Poster électronique

Technique de réalisation d’une cholangio-IRM en pédiatrie
C. Pougnet, S. Garrido, L. Lesobre, S. Franchi-Abella, D. Pariente - Le Kremlin-Bicêtre - France
Congrès 2007
Résumé
Objectifs
Rapporter notre expérience dans la réalisation de l'IRM des voies biliaires chez l'enfant.
Matériels et méthodes
A partir de notre expérience au sein d'un service spécialisé dans l'imagerie des voies biliaires de l'enfant, nous décrirons la mise en œuvre d'une cholangio-IRM en insistant sur les particularités liées à l'âge et aux pathologies présentées. Nous rappellerons les indications et les limites de cette technique.
Résultats
Les progrès récents des séquences de cholangio-IRM 2D et 3D avec synchronisation respiratoire et l'utilisation d'antennes de surface ont permis d'améliorer la qualité des images obtenues chez l'enfant. Ces séquences sont toujours associées à une étude parenchymateuse hépatique et pancréatique en pondération T1 et T2. La préparation de l'enfant reste primordiale et dépend de son âge. Nous détaillerons les protocoles de préparation, d'installation et d'optimisation des séquences en fonction de l'âge. Des cas cliniques illustreront notre exposé.
Conclusion
L'IRM des voies biliaires est devenue performante en pédiatrie. La qualité de cet examen dépend fortement de la préparation et de l'adaptation des séquences en fonction de l'âge de l'enfant. Il persiste des limites, notamment chez les nourrissons dont les voies biliaires ne sont pas dilatées.
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2013-02-12 12.26 :
lambert

Bien ! Importance primordiale de l'instrumentation en IRM et en particulier des antennes bien montrée !

2011-04-23 15.08 :
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