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A decreasing function describes a relationship where the output consistently declines as the input increases. This means that for any two input values, if one is greater than the other, the corresponding output is smaller. Mathematically, a function f is decreasing on an interval I if for every x1 < x2​ in I, f (x1) > f (x2). This type of behavior is visually identified on a graph that slopes downward from left to right.The nature of a function can be analyzed by calculating...
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在先天性EOS中查MRI:延迟高级成像以减少早期麻醉是否安全?

Evan Mostafa1, Leila Mehraban Alvandi1, Edina Gjonbalaj1

  • 1Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, NY.

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在先天性早发性脊椎病 (C-EOS) 中,20%的患者有神经轴异常. 延迟MRI超过3岁对于那些正常的检查和成像,没有增加并发症的人来说是安全的.

关键词:
麻醉是一种麻醉.遗传性脊椎病是先天性脊椎病的早期发病的脊髓缩症 (EOS)磁共振成像 (MRI) 的使用.神经轴异常 - 神经轴异常脊椎形是一种脊柱形.

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科学领域:

  • 儿科整形外科 儿科整形外科
  • 儿科神经外科 儿科神经外科
  • 放射学 放射学是一门学科.

背景情况:

  • 先天性早期发病的脊柱脊椎病 (C-EOS) 通常需要脊柱成像.
  • 神经轴异常是C-EOS患者的一个问题.
  • 由于幼儿潜在的麻醉风险,MRI时间受到争议.

研究的目的:

  • 为了确定神经轴异常在C-EOS患者的患病率.
  • 评估MRI时的年龄与异常检测之间的相关性.
  • 评估延迟MRI是否会影响治疗结果和并发症.

主要方法:

  • 来自多中心注册表的659名C-EOS患者的回顾性审查.
  • 分为两组:在3岁之前或之后的MRI.
  • 统计分析包括斯皮尔曼·罗,t测试和千平方测试.

主要成果:

  • 20%的C-EOS患者有异常的脊内MRI发现.
  • 在MRI时的年龄和异常发现之间没有发现显著的相关性 (P=0.64).
  • 年龄组之间神经外科干预,并发症或意外返回手术没有显著差异.

结论:

  • 神经轴异常存在于20%的C-EOS病例中.
  • 第一次MRI时的年龄与异常发生的可能性无关.
  • 在C-EOS患者中,如果神经和放射学发现正常,MRI可能会谨慎地推迟.