Pediatric Annals

CME Article 

Pediatric Vascular Anomalies: The Role of Imaging and Interventional Radiology

James S. Donaldson, MD

Abstract

Evaluation of vascular lesions in children remains confusing to many physicians, from primary care physicians to subspecialists, including pediatric radiologists. To many physicians, all vascular lesions in children are either hemangiomas or arteriovenous malformations (AVMs), and many don’t understand the difference between these two vastly different lesions. It is important that we use a standard classification, as first proposed by Mulliken and Glowacki in 1982. Standardizing our nomenclature allows us to communicate effectively with each other. By understanding the pathogenesis of many of these lesions, we are better able to direct patients into proper management and to counsel families about the prognosis for their child.

ABOUT THE AUTHOR

James S. Donaldson, MD, is Chairman, Department of Medical Imaging, and Section Chief, Interventional Radiology, Children’s Memorial Hospital, and Professor of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL. Address correspondence to: jdonaldson@childrensmemorial.org.

Dr. Donaldson has disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Review the Mulliken and Glowacki classification system for vascular lesions.
  2. Discuss the epidemiology and imaging and treatment options for vascular tumors in children.
  3. Discuss the epidemiology and imaging and treatment options for vascular malformations in children.

Abstract

Evaluation of vascular lesions in children remains confusing to many physicians, from primary care physicians to subspecialists, including pediatric radiologists. To many physicians, all vascular lesions in children are either hemangiomas or arteriovenous malformations (AVMs), and many don’t understand the difference between these two vastly different lesions. It is important that we use a standard classification, as first proposed by Mulliken and Glowacki in 1982. Standardizing our nomenclature allows us to communicate effectively with each other. By understanding the pathogenesis of many of these lesions, we are better able to direct patients into proper management and to counsel families about the prognosis for their child.

ABOUT THE AUTHOR

James S. Donaldson, MD, is Chairman, Department of Medical Imaging, and Section Chief, Interventional Radiology, Children’s Memorial Hospital, and Professor of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL. Address correspondence to: jdonaldson@childrensmemorial.org.

Dr. Donaldson has disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Review the Mulliken and Glowacki classification system for vascular lesions.
  2. Discuss the epidemiology and imaging and treatment options for vascular tumors in children.
  3. Discuss the epidemiology and imaging and treatment options for vascular malformations in children.

Evaluation of vascular lesions in children remains confusing to many physicians, from primary care physicians to subspecialists, including pediatric radiologists. To many physicians, all vascular lesions in children are either hemangiomas or arteriovenous malformations (AVMs), and many don’t understand the difference between these two vastly different lesions. It is important that we use a standard classification, as first proposed by Mulliken and Glowacki in 1982. Standardizing our nomenclature allows us to communicate effectively with each other. By understanding the pathogenesis of many of these lesions, we are better able to direct patients into proper management and to counsel families about the prognosis for their child.

ABOUT THE AUTHOR

James S. Donaldson, MD, is Chairman, Department of Medical Imaging, and Section Chief, Interventional Radiology, Children’s Memorial Hospital, and Professor of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL. Address correspondence to: jdonaldson@childrensmemorial.org.

Dr. Donaldson has disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Review the Mulliken and Glowacki classification system for vascular lesions.
  2. Discuss the epidemiology and imaging and treatment options for vascular tumors in children.
  3. Discuss the epidemiology and imaging and treatment options for vascular malformations in children.

10.3928/00904481-20080601-03

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