Vom Röntgen zum PET/MRT, und dann? – Zukunftsweisende Bildgebung in der Kinderradiologie

 

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Zusammenfassung

Die Kinderradiologie steht heute vor weitreichenden Veränderungen. Basismodalitäten wie Röntgen und Ultraschall werden zunehmend durch neuere, moderne Techniken ergänzt. Dieser Übersichtsartikel stellt Fortschritte in der Kinderradiologie sowie technische Innovationen vor, welche in Zukunft noch größere Bedeutung erlangen könnten. Hierzu werden CT-Dosisreduktionstechniken inklusive der Anwendung künstlicher Intelligenz sowie Fortschritte in den Gebieten der Magnetresonanztomografie und molekularen Bildgebung dargestellt.

Kernaussagen 

• Technische Innovationen werden die Kinderradiologie signifikant verändern.

• CT-Dosisreduktion ist insbesondere in pädiatrischen Patientenkollektiven bedeutsam.

• Neue MR-Techniken werden die Notwendigkeit von Sedierung und Kontrastmittelapplikation reduzieren.

• Die funktionelle MR-Bildgebung kann bei Patienten mit chronischen Lungenerkrankungen an Bedeutung gewinnen.

• Die molekulare Bildgebung ermöglicht die Detektion, Charakterisierung und Quantifizierung molekularer Prozesse in Tumoren.

Abstract

Significant changes can be expected in modern pediatric radiology. New imaging techniques are progressively added to basic modalities like Xrays and ultrasound. This essay summarizes recent advances and technical innovations in pediatric radiology, which are supposed to gain further importance in the future. Thus, CT dose reduction techniques including artificial intelligence as well as advances in the fields of magnetic resonance and molecular imaging are presented.

Key Points 

• Technical innovations will lead to significant changes in pediatric radiology.

• CT dose reduction is crucial for pediatric patient collectives.

• New MR-techniques will lower the need for sedation and contrast media application.

• Functional MR-imaging might gain further importance in patients with chronic lung disease.

• Molecular imaging enables detection, characterization and quantification of molecular processes in tumors.

Citation Format

• Staatz G, Daldrup-Link HE, Herrmann J et al. From Xrays to PET/MR, and then? – Future imaging in pediatric radiology. Fortschr Röntgenstr 2019; 191: 357 – 366

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