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Ultrasonography as first line imaging for the diagnosis of positional plagiocephaly
Fiammetta Sertorio1,2, Mattia Pacetti3, Simone Schiaffino4
1Department of Radiology, IRCCS Istituto Giannina Gaslini, Genoa, Italy - fiammetta.sertorio@gmail.com.
Insights
Ultrasonography (US) effectively screens for lambdoid suture patency in infants with positional plagiocephaly (PP). This radiation-free method showed 100% concordance with clinical follow-up, proving a reliable diagnostic tool.
Area of Science:
- Pediatric diagnostics
- Medical imaging techniques
- Craniosynostosis research
Background:
- Positional plagiocephaly (PP) diagnosis involves evaluating various tools.
- Lambdoid suture patency is a key concern in pediatric head shape abnormalities.
- Previous diagnostic methods for PP have limitations.
Purpose of the Study:
- To assess ultrasonography (US) as a primary screening tool for lambdoid sutural patency in infants with suspected PP.
- To compare the efficacy of US with existing diagnostic literature for PP.
- To establish US as a reliable first-line diagnostic method for lambdoid suture issues in children.
Main Methods:
- Consecutive pediatric patients with suspected PP underwent US examination of lambdoid sutures.
- A 3-6 month clinical follow-up by pediatric specialists confirmed diagnoses.
- Study included patients from January 2016 to October 2017.
Main Results:
- Thirty-five children underwent US examination, all diagnosed with PP.
- No cases of premature suture fusion were identified during the study period.
- Ultrasonography demonstrated 100% concordance with clinical follow-up findings.
Conclusions:
- Ultrasonography is an ideal first-line screening test for lambdoid sutural patency in children with PP.
- US offers a reliable, radiation-free, fast, and cost-effective alternative to other diagnostic techniques.
- The findings support the widespread adoption of US for diagnosing PP-related lambdoid suture abnormalities.
Background:
In the last years, numerous studies evaluated different tools for the diagnosis of positional plagiocephaly (PP). The purpose of this study was to evaluate ultrasonography (US) as a first line screening test of lambdoid sutural patency in child with PP and to compare our results with the literature.
Methods:
All consecutive patients who referred to our Institute from January 2016 to October 2017 with the suspicion of PP, were included in the study and performed US examination of the lambdoid sutures. A 3-6-month clinical follow-up was performed by a pediatric neurosurgeon or a pediatrician to confirm the diagnosis of PP.
Results:
Thirty-five children performed US examination and in all cases the diagnosis of PP was confirmed. No cases of anticipated suture fusion were examined during this period. The concordance between US findings and clinical exam follow-up was 100%.
Conclusions:
Ultrasonography of the lambdoid sutures represents an ideal first-line screening test and reliable alternative to other diagnostic techniques for lambdoid sutural patency in child with PP, being radiation free, fast and cheap.
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