在儿科内分泌学中尽量减少不必要的脑磁共振成像:回顾性队列分析
Maura Marin1, Flora Maria Murru2, Francesco Baldo2
1Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Frontiers in endocrinology
|September 18, 2024
概括
许多儿科大脑MRI是不必要的,导致成本增加和患者的痛苦. 实施指导方针可以减少对生长激素缺乏和早期青春期等疾病的不必要成像.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经辐射学神经辐射学
- 医学成像分析 医学成像分析
背景情况:
- 大脑MRI对于诊断儿科内分泌疾病和排除严重疾病至关重要.
- 磁力共振成像中的偶然发现可能会使管理复杂化,特别是在儿童中.
- 在儿科内分泌学中需要评估MRI扫描的必要性.
研究的目的:
- 为了评估小儿内分泌学中不必要的MRI扫描率.
- 识别成像中过度使用的模式,用于诸如生长激素缺乏和早期青春期等疾病.
主要方法:
- 对414名儿科患者的584张MRI扫描进行了回顾性分析.
- 患者包括生长激素缺乏,身材矮小和中部早发性青春期患者.
- 根据专用协议和临床后续对MRI的必要性进行评估.
主要成果:
- 67%的MRI扫描正常;18%的患者有多次MRI.
- 17%的扫描显示了偶发性瘤.
- 86%的重复性MRI (170例中147例) 被认为是不必要的,没有发现进展.
结论:
- 有相当数量的儿科大脑MRI是不必要地进行的.
- 遵守既定的指导方针可以减少未经说明的成像.
- 减少不必要的MRI可以降低医疗保健成本,减轻患者/家庭的负担.
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