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December 1982, Vol 136, No. 12 >
Article | December 1982

Implications of Nuclear Magnetic Resonance Imaging for the Pediatrician

RICHARD M. HELLER, MD; C. LEON PARTAIN, MD, PHD; A. EVERETTE JAMES, SCM, JD, MD
Am J Dis Child. 1982;136(12):1045-1046. doi:10.1001/archpedi.1982.03970480011001.
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A 4-year-old child has been followed up in an oncology clinic for 18 months for chemotherapy and radiation therapy for stage III Wilms' tumor. As part of her routine clinic visit, a chest roentgenogram is obtained, and a new finding, a nodule, is observed in the right upper lung field. The pediatrician/oncologist has to decide whether the lung lesion should be considered to be metastatic Wilms' tumor or something else. Soon, there may be a new option, ie, nuclear magnetic resonance, which has the potential for distinguishing between benign and malignant tissue. If the lesion is benign, probably a histoplasmoma, nothing needs to be done. On the other hand, if the lesion is malignant, there are profound implications in terms of treatment plans.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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