Movement artifacts in pediatric cutaneous ultrasonography.
Ana Isabel Rodríguez Bandera1, Nicholas Stewart, Juan José De la Cruz Troca
1Department of Dermatology, University Hospital La Paz, Madrid. anarb85@gmail.com.
Dermatology Online Journal
|February 4, 2019
Summary
Pediatric cutaneous ultrasonography is challenging for children under 4 years old, especially those aged 4-12 months. Early assessment (0-4 months) is recommended for congenital lesions to minimize movement artifacts.
Area of Science:
- Pediatric imaging
- Medical ultrasonography
Background:
- Cutaneous ultrasonography presents unique challenges in pediatric patients.
- Identifying optimal assessment timing and high-risk cases is crucial for effective diagnosis.
Purpose of the Study:
- To identify factors influencing the success of pediatric cutaneous ultrasonography.
- To determine the optimal timing for performing these examinations in children.
Main Methods:
- Retrospective review of pediatric cutaneous ultrasonography exams over two years.
- Classification of movement artifacts based on severity and frequency.
- Analysis of artifact frequency in relation to patient age, lesion location, and pathology.
Main Results:
- Movement artifacts affected 16.76% of exams, exclusively in children under 4 years old.
- Artifact frequency was highest in infants aged 4-12 months (56.60%) and on the head/neck (44.53%).
- Developmental anomalies were associated with a higher incidence of artifacts (41.82%).
Conclusions:
- Cutaneous ultrasonography without sedation is difficult for infants aged 4-12 months, particularly for head/neck lesions requiring Doppler.
- The first four months of life are ideal for initial examinations of congenital lesions.
- Age, lesion location, and pathology significantly impact the quality of pediatric cutaneous ultrasonography.
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