4e0e\u90bb\u8fd1\u80be\u810f\u7684\u754c\u9762\u3001\u5bc6\u5ea6(\u5747\u5300\u6216\u4e0d\u5747\u5300)\u548c\u4f4d\u7f6e(\u5982\u76ae\u8d28\u3001\u9ad3\u8d28\u6216\u76ae\u8d28-\u9ad3\u8d28\u4ea4\u754c\u5904)\u3002<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c <\/strong>\u80be\u6e90\u6027\u6b8b\u7559\u7684\u4e2d\u4f4d\u76f4\u5f84\u4e3a1.3 cm\uff0c\u80be\u6bcd\u7ec6\u80de\u7624\u7684\u4e2d\u4f4d\u76f4\u5f84\u4e3a3.2 cm (p&lt;0.001)\u3002\u4e0e\u80be\u6e90\u6027\u6b8b\u7559\u76f8\u6bd4\uff0c\u80be\u6bcd\u7ec6\u80de\u7624\u591a\u4e3a\u7403\u5f62(p&lt;0.001)\u548c\u5916\u751f\u6027(p&lt;0.001)\u3002\u533a\u5206\u80be\u6e90\u6027\u6b8b\u7559\u548c\u80be\u6bcd\u7ec6\u80de\u7624\u7684\u6700\u4f73\u76f4\u5f84\u9608\u503c\u4e3a1.75 cm(\u57fa\u4e8eROC\u5206\u6790)\u3002<\/p>\n<p><strong>\u8bc4\u8bba<\/strong> \u867d\u7136\u80be\u6e90\u6027\u6b8b\u7559\u548c\u80be\u6bcd\u7ec6\u80de\u7624\u6709\u4e00\u4e9b\u91cd\u53e0\u7684\u5f71\u50cf\u5b66\u7279\u5f81\uff0c\u4f46\u7814\u7a76\u8868\u660e\uff0c5\u5c81\u4ee5\u4e0b\u513f\u7ae5\u4e2d\u8f83\u5927\u7684\u80bf\u7624(&gt;1.75 cm)\u3001\u5916\u751f\u6027\u8868\u73b0\u548c\u7403\u5f62\u53ef\u80fd\u6709\u52a9\u4e8e\u533a\u5206\u80be\u6bcd\u7ec6\u80de\u7624\u548c\u80be\u6e90\u6027\u6b8b\u7559\u3002\u5c40\u9650\u6027\u5305\u62ec\u4e0d\u80fd\u4ece\u75c5\u7406\u4e0a\u8bc1\u5b9e\u6240\u6709\u7684\u591a\u7076\u6027\u75c5\u53d8\uff0c\u7279\u522b\u662f\u5bf9\u4e8e\u591a\u4e8e2\u4e2a\u75c5\u53d8\u7684\u60a3\u8005(\u5916\u79d1\u533b\u751f\u53ef\u4ee5\u51b3\u5b9a\u662f\u5426\u624b\u672f\u5207\u9664)\uff0c\u7531\u4e8e\u7eb3\u5165\u6807\u51c6\u4e25\u683c\u800c\u5bfc\u81f4\u7684\u6837\u672c\u91cf\u76f8\u5bf9\u8f83\u5c0f\uff0c\u4ee5\u53caMRI\u6280\u672f\u7684\u591a\u6837\u6027\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\u4e0e\u4e34\u5e8a\u8868\u73b0\u5bf9\u8bca\u65ad\u513f\u7ae5\u9611\u5c3e\u708e\u7684\u8bca\u65ad\u7684\u6bd4\u8f83\uff1a\u53cc\u4e2d\u5fc3\u7684\u56fd\u9645\u7814\u7a76<\/strong><\/span><\/h5>\n<p>El-Gohary Y, Molina M, Chang J et al.<\/p>\n<p>The use of computed tomography versus clinical acumen in diagnosing appendicitis in children: a two-institution international study.<\/p>\n<p><em>Journal of Pediatric Surgery<\/em> (2020). Journal Pre-Proof.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.09.061\">https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.09.061<\/a>.<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u7f8e\u56fd\u513f\u7ae5\u533b\u9662\u4e0e\u897f\u73ed\u7259\u513f\u7ae5\u533b\u9662\u5728\u7591\u4f3c\u9611\u5c3e\u708e\u60a3\u513f\u7684\u5f71\u50cf\u5b66\u4f7f\u7528\u4e0a\u6709\u4ec0\u4e48\u4e0d\u540c?<\/p>\n<p><strong>\u8bbe\u8ba1<\/strong> \u4ece2015\u5e74\u52302017\u5e74\u7684\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u673a\u6784<\/strong> \u53cc\u4e2d\u5fc3\uff08Le Bonheur Children\u2019s Hospital, Memphis, Tennessee and Hospital Universitario Virgen Del Rocio, Sevilla, Spain\uff09<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong> 1952\u540d\u513f\u7ae5\u60a3\u8005\uff081288\u540d\u5728\u7f8e\u56fd\u4e2d\u5fc3\uff09<\/p>\n<p><strong>\u65b9\u6cd5<\/strong> \u8ba1\u7b97\u673a\u65ad\u5c42\u6444\u5f71(CT)\u4e0e\u4e34\u5e8a\u8868\u73b0\u548c\u8d85\u58f0(US)\u6bd4\u8f83\uff0c\u4ee5\u5916\u79d1\u75c5\u7406\u5b66\u4e3a\u53c2\u8003\u6807\u51c6<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9<\/strong> \u4e3b\u8981\u7ed3\u679c\u5305\u62ec\u4f7f\u7528\u5f71\u50cf\u5b66\u68c0\u67e5\u7684\u6bd4\u7387(\u4ec5\u4f7f\u7528US\u3001\u4ec5\u4f7f\u7528CT\u3001CT+US)\u3001\u672a\u4f7f\u7528\u5f71\u50cf\u5b66\u68c0\u67e5\u7684\u6bd4\u7387\u3001\u8bca\u65ad\u7684\u51c6\u786e\u7387\u3002\u6b21\u8981\u7ed3\u679c\u5305\u62ec\u5404\u4e2d\u5fc3\u6574\u4f53\u8bca\u65ad\u65b9\u6cd5\u7684\u654f\u611f\u6027\u3001\u7279\u5f02\u6027\u3001\u9633\u6027\u9884\u6d4b\u503c\uff08PPV\uff09\u548c\u9634\u6027\u9884\u6d4b\u503c\uff08NPV\uff09\u3002<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c<\/strong> \u5728\u7f8e\u56fd\u4f7f\u7528\u7684\u6700\u5e38\u89c1\u7684\u5f71\u50cf\u68c0\u67e5\u662f\u4ec5\u4f7f\u7528US(39.9%)\uff0c\u5176\u6b21\u662f\u4ec5\u4f7f\u7528CT(39.3%)\u548cCT+US(19.3%)\u30021.6%\u7684\u65f6\u95f4\u4f7f\u7528\u4e34\u5e8a\u8868\u73b0\u3002\u5728\u897f\u73ed\u7259\uff0c\u4e34\u5e8a\u8868\u73b0\u662f\u6700\u5e38\u7528\u7684(48.6%)\uff0c\u5176\u6b21\u662f\u4ec5US(48.5%)\uff0cUS+CT(2.4%)\u548c\u4ec5CT(0.5%)\u3002\u7f8e\u56fd\u533b\u9662\u8bca\u65ad\u513f\u7ae5\u6025\u6027\u9611\u5c3e\u708e\u7684\u654f\u611f\u6027\u3001\u7279\u5f02\u6027\u3001PPV\u3001NPV\u548c\u51c6\u786e\u7387\u5206\u522b\u4e3a99.8%\u300175.2%\u300193.8%\u300198.9%\u548c94.7%\uff0c\u897f\u73ed\u7259\u533b\u9662\u4e3a92.5%\u300196.7%\u300194.7%\u300195.2%\u548c95.1%\u3002\u7f8e\u56fd\u4e2d\u5fc3\u7684\u9634\u6027\u9611\u5c3e\u5207\u9664\u7387\u662f6.1%\u800c\u897f\u73ed\u7259\u4e2d\u5fc3\u662f4.9%\uff0c\u7f8e\u56fd\u4e2d\u5fc3\u7684\u9611\u5c3e\u708e\u6f0f\u8bca\u7387\u662f0.2%\u800c\u897f\u73ed\u7259\u4e2d\u5fc3\u662f7.5%\u3002<\/p>\n<p><strong>\u8bc4\u8bba<\/strong> \u4f5c\u8005\u603b\u7ed3\uff0c\u5728\u8fd9\u9879\u7814\u7a76\u4e2d\uff0c\u7f8e\u56fd\u548c\u897f\u73ed\u7259\u7684\u51c6\u786e\u7387\u662f\u76f8\u5f53\u7684\uff1b\u5c3d\u7ba1\u5982\u6b64\uff0c\u897f\u73ed\u7259\u7684\u7814\u7a76\u4e2d\u5fc3\u5728\u4e0d\u592a\u4f9d\u8d56\u5f71\u50cf\u68c0\u67e5\u7684\u60c5\u51b5\u4e0b\u53d6\u5f97\u4e86\u8fd9\u6837\u7684\u51c6\u786e\u7387\u3002\u800c\u4f5c\u4e3a\u6743\u8861\uff0c\u7f8e\u56fd\u533b\u7597\u4e2d\u5fc3\u7684\u9611\u5c3e\u708e\u6f0f\u8bca\u7387\u8f83\u4f4e\u3002\u76f8\u5e94\u5730\uff0c\u6587\u7ae0\u4e5f\u7b80\u8981\u627f\u8ba4\u6210\u672c\u6548\u76ca\u95ee\u9898\uff0c\u5305\u62ec\u6210\u50cf\u8d39\u7528\uff0c\u4f4f\u9662\/\u89c2\u5bdf\u8d39\u7528\uff0c\u548c\u8bc9\u8bbc\u8d39\u7528\u3002\u4e00\u4e2a\u76f8\u5173\u7684\u5c40\u9650\u6027\u662f\uff0c\u8be5\u7814\u7a76\u6ca1\u6709\u6bd4\u8f83\u7a7f\u5b54\u7387\uff0c\u800c\u8fd9\u6b63\u662f\u4e34\u5e8a\u7ed3\u5c40\u548c\u8d39\u7528\u7684\u4e3b\u8981\u51b3\u5b9a\u56e0\u7d20\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><strong><span style=\"color: #800080;\">\u80f8\u90e8\u6210\u50cf<\/span><\/strong><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u591a\u5c42\u87ba\u65cb<\/strong><strong>CT\u5bf9\u513f\u7ae5\u652f\u6c14\u7ba1\u5f02\u7269\u5438\u5165\u7684\u8bca\u65ad\u4ef7\u503c\uff1a5\u5e74\u7684\u56de\u987e\u6027\u7814\u7a76<\/strong><\/span><\/h5>\n<p>Shen J, Huang L, and Hao C.<\/p>\n<p>Value of multi-slice spiral computed tomography for diagnosis of tracheobronchial foreign body aspiration in children: 5-year retrospective study.<\/p>\n<p><em>Pediatrics International<\/em> 2020;62:1184-1188.<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u513f\u7ae5\u6c14\u7ba1\u652f\u6c14\u7ba1\u5f02\u7269(TFB)\u5438\u5165\u7684CT\u8bca\u65ad\u4ef7\u503c\u662f\u4ec0\u4e48?<\/p>\n<p><strong>\u8bbe\u8ba1<\/strong> \u4ece2008\u5e74\u52302013\u5e74\u7684\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u673a\u6784 <\/strong>\u5355\u4e2d\u5fc3(\u82cf\u5dde\u5927\u5b66\u513f\u7ae5\u533b\u9662\uff0c\u82cf\u5dde\uff0c\u4e2d\u56fd)<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong> 382\u4f8b\u63a5\u53d7\u4e86\u80f8\u90e8CT\u548c\u652f\u6c14\u7ba1\u955c\u68c0\u67e5\u7684\u513f\u7ae5\u3002\u5176\u4e2d81\u4f8b\u540c\u65f6\u63a5\u53d7\u4e86\u80f8\u7247\u68c0\u67e5\u3002<\/p>\n<p><strong>\u65b9\u6cd5 <\/strong>\u5168\u80f8\u90e8\u591a\u5c42\u87ba\u65cbCT\u6210\u50cf(\u53c2\u6570\uff1a\u87ba\u8ddd\uff0c0.9\uff1b120 kV\uff1b300mA\uff1b\u5c42\u539a\uff0c2.0 mm)\uff0c\u75312\u540d\u513f\u79d1\u653e\u5c04\u79d1\u533b\u5e08\u8fdb\u884c\u9605\u7247<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9<\/strong> \u4eba\u53e3\u7edf\u8ba1\u5b66(\u6027\u522b\u548c\u5e74\u9f84)\uff0c\u80f8\u90e8CT\u8868\u73b0\uff0cTFBs\u7684\u4f4d\u7f6e\u548c\u6027\u8d28\uff0cCT\u7684\u654f\u611f\u6027<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c <\/strong>\u5927\u591a\u6570\u60a3\u8005\u4e3a\u7537\u6027(67%)\uff0c\u5e74\u9f84\u57281-2\u5c81\u4e4b\u95f4(69%)\u3002\u80f8\u90e8CT\u8868\u73b0\u4e3b\u8981\u51fa\u73b0\u5728\u8bef\u5438\u4e8b\u4ef6\u53d1\u751f\u540e5\u5929\u5185(66%)\u3002\u5438\u5165\u5f02\u7269\u5927\u90e8\u5206\u4e3a\u690d\u7269(96%)\uff0c\u4ee5\u82b1\u751f\u4ec1(48%)\u53ca\u8475\u82b1\u7c7d(26%)\u5c45\u591a\u3002\u5f02\u7269\u4f4d\u7f6e\u7531\u9ad8\u5230\u4f4e\u4f9d\u6b21\u4e3a\u5de6\u4e3b\u652f\u6c14\u7ba1(51%)\u3001\u53f3\u4e3b\u652f\u6c14\u7ba1(44%)\u548c\u6c14\u7ba1(5%)\u3002\u63d0\u793a\u5438\u5165\u5f02\u7269\u7684\u95f4\u63a5\u8868\u73b0\u5305\u62ec\u80ba\u6c14\u80bf(42%)\u3001\u5c40\u9650\u6027\u963b\u585e(50%)\u3001\u7eb5\u9694\u79fb\u4f4d\u548c\u53cc\u4fa7\u7eb5\u9694\u5f71(31%)\u3001\u76ae\u4e0b\u6c14\u80bf(0.8%)\u548c\u652f\u6c14\u7ba1\u6269\u5f20(0.5%)\u3002CT\u5bf9TFBs\u7684\u76f4\u63a5\u68c0\u6d4b\u654f\u611f\u6027\u4e3a94%\uff0c\u95f4\u63a5\u68c0\u6d4b\u654f\u611f\u6027\u9ad8\u8fbe96%(\u4e0eX\u7ebf\u80f8\u7247\u768443.2%\u76f8\u6bd4)\u3002<\/p>\n<p><strong>\u8bc4\u8bba <\/strong>\u672c\u7814\u7a76\u8868\u660e\u80f8\u90e8CT\u5bf9TFBs\u7684\u68c0\u6d4b\u5177\u6709\u8f83\u9ad8\u7684\u654f\u611f\u6027\u3002\u7136\u800c\uff0cCT\u4e5f\u6709\u4e00\u4e9b\u4e3b\u8981\u7684\u7f3a\u70b9\uff0c\u5305\u62ec\u7535\u79bb\u8f90\u5c04\u548c\u5b83\u4e0d\u80fd\u79fb\u9664\u5f02\u7269\u3002\u989d\u5916\u7684\u8bca\u65ad\u53c2\u6570\uff0c\u5982\u7279\u5f02\u6027\uff0c\u7eb3\u5165\u7814\u7a76\u5206\u6790\u5c06\u66f4\u6709\u5229\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u5728\u513f\u7ae5\u6f0f\u6597\u80f8\u4fee\u590d\u672f\u4e2d\uff0c\u80ba\u90e8\u8d85\u58f0\u4e0e\u80f8\u90e8<\/strong><strong>X\u5149\u7247\u5bf9\u6c14\u80f8\u8bca\u65ad\u7684\u6bd4\u8f83<\/strong><\/span><\/h5>\n<p>Bonfiglio R, Disma N, Stagnaro N et al.<\/p>\n<p>The use of lung ultrasound compared to chest X-rays to diagnose pneumothorax following Nuss procedure for pectus excavatum repair in children.<\/p>\n<p><em>Pediatric Anesthesia<\/em> 2020;00:1-9.<\/p>\n<p>doi: 10.1111\/pan.14007<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u6f0f\u6597\u80f8\u4fee\u590d\u672f\u540e\uff0c\u76f8\u5bf9\u4e8e\u80f8\u7247\uff0c\u8d85\u58f0\u68c0\u67e5\u5bf9\u6c14\u80f8\u7684\u8bc4\u4f30\u5982\u4f55\uff1f<\/p>\n<p><strong>\u8bbe\u8ba1<\/strong> \u89c2\u5bdf\u8005\u95f4\u7684\u524d\u77bb\u6027\u89c2\u5bdf\u6027\u7814\u7a76<\/p>\n<p><strong>\u673a\u6784<\/strong> \u5355\u4e2d\u5fc3\uff08Istituto Giannina Gaslini, Genoa, Italy\uff09<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong> 68\u540d\u513f\u7ae5\u60a3\u8005<\/p>\n<p><strong>\u65b9\u6cd5<\/strong> \u80f8\u90e8\u8d85\u58f0\u4e0e\u80f8\u7247\u76f8\u6bd4\u8f83<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9<\/strong> 2\u540d\u9ebb\u9189\u5e08(A1, A2)\u30011\u540d\u533b\u5b66\u751f(A3)\u548c12\u540d\u653e\u5c04\u79d1\u533b\u5e08(1\u540d\u653e\u5c04\u79d1\u533b\u5e08\u987e\u95eeR1\uff0c\u5176\u4f5911\u4eba\u7edf\u79f0\u4e3aR2)\u4e4b\u95f4\u7684\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027(Cohen &#8216;s kappa)\u3002<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c<\/strong> \u89c2\u5bdf\u8005\u95f4\u7684\u603b\u4f53\u4e00\u81f4\u6027(A1\u3001A2\u3001A3\u3001R1\u3001R2)\u662f\u4e00\u822c\u7684(k=0.32)\u3002\u5206\u5c42\u5206\u6790\u663e\u793a\uff0c\u4f7f\u7528US(A1\u3001A2\u3001A3)\uff0c\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027\u662f\u4e2d\u7b49\u7684(k=0.58)\u3002\u4f7f\u7528\u80f8\u7247(R1\u548cR2)\uff0c\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027\u662f\u4e00\u822c\u7684(k=0.39)\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u57fa\u4e8e\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027\uff0cUS\u8bca\u65ad\u4f18\u4e8e\u80f8\u7247\u5206\u6790\u3002<\/p>\n<p><strong>\u8bc4\u8bba <\/strong>\u636e\u62a5\u9053\uff0cUS\u7684\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027\u7531\u4e8e\u80f8\u7247\uff08\u4e2d\u7b49\u5bf9\u4e00\u822c\uff09\uff0c\u4f46\u672c\u7814\u7a76\u5e76\u6ca1\u6709\u771f\u6b63\u5730\u5bf9\u6bd4US\u548c\u80f8\u7247\u5bf9\u6f0f\u6597\u80f8\u672f\u540e\u6c14\u80f8\u7684\u8bca\u65ad\u3002\u4e5f\u5c31\u662f\u8bf4\uff0c\u6ca1\u6709US\u7684\u5f71\u50cf\u5b66\u89e3\u8bfb\u53ca\u80f8\u7247\u7684\u5f71\u50cf\u5b66\u5206\u6790\uff0c\u9650\u5236\u4e86\u4e24\u79cd\u5f71\u50cf\u5b66\u65b9\u6cd5\u7684\u6bd4\u8f83\uff0c\u8fd9\u5bfc\u81f4\u4e86\u4e00\u4e2a\u4e3b\u8981\u7684\u5c40\u9650\u6027\uff0c\u5373\u672c\u7814\u7a76\u4ec5\u8bc4\u4f30\u4e86\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027\u800c\u6ca1\u6709\u53c2\u8003\u6807\u51c6\u3002\u6b64\u5916\uff0c\u8be5\u7814\u7a76\u6ca1\u6709\u8bc4\u4f30\u53d1\u73b0\u6c14\u80f8\u7684\u4e34\u5e8a\u91cd\u8981\u6027<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #800080;\"><strong>\u4ecb\u5165\u5f71\u50cf\u5b66<\/strong><\/span><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u5c0f\u513f\u7cfb\u7edf\u6027\u9759\u8109\u95ed\u585e\u7684\u5904\u7406<\/strong><\/span><\/h5>\n<p>Gill AE and Shivaram GM. Managing systemic venous occlusions in children.<\/p>\n<p><em>CVIR Endovascular<\/em> 2020;3(59):1-11.<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u5c0f\u513f\u7cfb\u7edf\u6027\u9759\u8109\u95ed\u585e\u75c5\u7684\u75c5\u56e0\u3001\u8868\u73b0\u3001\u8bca\u65ad\u68c0\u67e5\u3001\u518d\u901a\u7684\u5e38\u89c4\u624b\u672f\u548c\u672f\u540e\u5e76\u53d1\u75c7\u662f\u4ec0\u4e48?<\/p>\n<p><strong>\u8bbe\u8ba1<\/strong> \u7efc\u8ff0<\/p>\n<p><strong>\u673a\u6784<\/strong> \u5355\u4e2d\u5fc3 (Emory University School of Medicine, Atlanta, Georgia)<\/p>\n<p><strong>\u8bc4\u8bba<\/strong> \u672c\u7efc\u8ff0\u7b80\u8981\u4ecb\u7ecd\u4e86\u5c0f\u513f\u7cfb\u7edf\u6027\u9759\u8109\u95ed\u585e\u75c5\u7684\u80cc\u666f\uff0c\u5e76\u4ecb\u7ecd\u4e86\u5728\u8fd9\u7c7b\u4e34\u5e8a\u60c5\u51b5\u4e0b\u6709\u7528\u7684\u5f71\u50cf\u5b66\u68c0\u67e5(\u5305\u62ec\u591a\u666e\u52d2\u8d85\u58f0\u3001\u589e\u5f3aMRI\u3001\u52a8\u6001MR\u9759\u8109\u9020\u5f71\u548c\u589e\u5f3aCT)\u3002\u8fd9\u7bc7\u6587\u7ae0\u7684\u4e3b\u8981\u7126\u70b9\u5728\u4e8e\u63d0\u4f9b\u5bf9\u6025\u6027\u548c\u6162\u6027\u9759\u8109\u95ed\u585e\u7684\u8840\u7ba1\u5185\u5904\u7406\u7684\u89c1\u89e3\uff0c\u5305\u62ec\u624b\u672f\u8bbe\u5907\u3001\u6280\u672f\u548c\u9047\u5230\u7684\u6f5c\u5728\u5e76\u53d1\u75c7\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u8170\u690e\u7a7f\u523a\u5931\u8d25\u540e\u7684\u810a\u67f1\u8d85\u58f0<\/strong><strong>:\u5355\u4e00\u4e2d\u5fc3\u7684\u7ecf\u9a8c<\/strong><\/span><\/h5>\n<p>Jeyakumar A, Weaver JJ, Chick JFB et al.<\/p>\n<p>Spinal ultrasound after failed landmarked-based lumbar puncture: a single institutional experience.<\/p>\n<p><em>Pediatric Radiology<\/em> 2020. Published online 17 September 2020.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1007\/s00247-020-04831-w\">https:\/\/doi.org\/10.1007\/s00247-020-04831-w<\/a>.<\/p>\n<p><strong>\u95ee\u9898Question(s)<\/strong> \u8170\u690e\u7a7f\u523a\u5931\u8d25\u540e\uff0c\u672f\u524d\u8d85\u58f0\u68c0\u67e5(US)\u80fd\u5426\u63d0\u9ad8US\u5f15\u5bfc(USG)\u7684\u8170\u690e\u7a7f\u523a\uff08LP\uff09\u6280\u672f\u6210\u529f\u7387\u548c\u5b89\u5168\u6027?<\/p>\n<p><strong>\u8bbe\u8ba1<\/strong> \u4ece2017\u5e7410\u6708\u81f32020\u5e744\u6708\u7684\u56de\u987e\u6027\u961f\u5217\u7814\u7a76<\/p>\n<p><strong>\u673a\u6784<\/strong> \u5355\u4e2d\u5fc3 (University of Washington\/Seattle Children\u2019s Hospital, Seattle, Washington)<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong> 47\u540d\u513f\u7ae5<\/p>\n<p><strong>\u65b9\u6cd5 <\/strong>\u7d27\u6025USG LP\uff08\u9700\u8981\u572824\u5c0f\u65f6\u5185\u8fdb\u884c\u7684\uff09<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9 <\/strong>\u6280\u672f\u6210\u529f\uff0c\u4e0d\u826f\u4e8b\u4ef6\uff0c\u672f\u524dUS\u53d1\u73b0\u7684\u76f8\u5173\u5f02\u5e38<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c <\/strong>\u6240\u670936\u4f8b\u63a5\u53d7\u5f71\u50cf\u5f15\u5bfc\u4e0bLP\u68c0\u67e5\u7684\u60a3\u8005\u5747\u83b7\u5f97\u6210\u529f\u3002\u5176\u4f5911\u540d\uff0823%\uff09\u8f6c\u81f3\u4ecb\u5165\u653e\u5c04\u79d1\u7684\u513f\u7ae5\u60a3\u8005\uff0c\u7531\u4e8e\u8111\u810a\u6db2\uff08CSF\uff09\u7f3a\u5c11\u548c\/\u6216\u4e34\u5e8a\u60c5\u51b5\u6539\u5584\uff0c\u6ca1\u6709\u8fdb\u884c\u5f71\u50cf\u5f15\u5bfc\u4e0b\u7684LP\u7684\u9700\u8981\u300215\u4f8bLPs\uff0842%\uff09\u51fa\u73b0\u521b\u4f24\u6027\u7a7f\u523a\uff0c\u5c5e\u4e8e\u201c\u8f7b\u5ea6\u201d\u4e0d\u826f\u4e8b\u4ef6\uff08\u57fa\u4e8e\u4ecb\u5165\u653e\u5c04\u5b66\u534f\u4f1a\/SIR\u5206\u7c7b\uff09\u3002\u6ca1\u6709\u4e2d\u5ea6\u6216\u4e25\u91cd\u4e0d\u826f\u4e8b\u4ef6\u7684\u8bb0\u5f55\u3002\u672f\u524d\u8d85\u58f0\u68c0\u67e5\u53d1\u73b0\u7684\u5f02\u5e38\u5305\u62ec\u8111\u810a\u6db2\u4f53\u79ef\u5c0f\u548c\u786c\u819c\u5916\u8840\u80bf\u3002<\/p>\n<p><strong>\u8bc4\u8bba <\/strong>\u672c\u7814\u7a76\u7684\u7ed3\u8bba\u662f\uff0c\u5728\u5e8a\u8fb9LP\u5931\u8d25\u540e\uff0c\u5c40\u90e8\u810a\u9ad3US\u68c0\u67e5\u6709\u52a9\u4e8e\u7a7f\u523a\u6280\u672f\u7684\u6210\u529f\uff0c\u5e76\u901a\u8fc7\u8bc6\u522b\u624b\u672f\u76f8\u5173\u5e76\u53d1\u75c7\uff0c\u5982\u8111\u810a\u6db2\u4f53\u79ef\u51cf\u5c11\u548c\/\u6216\u5b58\u5728\u786c\u819c\u5916\u8840\u80bf\uff0c\u6269\u5927\u56fe\u50cf\u5f15\u5bfcLP\u7684\u60a3\u8005\u9009\u62e9\u3002\u8be5\u6587\u7ae0\u7684\u5c40\u9650\u6027\u5305\u62ec\u6837\u672c\u91cf\u5c0f\/\u60a3\u8005\u5165\u9009\u6807\u5c40\u9650\uff0c\u96be\u4ee5\u6839\u636e\u60a3\u8005\u62a5\u544a\u7eb3\u5165\u5e76\u53d1\u75c7(\u4f8b\u5982LP\u540e\u5934\u75db)\uff0c\u4ee5\u53ca\u96be\u4ee5\u533a\u5206\u521b\u4f24\u6027\u7a7f\u523a\u662f\u771f\u6b63\u4e0eIR\u64cd\u4f5c\u7684LP\u76f8\u5173\u8fd8\u662f\u6765\u81ea\u5e8a\u8fb9LP\u7684\u5148\u524d\u51fa\u8840\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><strong><span style=\"color: #800080;\">\u808c\u8089\u9aa8\u9abc\u653e\u5c04\u5b66<\/span><\/strong><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u4eba\u5de5\u667a\u80fd\u8f85\u52a9\u4e0b\u9aa8\u76c6\u524d\u540e\u4f4d\u5e73\u7247\u8bca\u65ad\u60a3\u513f\u53d1\u80b2\u6027\u9acb\u5173\u8282\u53d1\u80b2\u4e0d\u826f\u7684\u4e34\u5e8a\u5e94\u7528<\/strong><\/span><\/h5>\n<p>Zhang SC, Sun J, Liu CB et al.<\/p>\n<p>Clinical application of artificial intelligence-assisted diagnosis using anteroposterior pelvic radiographs in children with developmental dysplasia of the hip.<\/p>\n<p><em>The Bone &amp; Joint Journal<\/em> 2020;102-B(11)1574-1581.<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u5982\u4f55\u5f00\u53d1\u4e00\u4e2a\u7528\u524d\u540e\u4f4d(AP)\u9aa8\u76c6\u5e73\u7247\u8bca\u65ad\u53d1\u80b2\u6027\u9acb\u5173\u8282\u53d1\u80b2\u4e0d\u826f(developmentaldysplasia of the hip, DDH)\u7684\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\uff0c\u5176\u4e34\u5e8a\u5e94\u7528\u7684\u53ef\u884c\u6027\u5982\u4f55?<\/p>\n<p><strong>\u8bbe\u8ba1 <\/strong>\u4ece2014\u5e744\u6708\u81f32018\u5e7412\u6708\u7684\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u673a\u6784<\/strong> \u5355\u4e2d\u5fc3\uff08\u5b89\u5fbd\u7701\u513f\u7ae5\u533b\u9662\u548c\u4e2d\u56fd\u79d1\u6280\u5927\u5b66\uff0c\u5408\u80a5\uff0c\u5b89\u5fbd\uff0c\u4e2d\u56fd\uff09<\/p>\n<p><strong>\u53c2\u4e0e\u8005 <\/strong>\u4f7f\u752810219\u5f20AP\u9aa8\u76c6\u5e73\u7247\u5bf9\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\u8fdb\u884c\u8bad\u7ec3\u548c\u4f18\u5316\u3002\u7136\u540e\u4f7f\u75281138\u5f20X\u5149\u7247\u6765\u6bd4\u8f83\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\u548c\u4e34\u5e8a\u533b\u751f\u7684\u8bca\u65ad\u7ed3\u679c<\/p>\n<p><strong>\u65b9\u6cd5 <\/strong>\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\u4e0e\u4e34\u5e8a\u533b\u5e08\u7684\u6bd4\u8f83(\u5305\u62ec8\u540d\u5c0f\u513f\u9aa8\u79d1\u4e3b\u6cbb\u533b\u5e08\uff0c2\u540d\u5c0f\u513f\u9aa8\u79d1\u526f\u4e3b\u4efb\u533b\u5e08\uff0c2\u540d\u5c0f\u513f\u653e\u5c04\u79d1\u526f\u4e3b\u4efb\u533b\u5e08)<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9 <\/strong>\u7528Bland-Altman\u56fe\u8bc4\u4ef7\u9acb\u81fc\u6307\u6570\u6d4b\u91cf\u7684\u51c6\u786e\u6027\u3001\u654f\u611f\u6027\u3001\u7279\u5f02\u6027\u548c\u4e00\u81f4\u6027<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c <\/strong>\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\u8bca\u65ad\u9acb\u5173\u8282\u8131\u4f4d\u7684ROC\u66f2\u7ebf\u4e0b\u9762\u79ef(AUC)\u4e3a0.975\u3002\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\u7684\u654f\u611f\u6027\u548c\u7279\u5f02\u6027\u5206\u522b\u4e3a95.5%\u548c99.5%\u3002\u4e0e\u4e34\u5e8a\u533b\u5e08\u7684\u8bca\u65ad\u76f8\u6bd4\uff0c\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\u5728\u6d4b\u91cf\u975e\u8131\u4f4d\u548c\u8131\u4f4d\u9acb\u81fcX\u7ebf\u7247\u4e0a\u7684\u9acb\u81fc\u6307\u6570\u4e00\u81f4\u6027\u66f4\u9ad8\uff08-3.27<sup>O<\/sup>-2.94<sup>O<\/sup> vs. -7.36<sup>O<\/sup>-5.36<sup>O<\/sup>, p&lt;0.001\uff09\u3002<\/p>\n<p><strong>\u8bc4\u8bba <\/strong>\u8be5\u7814\u7a76\u63cf\u8ff0\u4e86\u5f00\u53d1\u7528\u4e8e\u8bc4\u4f30X\u7ebf\u7247\u4e0aDDH\u7684\u6df1\u5ea6\u5b66\u4e60\u7cfb\u7edf\u7684\u7ecf\u9a8c\uff0c\u5e76\u4e0e\u4e34\u5e8a\u533b\u751f\u8fdb\u884c\u4e86\u6bd4\u8f83\uff0c\u4ece\u800c\u6539\u8fdb\u4e86\u4ed6\u4eec\u76ee\u524d\u7684\u7b5b\u9009\u8f6c\u8bca\u6d41\u7a0b\u3002\u8be5\u7814\u7a76\u7684\u5c40\u9650\u6027\u5305\u62ec\u5355\u4e2d\u5fc3\u6027\uff0c\u4e0d\u540c\u7684\u653e\u5c04\u6444\u5f71\u672f\u6ce8\u91ca\uff0c\u4ee5\u53ca\u5c40\u9650\u4e8e\u8bc4\u4f30\u5e74\u9f84\u8f83\u5927\u7684\u513f\u7ae5\u548c\u4e25\u91cd\u8131\u4f4d\u513f\u7ae5\u7684\u9acb\u5173\u8282X\u7ebf\u7247\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #800080;\"><strong>\u795e\u7ecf\u653e\u5c04\u5b66<\/strong><\/span><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u5f71\u50cf\u5f15\u5bfc\u4e0b\u7ecf\u76ae\u786c\u5316\u6cbb\u7597\u5934\u9888\u90e8\u9759\u8109\u7578\u5f62<\/strong><strong>:\u4e34\u5e8a\u548c\u57fa\u4e8e\u78c1\u5171\u632f\u4f53\u79ef\u5206\u6790\u7684\u4e2d\u671f\u7ed3\u679c<\/strong><\/span><\/h5>\n<p>Vollherbst DF, Gebhart P, Kargus S et al.<\/p>\n<p>Image-guided percutaneous sclerotherapy of venous malformations of the head and neck: clinical and MR-based volumetric mid-term outcome.<\/p>\n<p><em>PLoS ONE<\/em> 2020;15(10): e0241347.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1371\/journal.pone.0241347\">https:\/\/doi.org\/10.1371\/journal.pone.0241347<\/a>.<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u5f71\u50cf\u5f15\u5bfc\u4e0b\u4f7f\u752895%\u4e59\u9187\u6216\u805a\u591a\u5361\u9187\u7684\u7ecf\u76ae\u786c\u5316\u7597\u6cd5(PS)\u6cbb\u7597\u5934\u9888\u90e8\u9759\u8109\u7578\u5f62(VM)\u7684\u4e34\u5e8a\u548c\u57fa\u4e8eMRI\u4f53\u79ef\u5206\u6790\u7684\u4e2d\u671f\u7ed3\u679c\u662f\u4ec0\u4e48?<\/p>\n<p><strong>\u8bbe\u8ba1 <\/strong>\u4ece2010\u5e749\u6708\u52302015\u5e745\u6708\uff0c\u4ece\u4e00\u4e2a\u524d\u77bb\u6027\u5728\u7814\u6570\u636e\u5e93\u4e2d\u83b7\u53d6\u7684\u56de\u987e\u6027\u5206\u6790<\/p>\n<p><strong>\u673a\u6784Setting <\/strong>\u5355\u4e2d\u5fc3\uff08Kepler University Hospital: Kepler Universitatsklinikum GmbH, Austria\uff09<\/p>\n<p><strong>\u53c2\u4e0e\u8005 <\/strong>27 \u540d\u60a3\u8005\uff08\u5e73\u5747\u5e74\u9f8429.2\u5c81\uff09\u517151\u6b21\u6cbb\u7597<\/p>\n<p><strong>\u65b9\u6cd5 <\/strong>\u5f71\u50cf\u5f15\u5bfc\u4e0bPS<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9 <\/strong>\u4e34\u5e8a\u7ed3\u5c40\u5206\u4e3a\uff1a0=\u8f83\u5dee\uff0c1=\u6ca1\u6709\u53d8\u5316\uff0c2=\u8f7b\u5fae\u6539\u5584\uff0c3=\u660e\u663e\u6539\u5584(\u7531\u795e\u7ecf\u653e\u5c04\u5b66\u5bb6\u548c\u5916\u79d1\u533b\u751f\u68c0\u67e5\uff0c\u5305\u62ec\u89c6\u89c9\u68c0\u67e5\uff0c\u60a3\u8005\u4e3b\u89c2\u75c7\u72b6\uff0c\u548c\/\u6216\u7236\u6bcd\u548c\/\u6216\u533b\u751f\u7684\u5370\u8c61)\u3002\u6cbb\u75974\u5468\u540e\uff0c\u5229\u75283T\u7cfb\u7edf\u57fa\u4e8e\u6cbb\u7597\u524d\u540e\u5f71\u50cf\u7684\u4f53\u79ef\u8bc4\u4f30\u8fdb\u884c\u4f53\u79ef\u5206\u6790\uff0c\u6cbb\u7597\u53cd\u5e94\u5206\u4e3a\uff1a0=\u589e\u5927\uff08&gt;10%\uff09,1=\u4e0d\u53d8\uff08\u7f29\u5c0f&lt;10%\u6216\u589e\u5927\u4e0d\u8d85\u8fc710%\uff09,2=\u8f7b\u5fae\u7f29\u5c0f\uff08\u7f29\u5c0f\u226510%\u4f46&lt;25%\uff09,3=\u4e2d\u5ea6\u7f29\u5c0f\uff08\u7f29\u5c0f\u226525%\u4f46&lt;50%\uff09\uff0c\u548c4=\u660e\u663e\u7f29\u5c0f\uff08\u7f29\u5c0f\u226550%\uff09\u3002\u7136\u540e\u5c06VMs\u5206\u7c7b\u4e3a\u201c\u5927\u201d(\u5927\u4e8e\u4e2d\u4f4d\u4f53\u79ef)\u6216\u201c\u5c0f\u201d(\u5c0f\u4e8e\u4e2d\u4f4d\u4f53\u79ef)VMs\u3002\u8fd8\u8bc4\u4f30\u4e86\u6c38\u4e45\u6027\u5e76\u53d1\u75c7\u7684\u53d1\u751f\u7387\u3002<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c <\/strong>7.4%\u7684\u60a3\u8005\u7684\u4e34\u5e8a\u7ed3\u5c40\u8f83\u5dee\uff0c3.7%\u7684\u60a3\u8005\u6ca1\u6709\u53d8\u5316\u30027.4%\u7684\u60a3\u8005\u6709\u8f7b\u5fae\u7684\u4e34\u5e8a\u6539\u5584\uff0c81.5%\u7684\u60a3\u8005\u6709\u660e\u663e\u6539\u5584\u3002\u7ecf\u6cbb\u7597\u540e\uff0c7.4%\u60a3\u8005\u7684VMs\u4f53\u79ef\u589e\u5927\uff0c14.8%\u60a3\u8005\u7684VMs\u4f53\u79ef\u4e0d\u53d8\u300222.2%\u60a3\u8005\u7684VMs\u4f53\u79ef\u8f7b\u5fae\u7f29\u5c0f\uff0c44.4%\u60a3\u8005\u7684VMs\u4f53\u79ef\u4e2d\u5ea6\u7f29\u5c0f\uff0c11.1%\u60a3\u8005\u7684VMs\u4f53\u79ef\u660e\u663e\u7f29\u5c0f\u3002\u6c38\u4e45\u6027\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u4e3a3.7%\u3002<\/p>\n<p><strong>\u8bc4\u8bba <\/strong>\u4f5c\u8005\u8ba4\u4e3a\uff0c\u6839\u636e\u4e34\u5e8a\u6539\u5584\u548cVMs\u4f53\u79ef\u7684\u7f29\u5c0f\uff0cPS\u662f\u4e00\u79cd\u6709\u6548\u7684\u6cbb\u7597\u5934\u9888\u90e8VMs\u7684\u65b9\u6cd5\u3002\u4ed6\u4eec\u6307\u51fa\uff0c\u75c7\u72b6\u7684\u7f13\u89e3\u5e76\u4e0d\u4e00\u5b9a\u9700\u8981\u660e\u663e\u7684\u4f53\u79ef\u7f29\u5c0f\u3002\u4e00\u4e2a\u6f5c\u5728\u7684\u5c40\u9650\u6027\u662f\u5728\u4f53\u79ef\u5206\u6790\u65b9\u9762\u5bf9PS\u6210\u529f\u7684\u4f4e\u4f30\uff0c\u56e0\u4e3a\u6ca1\u6709\u75c7\u72b6\u7684\u60a3\u8005\u6ca1\u6709\u63a5\u53d7MRI\u968f\u8bbf\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u566c\u8840\u6dcb\u5df4\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7\u60a3\u513f\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u53d7\u7d2f\u7684<\/strong><strong>MRI\u8868\u73b0:\u4e0e\u4e34\u5e8a\u751f\u5316\u68c0\u67e5\u7684\u76f8\u5173\u6027<\/strong><\/span><\/h5>\n<p>Ma W, Li XJ, Li W et al.<\/p>\n<p>MRI findings of central nervous system involvement in children with haemophagocytic lymphohistiocytosis: correlation with clinical biochemical tests.<\/p>\n<p><em>Clinical Radiology<\/em>. Article in Press.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.crad.2020.09.009\">https:\/\/doi.org\/10.1016\/j.crad.2020.09.009<\/a>.<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u566c\u8840\u7ec6\u80de\u6027\u6dcb\u5df4\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7(HLH)\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf(CNS)\u7d2f\u53ca\u7684MRI\u7279\u5f81\u662f\u4ec0\u4e48?\u8fd9\u4e9b\u7279\u5f81\u4e0e\u4e34\u5e8a\u751f\u5316\u8bd5\u9a8c\u6709\u4ec0\u4e48\u76f8\u5173\u8054?<\/p>\n<p><strong>\u8bbe\u8ba1 <\/strong>\u4ece2012\u5e741\u6708\u81f32019\u5e746\u6708\u7684\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u673a\u6784 <\/strong>\u5355\u4e2d\u5fc3\uff08\u91cd\u5e86\u533b\u79d1\u5927\u5b66\u513f\u7ae5\u533b\u9662\uff0c\u91cd\u5e86\uff0c\u4e2d\u56fd\uff09<\/p>\n<p><strong>\u53c2\u4e0e\u8005 <\/strong>118\u540dHLH-CNS\u7684\u60a3\u513f\uff0c\u6839\u636eMRI\u8868\u73b0\u5206\u7ec4<\/p>\n<p><strong>\u65b9\u6cd5 <\/strong>\u8111MRI\u68c0\u67e5\u548c\u5206\u6790\u75312\u540d\u513f\u7ae5\u653e\u5c04\u79d1\u533b\u5e08(\u5747\u5177\u670910\u5e74\u7684\u795e\u7ecf\u653e\u5c04\u5b66\u7ecf\u9a8c)\u548c1\u540d\u670911\u5e74\u7ecf\u9a8c\u7684\u513f\u7ae5\u795e\u7ecf\u79d1\u533b\u5e08\u8fdb\u884c\u30027\u9879\u751f\u5316\u68c0\u6d4b\u5305\u62ec\u8111\u810a\u6db2\uff08CSF\uff09\u5fae\u86cb\u767d\u542b\u91cf\u3001\u8111\u810a\u6db2\u7ec6\u80de\u8ba1\u6570\u3001\u8840\u6e05\u5929\u95e8\u51ac\u6c28\u9178\u6c28\u57fa\u8f6c\u79fb\u9176\uff08AST\uff09\u3001\u8840\u6e05\u4e73\u9178\u8131\u6c22\u9176\uff08LDH\uff09\u3001\u8840\u6d46\u7ea4\u7ef4\u86cb\u767d\u539f\uff08FIB\uff09\u3001\u8840\u5c0f\u677f\u8ba1\u6570\uff08PLT\uff09\u3001\u6d3b\u6027\u90e8\u5206\u51dd\u8840\u6d3b\u9176\u65f6\u95f4\uff08APTT\uff09\u3002<\/p>\n<p><strong>\u7814\u7a76\u5185\u5bb9 <\/strong>\u8111MRI\u8868\u73b0\u5206\u4e3a\u201c\u6b63\u5e38\u201d(\u7ec41)\u3001\u201c\u5f25\u6f2b\u6027\u4f53\u79ef\u7f29\u5c0f\u201d(\u7ec42)\u3001\u201c\u8111\u5b9e\u8d28\u75c5\u53d8\u201d(\u7ec43)\uff0c\u5bf9\u4e09\u7ec4\u4e34\u5e8a\u751f\u5316\u68c0\u9a8c\u8fdb\u884c\u914d\u5bf9\u6bd4\u8f83\u53ca\u8ba1\u7b97Spearman\u79e9\u76f8\u5173\u7cfb\u6570(r)\u3002<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c <\/strong>\u9664\u8111\u810a\u6db2\u7ec6\u80de\u8ba1\u6570\u5916\uff0c\u4e09\u7ec4\u95f4\u7684\u751f\u5316\u6307\u6807\u6bd4\u8f83\u5747\u6709\u7edf\u8ba1\u5b66\u5dee\u5f02\u3002\u8111\u810a\u6db2\u7ec6\u80de\u8ba1\u6570(r=0.193, p=0.036)\u3001\u8111\u810a\u6db2\u5fae\u86cb\u767d\u542b\u91cf(r=0.379, p&lt;0.001)\u3001AST (r=0.521, p&lt;0.001)\u3001LDH (r=0.514, p&lt;0.001)\u3001APTT (r=0.326, p&lt;0.001)\u4e0eMRI\u5206\u7ec4\u5448\u6b63\u76f8\u5173\u3002PLT (r=-0.633, p&lt;0.001)\u548cFIB (r=-0.258, p=0.005)\u4e0eMRI\u5206\u7ec4\u5448\u8d1f\u76f8\u5173\u3002<\/p>\n<p><strong>\u8bc4\u8bba <\/strong>\u4f5c\u8005\u603b\u7ed3\uff0cHLH CNS\u53d7\u7d2f\u7684\u8111MRI\u53d1\u73b0\u4e0e\u5173\u952e\u7684\u751f\u5316\u68c0\u6d4b\u5bc6\u5207\u76f8\u5173\uff0c\u8fd9\u8868\u660e\u8111MRI\u6709\u52a9\u4e8e\u8bc4\u4f30HLH\u7684\u4e25\u91cd\u7a0b\u5ea6\u548c\u4e34\u5e8a\u7ed3\u5c40\uff1b\u7136\u800c\uff0c\u6709\u5fc5\u8981\u505a\u66f4\u591a\u7684\u7814\u7a76\u4ee5\u68c0\u67e5\u5b83\u7684\u5177\u4f53\u4f5c\u7528\uff0c\u4ee5\u53ca\u5b83\u5982\u4f55\u4e0e\u751f\u5316\u8bd5\u9a8c\u4e92\u8865\u3002\u4f46\u662f,\u6709\u4e00\u4e9b\u91cd\u8981\u7684\u5c40\u9650\u6027,\u5305\u62ec\u4f7f\u7528\u4e86\u4e24\u4e2a\u4e0d\u540c\u7684\u573a\u5f3a\u7cfb\u7edf1.5T\u548c3T(\u53ef\u80fd\u5bfc\u81f4\u75c5\u53d8\u5206\u7c7b\u7684\u672a\u77e5\u9519\u8bef),\u53ea\u670929\u540d\u60a3\u513f\u505a\u4e86\u589e\u5f3a\u78c1\u5171\u632f\u68c0\u67e5\uff0c\u589e\u5f3a\u78c1\u5171\u632f\u68c0\u67e5\u7684\u6bd4\u4f8b\u5c0f(\u8fd9\u53ef\u80fd\u5bfc\u81f4\u6f0f\u8bca\u7ec6\u5fae\u7684\u75c5\u53d8)\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u5c0f\u513f\u8f7b\u5ea6\u521b\u4f24\u6027\u8111\u635f\u4f24\u7684\u795e\u7ecf\u5f71\u50cf\u5b66<\/strong><strong>:\u7cfb\u7edf\u6027\u7efc\u8ff0<\/strong><\/span><\/h5>\n<p>Rausa VC, Shapiro J, Seal ML et al.<\/p>\n<p>Neuroimaging in paediatric mild traumatic brain injury: a systematic review.<\/p>\n<p><em>Neuroscience and Biobehavioral Reviews<\/em> 2020;118:643-653.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.neubiorev.2020.08.017\">https:\/\/doi.org\/10.1016\/j.neubiorev.2020.08.017<\/a>.<\/p>\n<p><strong>\u95ee\u9898 <\/strong>\u5148\u8fdb\u7684\u795e\u7ecf\u6210\u50cf\u4e0e\u513f\u7ae5\u8111\u9707\u8361\u540e\u75c7\u72b6(PCS)\u4e4b\u95f4\u7684\u5173\u7cfb\u662f\u4ec0\u4e48?\u8bc1\u636e\u7684\u8d28\u91cf\u5982\u4f55?<\/p>\n<p><strong>\u8bbe\u8ba1 <\/strong>\u7cfb\u7edf\u6027\u7efc\u8ff0<\/p>\n<p><strong>\u673a\u6784 <\/strong>\u5355\u4e2d\u5fc3(The Royal Children\u2019s Hospital, Melbourne)\u3002\u5bf9MEDLINE, PsycINFO, 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Ottawa\u91cf\u8868(NOS)\u548c\u6570\u636e\u5206\u6790\u548c\u5171\u4eab\u6700\u4f73\u5b9e\u8df5\u59d4\u5458\u4f1a(COBIDAS)\u68c0\u67e5\u8868\u5bf9\u5f71\u50cf\u5b66\u7814\u7a76\u7684\u8d28\u91cf\u8fdb\u884c\u4e86\u8bc4\u4f30\u3002<\/p>\n<p><strong>\u4e3b\u8981\u7ed3\u679c <\/strong>T1\/T2\u52a0\u6743\u56fe\u50cf\u5728\u7070\u8d28\u53d8\u5316\u53ca\u5176\u4e0ePCS\u7684\u5173\u7cfb\u65b9\u9762\u6709\u6df7\u5408\u7684\u8868\u73b0\u3002SWI\u8868\u73b0\u4e0e\u635f\u4f24\u4e25\u91cd\u7a0b\u5ea6\u4e4b\u95f4\u53ef\u80fd\u6709\u6b63\u76f8\u5173\u8d8b\u52bf\u3002\u4e00\u4e9b\u7814\u7a76\u8868\u660e\uff0cDWI\u7684\u5404\u79cd\u6307\u6807\u4e0e\u635f\u4f24\u4e25\u91cd\u7a0b\u5ea6\u7684\u4e34\u5e8a\u6307\u6807\u76f8\u7ed3\u5408\uff0c\u6709\u53ef\u80fd\u589e\u52a0\u9884\u540e\u4ef7\u503c\u3002\u9664\u4e86\u5bf9\u4e0e\u4efb\u52a1\u76f8\u5173\u7684\u8ba4\u77e5\u6fc0\u6d3b\u7684\u5206\u6790\uff0c\u4e00\u4e9b\u7814\u7a76\u8bc1\u660e\u4e86\u8fd0\u52a8\u5458\u7684\u4ee3\u8c22\u6d3b\u52a8(\u8840\u6c27\u6c34\u5e73\u4f9d\u8d56\/BOLD\u4fe1\u53f7\u7684\u53d8\u5316)\u4e0e\u8fd4\u56de\u6bd4\u8d5b\u65f6\u95f4\u4e4b\u95f4\u5b58\u5728\u5173\u8054\u3002\u8f7b\u5ea6\u521b\u4f24\u6027\u8111\u635f\u4f24\u60a3\u8005\u7684\u8111\u8840\u6d41\u548c\u5bb9\u91cf\u5206\u6790\u662f\u591a\u53d8\u7684\u3002\u5c11\u91cf\u7814\u7a76\u663e\u793a\u7b2c\u4e00\u6b21\u8111\u9707\u8361\u540e\u989d\u53f6GABA\/\u808c\u9150\u6bd4\u503c\u5347\u9ad8\uff0c\u800cNAA\/\u808c\u9150\u548cNAA\/\u80c6\u78b1\u6bd4\u503c\u5728\u53d7\u4f24\u6570\u6708\u540e\u964d\u4f4e\u3002<\/p>\n<p><strong>\u8bc4\u8bba 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[&hellip;]","protected":false},"author":3,"featured_media":3050,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[213],"tags":[],"class_list":["post-10952","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-213"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What\u2019s new in Pediatric Imaging (Chinese) \u2013 December 2020 - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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