Pediatric hematopoietic stem cell transplantation and the role of imaging.

Published

Journal Article (Review)

The use of hematopoietic stem cell transplantation (HSCT) in the treatment of children afflicted with many potentially fatal malignant and nonmalignant diseases is well recognized. Although outcomes continue to improve and the utility of HSCT is increasing, HSCT remains a complicated process necessitating support from many medical disciplines, including radiology. Importantly, children who undergo HSCT are at risk for the development of specific complications that are linked to the timeline of transplantation, as well as to the relationship between the underlying diagnoses, severe immune deficiency, cytoreductive regimen, and graft-versus-host reactions. An understanding of the complex interplay of the immune status, therapeutic regimen, and disease allows increased diagnostic accuracy. Successful treatment of these high-risk children requires that radiologists who are involved with their care be familiar with broad concepts, as well as with specific problems that frequently occur following HSCT. In this article, the clinical aspects of pediatric HSCT are summarized, including common complications, and imaging features of these complications are described.

Full Text

Duke Authors

Cited Authors

  • Hollingsworth, CL; Frush, DP; Kurtzburg, J; Prasad, VK

Published Date

  • August 2008

Published In

Volume / Issue

  • 248 / 2

Start / End Page

  • 348 - 365

PubMed ID

  • 18641243

Pubmed Central ID

  • 18641243

Electronic International Standard Serial Number (EISSN)

  • 1527-1315

Digital Object Identifier (DOI)

  • 10.1148/radiol.2482070988

Language

  • eng

Conference Location

  • United States