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Pediatric Radiology
Published in: Pediatric Radiology 6/2011

Open Access 01-06-2011 | Technical Innovation

MRI for the evaluation of pectus excavatum

Authors: Peter A. Marcovici, Barry E. LoSasso, Peter Kruk, Jerry R. Dwek

Published in: Pediatric Radiology | Issue 6/2011

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Abstract

Pectus excavatum, the most common congenital deformity of the anterior chest wall, is both a cosmetic and functional abnormality. The degree of abnormal chest wall deformity determines its functional effect, particularly its cardiac and pulmonary impact. Although CT scanning is the most widely used cross-sectional imaging technique used to measure the Haller index, the radiation exposure is reason to seek other alternatives. At our institution, we have introduced a rapid MRI technique for this purpose, which utilizes a single-axial 2-D FIESTA acquisition.
Literature
1.
Haller JA Jr, Kramer SS, Lietman SA et al (1987) Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg 22:904–906PubMedCrossRef
2.
Rattan AS, Laor T, Ryckman FC et al (2010) Pectus excavatum imaging: enough but not too much. Pediatr Radiol 40:168–172PubMedCrossRef
3.
Khanna G, Jaju A, Don S et al (2010) Comparison of Haller index values calculated with chest radiographs versus CT for pectus excavatum evaluation. Pediatr Radiol 40:1763–1767PubMedCrossRef
4.
Morshuis WJ, Mulder H, Wapperom G et al (1992) Pectus excavatum. A clinical study with long-term postoperative follow-up. Eur J Cardiothorac Surg 6:318–328, discussion 328–329PubMedCrossRef
5.
Raichura N, Entwisle J, Leverment J et al (2001) Breath-hold MRI in evaluating patients with pectus excavatum. Br J Radiol 74:701–708PubMed
6.
Herrmann KA, Zech C, Strauss T et al (2006) Cine MRI of the thorax in patients with pectus excavatum. Radiologe 46:309–316, GermanPubMedCrossRef
Metadata
Title
MRI for the evaluation of pectus excavatum
Authors
Peter A. Marcovici
Barry E. LoSasso
Peter Kruk
Jerry R. Dwek
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 6/2011
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-011-2031-5

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