在2岁以下的儿童中,肌肉和心脏节点的变化
Boaz Karmazyn1, Matthew M Jones2, Lisa R Delaney2
1Riley Hospital for Children at IU Health, Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 705 Riley Hospital Drive, Indianapolis, IN, 46202, USA. bkarmazy@iu.edu.
在16.2%的幼儿中发现的胸椎节变异,可以模仿骨折. 放射科医生对这些发现的共识只是公平的,突出了潜在的诊断挑战.
科学领域:
- 儿科放射学 儿科放射学
- 骨成像 骨成像 骨成像
- 虐待儿童的诊断 儿童虐待的诊断
背景情况:
- 肋骨突合骨折往往是虐待儿童的迹象.
- 这些骨折通常会在愈合后导致形的节骨节.
研究的目的:
- 为了确定类型,位置和频率的Costochondral连接变化.
- 评估这些变异是否可能被误认为儿童骨折.
主要方法:
- 对117名2岁以下的儿童进行了回顾性分析,这些儿童接受了CT扫描.
- 两名儿科放射科医生独立审查了扫描中可斯托孔德拉结变异的情况.
- 第三位放射科医生解决了分歧;进行了统计分析.
主要成果:
- 在研究小组中,16.2%的儿童 (19在117名儿童中) 发现了腰椎节变异.
- 这些变异,主要是肋骨2-8上的刺,在年幼的儿童和CT切片厚度较小的儿童中更为常见.
- 在患者水平上,放射科医生间的协议是公平的 (kappa=0.29),而在肋骨水平上则很差.
结论:
- 在2岁以下的儿童中,16.2%的儿童出现了腰椎节变异.
- 一些变异可能与愈合的哥斯托孔德拉结口骨折类似.
- 有限的放射科医生协议表明可能有误解的可能性.
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