{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:33:08Z","timestamp":1772159588289,"version":"3.50.1"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rofo"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>Sonography is the most common imaging modality in childhood and adolescence. The rapid availability, absence of X-rays, bedside applicability, e.\u200ag., in intensive care units, the lack of need for sedation, and last but not least the very good ultrasound conditions in the vast majority of cases are the main advantages of sonography. Due to the spectrum of patients, from premature infants to adolescents, a great variety of questions arise for the examiner. This requires knowledge of the various disease patterns in the different age groups. Proper handling of the young patients as well as their parents is essential in order to make the examination conditions as optimal as possible. Due to the smaller body size compared to adults, sonographic examinations of the abdomen and thorax in children and adolescents are usually possible with very good image quality. In the majority of cases, a definitive diagnosis is made by sonography without additional cross-sectional imaging, which is more common in adults. Due to the acoustic windows provided by the still open fontanelles, excellent image quality of the central nervous system is usually possible in the first year of life. In most cases, complex MRI examinations are not necessary. Due to the partly still missing ossification of the bony structures, further acoustic windows are available, which allow an examination of, e.\u200ag., the spinal canal. Ultrasound also plays a major role in the examination of soft tissues and the musculoskeletal system in childhood and adolescence, not only in hip ultrasound. The aim of this article is to show this very broad spectrum for colleagues working predominantly in adult radiology, to highlight some representative examples and to present the respective clinical features in childhood and adolescence.<\/jats:p><jats:p>\n            Key Points:\u2002<\/jats:p><jats:p>\n            Citation Format\n          <\/jats:p>","DOI":"10.1055\/a-1681-2136","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:50Z","timestamp":1640736050000},"page":"521-531","source":"Crossref","is-referenced-by-count":4,"title":["Sonography in Childhood and Adolescence for General Radiologists \u2013 More Possibilities Than Expected..."],"prefix":"10.1055","volume":"194","author":[{"given":"Matthias Cornelius","family":"Schaal","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Diagnostische und Interventionelle Radiologie, University Ulm Medical Centre, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg Detlev","family":"Moritz","sequence":"additional","affiliation":[{"name":"Radiology and Neuroradiology, University Hospital Schleswig-Holstein \u2013 Campus Kiel, Germany"},{"name":"Stellv. Leiter Sektion P\u00e4diatrie, DEGUM Deutsche Gesellschaft f\u00fcr Ultraschall in der Medizin, Berlin, Germany"},{"name":"Vorstand AG P\u00e4diatrische Radiologie, DRG \u2013 Deutsche R\u00f6ntgengesellschaft, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans-Joachim","family":"Mentzel","sequence":"additional","affiliation":[{"name":"P\u00e4diatrische Radiologie, Institut f\u00fcr Diagnostische und Interventionelle Radiologie, Jena, Germany"},{"name":"Pr\u00e4sident, Gesellschaft f\u00fcr P\u00e4diatrische Radiologie, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meinrad","family":"Beer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Diagnostische und Interventionelle Radiologie, University Ulm Medical Centre, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.ejrad.2016.12.032","article-title":"Performance of chest ultrasound in pediatric pneumonia","volume":"88","author":"A S Claes","year":"2017","journal-title":"Eur J Radiol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jpeds.2016.04.018","article-title":"Lung Ultrasound for Diagnosing Pneumothorax in the Critically Ill Neonate","volume":"175","author":"F Raimondi","year":"2016","journal-title":"J Pediatr"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1148\/radiology.176.2.2195594","article-title":"Acute appendicitis in children: evaluation with US","volume":"176","author":"F Vignault","year":"1990","journal-title":"Radiology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"397","DOI":"10.7863\/jum.2004.23.3.397","article-title":"Utility of the sonographic whirlpool sign in diagnosing midgut volvulus in patients with atypical clinical presentations","volume":"23","author":"M O Patino","year":"2004","journal-title":"J Ultrasound Med"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1148\/radiology.184.3.1509059","article-title":"Intussusception in children: reliability of US in diagnosis-a prospective study","volume":"184","author":"P Verschelden","year":"1992","journal-title":"Radiology"},{"key":"ref6","volume-title":"Interventionelle Eingriffe bei Darmobstruktionen im Kindesalter","author":"L Berthold","year":"2019","edition":"1. Aufl."},{"key":"ref7","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1148\/radiology.147.3.6844606","article-title":"Neonatal kidneys: sonographic anatomic correlations","volume":"147","author":"H Hricak","year":"1983","journal-title":"Radiology"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1810","DOI":"10.1093\/ndt\/gfn777","article-title":"Unilateral multicystic dysplastic kidney: a meta-analysis of observational studies on the incidence, associated urinary tract malformations and the contralateral kidney","volume":"24","author":"M F Schreuder","year":"2009","journal-title":"Nephrol.Dial.Transplant"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s00467-008-0828-8","article-title":"Management and etiology of the unilateral multicystic dysplastic kidney: a review","volume":"24","author":"D S Hains","year":"2009","journal-title":"Pediatr.Nephrol"},{"key":"ref12","first-page":"97","article-title":"Contrast enhanced voiding urosonography with the use of a 2nd generation US contrast medium: preliminary results","volume":"34","author":"K Darge","year":"2004","journal-title":"Pediatr Radiol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/S0720-048X(02)00114-6","article-title":"Vesicoureteral reflux grading in contrast-enhanced voiding urosonography","volume":"43","author":"K Darge","year":"2002","journal-title":"Eur J Radiol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1055\/a-1177-0530","article-title":"Guidelines and Good Clinical Practice Recommendations for Contrast Enhanced Ultrasound (CEUS) in the Liver \u2013 Update 2020 \u2013 WFUMB in Cooperation with EFSUMB, AFSUMB, AIUM, and FLAUS. Aktualisierte Leitlinien und Empfehlungen f\u00fcr die gute klinische Praxis f\u00fcr CEUS der Leber","volume":"41","author":"C F Dietrich","year":"2020","journal-title":"Ultraschall in Med"},{"key":"ref15","first-page":"11","article-title":"Guidelines and Good Clinical Practice Recommendations for Contrast Enhanced Ultrasound (CEUS) in the Liver \u2013 Update 2012","volume":"34","author":"M Claudon","year":"2013","journal-title":"Ultraschall in Med"},{"key":"ref16","volume-title":"Anwendungsm\u00f6glichkeiten und Grenzen der Elastografie","author":"H Mentzel","year":"2013","edition":"4. Aufl."},{"key":"ref17","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s40644-015-0040-6","article-title":"Neuroblastoma and nephroblastoma: a radiological review","volume":"15","author":"M Dumba","year":"2015","journal-title":"Cancer Imaging"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1002\/jcu.1990.18.8.619","article-title":"Changes in size and sonographic characteristics of the adrenal glands during the first year of life and the sonographic diagnosis of adrenal hyperplasia in infants with 21-hydroxylase deficiency","volume":"18","author":"D Menzel","year":"1990","journal-title":"J\u00a0Clin Ultrasound"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1007\/s002470050509","article-title":"Neonatal adrenal congestion: a\u00a0sonographic-pathologic correlation","volume":"28","author":"B Z Koplewitz","year":"1998","journal-title":"Pediatr Radiol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s00112-007-1638-y","article-title":"Neonatale Ovarialzysten","volume":"156","author":"L Garten","year":"2008","journal-title":"Monatsschr Kinderheilkd"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1007\/BF01954267","article-title":"Pelvic ultrasonografy: early differentiation between isolated premature thelarche and central precocious puberty","volume":"154","author":"H P Haber","year":"1995","journal-title":"Eur J Pediatr"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/S0031-3955(16)36304-0","article-title":"Adolescent amenorrhoe","volume":"34","author":"M R Soules","year":"1987","journal-title":"Pediatr Clin North Am"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"2406","DOI":"10.1016\/j.jpedsurg.2011.08.008","article-title":"Diagnostic imaging in cryptorchidism: utility, indications, and effectiveness","volume":"46","author":"G E Tasian","year":"2011","journal-title":"J. Pediatr. Surg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"2527","DOI":"10.1007\/s00330-006-0287-1","article-title":"Acute testicular torsion in children: the role of sonography in the diagnostic workup","volume":"16","author":"P Gunther","year":"2006","journal-title":"Eur Radiol"},{"key":"ref25","first-page":"1","volume-title":"Scanning Techniques and normal Anatomy","author":"J D Richardson","year":"1986"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.jpeds.2017.12.057","article-title":"Point-of-Care Ultrasound for the Diagnosis of Skull Fractures in Children Younger Than Two Years of Age","volume":"196","author":"N Parri","year":"2018","journal-title":"J Pediatr"},{"key":"ref28","first-page":"e53","article-title":"Point of Care Ultrasound in Detection of Brain Hemorrhage and Skull Fracture Following Pediatric Head Trauma; a Diagnostic Accuracy Study","volume":"7","author":"M Masaeli","year":"2019","journal-title":"Arch Acad Emerg Med"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1007\/s00112-019-00770-5","article-title":"Management des Sch\u00e4del-Hirn-Traumas im Kindesalter","volume":"167","author":"M Lehner","year":"2019","journal-title":"Monatsschr Kinderheilkd"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/S1071-9091(98)80030-2","article-title":"Brain injury in the premature infant: overview of clinical aspects, neuropathology, and pathogenesis","volume":"3","author":"J J Volpe","year":"1998","journal-title":"Semin Pediatr Neurol"},{"key":"ref31","first-page":"529","article-title":"Incidence and evaluation of subependymal intraventricular hemorrhage: a study of infants with birth weights less than 1500 gramms","volume":"92","author":"L A Papile","year":"1978","journal-title":"J Pediatr"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1055\/s-1999-8898","article-title":"Klassifikation der intrakraniellen Blutungen des Fr\u00fchgeborenen","volume":"20","author":"K H Deeg","year":"1999","journal-title":"Ultraschall in Med"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1055\/s-0034-1398855","article-title":"Sonographic and Doppler Sonographic Diagnosis of Posthemorrhagic Hydrocephalus","volume":"36","author":"K H Deeg","year":"2015","journal-title":"Ultraschall in Med"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1007\/s002470050604","article-title":"Late neurosonographic screening is important to the diagnosis of periventricular leukomalacia and ventricular enlargement in preterm infants","volume":"29","author":"S F Townsend","year":"1999","journal-title":"Pediatr Radiol"},{"key":"ref35","volume-title":"Neurology of the Newborn","author":"J J Volpe","year":"2008","edition":"5th ed."},{"key":"ref36","first-page":"131","article-title":"Clinical, pathogenetic and neuropathological correlates in dystonic cerebral palsy","author":"A Brun","year":"1979","journal-title":"Eur J Pediatr"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"877","DOI":"10.3171\/jns.1988.69.6.0877","article-title":"Brain abscesses in neonates","volume":"69","author":"D Renier","year":"1988","journal-title":"J Neurosurg"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1148\/radiology.200.2.8685330","article-title":"Diagnostic value of spinal US: comparative study with MR imaging in pediatric patients","volume":"200","author":"W K Rohrschneider","year":"1996","journal-title":"Radiology"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1055\/s-0029-1245584","article-title":"Sonografie der peripheren Lymphknoten Teil 1: Normalbefunde und B-Bild-Kriterien","volume":"31","author":"T Rettenbacher","year":"2010","journal-title":"Ultraschall in Med"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1055\/s-0041-111494","article-title":"Recommendations of the German Central Committee against Tuberculosis (DZK) and the German Respiratory Society (DGP) for the Diagnosis and Treatment of Non-tuberculous Mycobacterioses","volume":"70","author":"N Schoenfeld","year":"2016","journal-title":"Pneumologie"},{"key":"ref41","first-page":"10","article-title":"Sonografie der peripheren Lymphknoten Teil 2: Doppler-Kriterien und typische Befunde bestimmter Entit\u00e4ten","volume":"35","author":"T Rettenbacher","year":"2014","journal-title":"Ultraschall in Med"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1053\/crad.2000.0514","article-title":"Sonographic evaluation of thyroglossal duct cyst in children","volume":"55","author":"A T Ahuja","year":"2000","journal-title":"Clin Radiol"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1007\/s00247-019-04602-2","article-title":"Pediatric thyroid ultrasound: a radiologist's checklist","volume":"50","author":"I Tritou","year":"2020","journal-title":"Pediatr Radiol"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1080\/00016470510030517","article-title":"Hip dysplasia and osteoarthrosis","volume":"76","author":"S Jacobsen","year":"2005","journal-title":"Acta Orthopaedica"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1302\/0301-620X.86B4.14586","article-title":"Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14\u00a0years of neonatal ultrasound screening","volume":"86","author":"T Wirth","year":"2004","journal-title":"J Bone Joint Surg Br"},{"key":"ref46","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-22034-0","volume-title":"Ultraschalldiagnostik der S\u00e4uglingsh\u00fcfte","author":"R Graf","year":"2012","edition":"2. Aufl."},{"key":"ref49","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1055\/s-2008-1027329","article-title":"Ultrasound in diagnosis of fractures in children: unnecessary harassment or useful addition to X-ray?","volume":"29","author":"J D Moritz","year":"2008","journal-title":"Ultraschall in Med"},{"key":"ref50","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1097\/PEC.0000000000000446","article-title":"Ultrasound in the Diagnostics of Metaphyseal Forearm Fractures in Children: A Systematic Review and Cost Calculation","volume":"32","author":"C Katzer","year":"2016","journal-title":"Pediatr Emerg Care"}],"container-title":["R\u00f6Fo - Fortschritte auf dem Gebiet der R\u00f6ntgenstrahlen und der bildgebenden Verfahren"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1681-2136.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T23:08:10Z","timestamp":1651705690000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1681-2136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,28]]},"references-count":45,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2022,5,4]]},"published-print":{"date-parts":[[2022,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1681-2136","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1438-9029","1438-9010"],"issn-type":[{"value":"1438-9029","type":"print"},{"value":"1438-9010","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,28]]}}}