Comparison of the different imaging modalities used to image pediatric oncology patients: A COG diagnostic imaging committee/SPR oncology committee white paper

Diagnostic imaging is essential in the diagnosis and management, including surveillance, of known or suspected cancer in children. The independent and combined roles of the various modalities, consisting of radiography, fluoroscopy, ultrasonography (US), computed tomography (CT), magnetic resonance...

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Bibliographic Details
Published in:Pediatric blood & cancer 2023-06, Vol.70 (S4), p.e30298-n/a
Main Authors: Frush, Donald P., Callahan, Michael J., Coley, Brian D., Nadel, Helen R., Paul Guillerman, R.
Format: Article
Language:English
Subjects:
Child
Computed tomography
Fluoroscopy
Hematology
Hematuria
Humans
imaging
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medical Oncology
Neoplasms - diagnostic imaging
Neuroimaging
Nuclear medicine
Oncology
pediatric
Pediatrics
Radiography
radiology
Radionuclide Imaging
Seizures
Surface Plasmon Resonance
Tomography, X-Ray Computed
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Summary:Diagnostic imaging is essential in the diagnosis and management, including surveillance, of known or suspected cancer in children. The independent and combined roles of the various modalities, consisting of radiography, fluoroscopy, ultrasonography (US), computed tomography (CT), magnetic resonance imaging (MRI), and nuclear medicine (NM), are both prescribed through protocols but also function in caring for complications that may occur during or subsequent to treatment such as infection, bleeding, or organ compromise. Use of a specific imaging modality may be based on situational circumstances such as a brain CT or MR for a new onset seizure, chest CT for respiratory signs or symptoms, or US for gross hematuria. However, in many situations, there are competing choices that do not easily lend themselves to a formulaic approach as options; these situations depend on the contributions of a variety of factors based on a combination of the clinical scenario and the strengths and limitations of the imaging modalities. Therefore, an improved understanding of the potential influence of the imaging decision pathways in pediatric cancer care can come from comparison among the individual diagnostic imaging modalities. The purpose of the following material to is to provide such a comparison. To do this, pediatric imaging content experts for the individual modalities of radiography and fluoroscopy, US, CT, MRI, and NM will discuss the individual modality strengths and limitations.
ISSN:1545-5009
1545-5017
DOI:10.1002/pbc.30298