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.

Minerva Pediatrics
|March 28, 2019
PubMed

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.
Abstract

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