对于疑似儿科心室外皮关节功能障碍的成像:关节系列X射线是否总是必要?
Laura Middleton1, Michael Jackson2, Drahoslav Sokol2
1Royal Hospital for Children and Young People, Edinburgh, UK. Laura.Middleton@nhs.scot.
概括
腹部射线图很少用于诊断分流器功能障碍. 低剂量CT扫描被推作为先导系列的第一线调查,用于神经外科规划选择性地使用平面膜.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 儿科医学 儿科医学
背景情况:
- 顺子系列 (SS) 经常用于诊断顺子功能障碍.
- 在SS中腹部X射线图的实用性是可疑的.
研究的目的:
- 为了确定shunt系列的不同组件在诊断shunt功能障碍时的有用性.
- 为了评估在临床上最有用的成像模式,为患者进行突变修订.
主要方法:
- 在2年内对腹部X射线图 (AXR) 进行回顾性审查,以确定分流异常.
- 在10年内接受了分流修订的患者中,对急性成像和分流系列的回顾性分析.
主要成果:
- 在75个AXR中,只有8个显示出潜在的分流异常,其中2个是人工的.
- 在接受复查的患者中,前复查的15%的先导系列显示出异常,而CT扫描更频繁地显示出异常 (67/96).
结论:
- 腹部放射图在诊断分流器功能障碍方面具有较低的临床收益率.
- 低剂量的CT头部,超声波或MRI被推作为疑似分流功能障碍的第一线调查.
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