实施超声波和快速磁共振成像途径减少了疑似尾炎儿童的计算机断层扫描的使用
Gabrielle Steinl1, David Grabski1, Mark Fleming1
1Department of Surgery, University of Virginia, Charlottesville, USA.
Pediatric surgery international
|July 24, 2023
概括
使用超声波 (US) 和磁共振成像 (MRI) 的新途径显著减少了计算机断层扫描 (CT) 在疑似尾炎的儿童中的使用. 这种方法降低了儿科患者的辐射暴露.
科学领域:
- 儿科放射学 儿科放射学
- 医学成像技术 医学成像技术
- 尾炎的诊断 尾炎的诊断
背景情况:
- 计算机断层扫描 (CT) 是儿童急性尾炎的常见诊断工具,导致对辐射暴露的担忧.
- 寻求替代成像模式,以尽量减少儿童群体CT相关的风险.
研究的目的:
- 实施和评估使用超声波 (US) 和快速磁共振成像 (MRI) 的成像途径,用于疑似儿童尾炎.
- 通过减少对CT扫描的依赖,减少儿科患者的辐射暴露.
主要方法:
- 在2011年1月至2021年7月期间接受尾切除术的18岁以下儿童的回顾性评估.
- 在2015年12月实施了一种新的成像途径,优先考虑美国,然后在模两可的情况下进行快速MRI,并为MRI不耐受性保留CT.
- 在路径实施之前和之后,CT利用率的比较.
主要成果:
- 在路径启动后,美国的使用率从87%增加到97%,MRI的使用率从0%增加到30%.
- 计算机断层扫描 (CT) 的使用率从实施后的32%大幅下降到2%.
- 这些变化具有统计学意义 (p < 0.0001).
结论:
- 美国和快速MRI途径的结合有效地减少了儿童尾炎诊断中的CT利用率.
- 这一策略显著降低了儿童的辐射暴露,提供了更安全的诊断替代方案.
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