目前在MRI查的现行做法,在早期发病的脊椎病的MRI查
Austin W Li1, Alexander Chang2, Joshua S Murphy3
1Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Spine deformity
|January 21, 2025
概括
医生在早期开始的脊柱病 (EOS) 中订购MRI的做法有很大差异. 年龄和曲线进展是关键因素,但需要标准化指导方针来查神经轴异常 (NAA).
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 早期发病的脊柱脊椎病 (EOS) 往往需要MRI,因为可能存在神经轴异常 (NAA).
- 对幼儿镇静的担忧以及国家药物管理局 (NAA) 的临床沉默,引发了关于常规MRI查EOS的争论.
- 了解当前的外科医生实践对于制定基于证据的指南至关重要.
研究的目的:
- 调查当前的MRI查 EOS 在儿科脊椎外科医生之间的做法.
- 确定影响EOS患者MRI订购决定的因素.
主要方法:
- 在儿科脊柱研究小组 (PSSG) 的外科医生中分发了一份调查.
- 根据患者年龄,曲线大小和病因学呈现不同的场景,以评估MRI指示.
- 受访者对年龄,曲线进展,病因和镇静需求的重要性进行了排名.
主要成果:
- 年龄和曲线进展被确定为MRI决策中最关键的因素.
- 对非先天性EOS的MRI订单随着患者年龄和曲线大小的增加而增加.
- 所有的外科医生都会为先天性EOS或与神经纤维化相关的EOS订购MRI;很大一部分也会为脑或普拉德-威利综合征的二次性EOS订购.
结论:
- 目前对EOS的MRI查实践在医生之间显示出相当大的差异.
- 需要进一步的研究来确定EOS中NAA的流行率和常规MRI的临床影响,以指导标准化的协议.
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