[Nuclear magnetic resonance tomography in the differential diagnosis of adrenal gland hemorrhage and neuroblastoma in a newborn infant].
Stichnoth Fa, Shehnaz Imdad Kehr, K Baumer
Abstract
Stichnoth Fa, Shehnaz Imdad Kehr, K Baumer
Abstract
Adrenal hemorrhages in newborns are usually diagnosed by sonography. Magnetic resonance imaging is indicated when morphological change, clinical appearance and follow-up do not allow differentiation of adrenal hemorrhage and neuroblastoma. Using artefact-suppressing sequences, the adrenal gland can be examined with modern MRI systems. The adrenal gland hemorrhage is characterized by a typical signal behaviour. If a haematoma persists over a longer period, a circular methemoglobin zone can be observed. An additional contrast application (Gadolinium-DTPA) can aid in demonstrating vascular tumors.
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Adrenal hemorrhages in newborns are usually diagnosed by sonography. Magnetic resonance imaging is indicated when morphological change, clinical appearance and follow-up do not allow differentiation of adrenal hemorrhage and neuroblastoma. Using artefact-suppressing sequences, the adrenal gland can be examined with modern MRI systems. The adrenal gland hemorrhage is characterized by a typical signal behaviour. If a haematoma persists over a longer period, a circular methemoglobin zone can be observed. An additional contrast application (Gadolinium-DTPA) can aid in demonstrating vascular tumors.
Key concepts: Adrenal Hemorrhage, Medicine, Adrenal gland, Neuroblastoma, Magnetic resonance imaging, Differential diagnosis, Radiology, Pathology