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A pattern-oriented approach to splenic imaging in infants and children.

Publication ,  Journal Article
Paterson, A; Frush, DP; Donnelly, LF; Foss, JN; O'Hara, SM; Bisset, GS
Published in: Radiographics
1999

The spleen in infants and children is commonly involved in a variety of pathologic processes. Some of these processes cause isolated splenic disease, whereas others involve the spleen as part of a systemic illness. To facilitate differential diagnosis of splenic abnormalities, a pattern-oriented approach to the imaging evaluation of the pediatric spleen was developed. With this approach, splenic anomalies are categorized as anomalies of splenic shape (clefts, notches, lobules), location (eg, wandering spleen), number (polysplenia, asplenia), or size (splenomegaly, splenic atrophy); solitary lesions (eg, cysts, lymphangiomas, hemangiomas, hamartomas); multiple focal lesions (eg, trauma, infection and inflammation, neoplasms, storage disorders); and diffuse disease without focal lesions (eg, infarction, heavy metal deposition, hemangioendotheliomas, peliosis). A variety of imaging modalities can be used in splenic assessment, including computed tomography, magnetic resonance imaging, ultrasound, and technetium-99m scintigraphy. The imaging appearance of the pediatric spleen depends on the patient's age and the modality used; however, familiarity with the spectrum of radiologic patterns of splenic involvement will facilitate correct diagnosis and prompt treatment.

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Published In

Radiographics

DOI

ISSN

0271-5333

Publication Date

1999

Volume

19

Issue

6

Start / End Page

1465 / 1485

Location

United States

Related Subject Headings

  • Ultrasonography
  • Tomography, X-Ray Computed
  • Technetium
  • Splenomegaly
  • Splenic Neoplasms
  • Splenic Infarction
  • Splenic Diseases
  • Spleen
  • Radiopharmaceuticals
  • Pattern Recognition, Visual
 

Citation

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ICMJE
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Paterson, A., Frush, D. P., Donnelly, L. F., Foss, J. N., O’Hara, S. M., & Bisset, G. S. (1999). A pattern-oriented approach to splenic imaging in infants and children. Radiographics, 19(6), 1465–1485. https://doi.org/10.1148/radiographics.19.6.g99no231465
Paterson, A., D. P. Frush, L. F. Donnelly, J. N. Foss, S. M. O’Hara, and G. S. Bisset. “A pattern-oriented approach to splenic imaging in infants and children.Radiographics 19, no. 6 (1999): 1465–85. https://doi.org/10.1148/radiographics.19.6.g99no231465.
Paterson A, Frush DP, Donnelly LF, Foss JN, O’Hara SM, Bisset GS. A pattern-oriented approach to splenic imaging in infants and children. Radiographics. 1999;19(6):1465–85.
Paterson, A., et al. “A pattern-oriented approach to splenic imaging in infants and children.Radiographics, vol. 19, no. 6, 1999, pp. 1465–85. Pubmed, doi:10.1148/radiographics.19.6.g99no231465.
Paterson A, Frush DP, Donnelly LF, Foss JN, O’Hara SM, Bisset GS. A pattern-oriented approach to splenic imaging in infants and children. Radiographics. 1999;19(6):1465–1485.
Journal cover image

Published In

Radiographics

DOI

ISSN

0271-5333

Publication Date

1999

Volume

19

Issue

6

Start / End Page

1465 / 1485

Location

United States

Related Subject Headings

  • Ultrasonography
  • Tomography, X-Ray Computed
  • Technetium
  • Splenomegaly
  • Splenic Neoplasms
  • Splenic Infarction
  • Splenic Diseases
  • Spleen
  • Radiopharmaceuticals
  • Pattern Recognition, Visual