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Wrist MR imaging in children: Effect on clinical diagnosis and management
Kevin W Taylor1, Michael M Moore1, James Brian1
1Department of Radiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States.
Objectives:
Evaluate the impact of wrist MRI in children on clinical diagnosis and management.
Materials And Methods:
Four year retrospective analysis including demographics, MRI diagnoses, and effect on diagnoses and management were determined.
Results:
101 patients were included. Wrist MRI altered management in 86% (95% CI: 77-92%) and diagnosis in 46% (36-56%) of patients. MRI changed both diagnosis and management in 41% (31-51%), changed management only in 46% (35-56%), changed diagnosis only in 5% (2-12%), and had no change in diagnosis or management in 9% (95% CI: 4-17%).
Conclusion:
Wrist MRI in children changes clinical diagnosis and management in a substantial proportion of cases.
Insights
Pediatric wrist MRI significantly impacts clinical decisions. This imaging modality altered diagnosis or management in most children, aiding in better patient care.
Area of Science:
- Pediatric Radiology
- Musculoskeletal Imaging
Background:
- Accurate diagnosis and management of pediatric wrist injuries are crucial.
- The role of magnetic resonance imaging (MRI) in evaluating pediatric wrist conditions requires further elucidation.
Purpose of the Study:
- To evaluate the impact of wrist MRI on clinical diagnosis and management in pediatric patients.
Main Methods:
- A retrospective analysis of 101 pediatric patients undergoing wrist MRI over a four-year period.
- Data collected included patient demographics, MRI findings, and the subsequent effect on diagnosis and clinical management.
Main Results:
- Wrist MRI altered management in 86% of cases and diagnosis in 46% of pediatric patients.
- A significant proportion (41%) experienced changes in both diagnosis and management, while 46% had management changes only.
Conclusions:
- Wrist MRI plays a substantial role in modifying clinical diagnosis and management strategies for children with wrist conditions.
- The findings support the utility of wrist MRI in pediatric orthopedic and rheumatologic care.
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