Abstract
Aim: In this study, we aimed to reveal the diagnostic profiles of 0-18 years aged patients, for whom cranial magnetic resonance imaging is requested in outpatient settings, and to evaluate the cranial imaging results according to gender and age groups.
Materials and Methods: The files of patients aged 0-18 years who were requested cranial magnetic resonance imaging for various indications, between August 2019 and March 2021, in Balikesir University, Faculty of Medicine pediatric neurology and pediatric health and diseases outpatient clinics were reviewed retrospectively.
Age, gender, main complaint and neuroradiological imaging results were obtained from hospital records. Data were divided for three different age groups (0-6, 7-12, 13-18).
Results: Cranial magnetic resonance imaging of 313 cases were analyzed. The mean age of the patients was 9.35±4.89 (4 months-17 years) years. There were 164 (52.4%) boys and 149 (47.6%) girls. There were 82 (26.2%) cases in the 0-6 years age group, 104 (33.2%) in the 7-12 years age group and 127 (40.6%) in the 13-18 years age group. The most common reasons for requesting cranial magnetic resonance imaging were as; seizure/epilepsy in 106 (33.9%) cases, headache in 65 (20.8%) cases, and neuromotor retardation in 28 (8.9%) cases. While the cranial imaging of 200 (63.9%) cases was normal, the results of 113 (36.1%) cases were evaluated as abnormal. The most common abnormal findings were intracranial mass (2.5%), nonspecific white matter lesion (5.1%), intracranial cyst (5.7%), sinusitis (9.2%) and hydrocephalus/hydrancephaly (2.6%). When age groups were compared in terms of showing normal or abnormal cranial imaging findings, no statistically significant difference was found (p=0.73), but a statistically significant difference was found between the genders in the same respect (p=0.007).
Conclusion: Our study is important for including cranial MRI request indications and results in pediatric practice and it creating a diagnostic profile in these patients.
References
- Duyn JH. Study of brain anatomy with high-field MRI: recent progress. Magn Reson Imaging 2010; 28 (8): 1210-5.
- Baker LC. Atlas SW, Afendulis CC. Expanded use of imaging technology and the challenge of measuring value. Health Aff (Millwood) 2008; 27 (6): 1467-78.
- Gooden CK. Anesthesia for magnetic resonance imaging. Curr Opin Anaesthesiol 2004 Aug; 17 (4): 339-42.
- Trost MJ, Robison N, Coffey D, et al. Changing trends in brain imaging technique for pediatric patients with ventriculoperitoneal shunts. Pediatr Neurosurg 2018; 53 (2): 116-20.
- Lateef TM, Kriss R, Carpenter K, et al. Neurologic complaints in young children in the ED: when is cranial computed tomography helpful? Am J Emerg Med 2012 Oct; 30 (8): 1507-14.
- Kammer B, Pfluger T, Schubert MI, et al. Magnetic resonance imaging of pediatric patients. In: Reimer P., Parizel P.M., Stichnoth FA. (eds) Clinical MR Imaging. 1999 Springer, Berlin, Heidelberg.
- Ohana O, Soffer S, Zimlichman E, et al. Overuse of CT and MRI in paediatric emergency departments. Br J Radiol 2018 May; 91 (1085): 20170434.
- Scheinfeld MH, Moon JY, Fagan MJ, et al. MRI usage in a pediatric emergency department: an analysis of usage and usage trends over 5 years. Pediatr Radiol 2017 Mar; 47 (3): 327-32.
- Tütüncü Toker R, Bodur M, Özmen A, et al. Travma dışı nörolojik yakınma ile çocuk acil polikliniğine aşvuran hastaların değerlendirilmesi. Güncel Pediatri 2020; 18 (3): 434-43.
- Aydın H, Bucak İ. Yeni kurulan bir çocuk nöroloji polikliniğine aşvuran ilk 1000 hastanın retrospektif değerlendirilmesi. Balıkesir Medical Journal 2021;5 (1): 54-9.
- Barış M, Cantürk A, Karabay N. Acil servisten istenen beyin BT tetkiklerinin retrospektif analizi: klinik ön tanı ve sonuç karşılaştırması. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 2020; 34 (2): 103-10.
- Özkaya AK, Kamaşak T, Mutlu M, et al. Çocuk acilde travma dışı nedenlerle santral sinir sistemi görüntülemeleri. F.Ü.Sağ.Bil.Tıp.Derg 2019; 33 (2): 107 – 13.
- Zwart JA, Dyb G, Holmen TL, et al. The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord-Trøndelag Health Study (Head-HUNT-Youth), a large population-based epidemiological study. Cephalalgia 2004 May; 24 (5): 373-9.
- Okagaki JF. Practice parameter: The utility of neuroimaging in the evaluation of headache in patients with normal neurologic examinations, Neurology1994; 44 (7): 1353.
- Gurkas E, Karalok ZS, Taskın BD, et al. Brain magnetic resonance imaging findings in children with headache. Arch Argent Pediatr 2017 Dec 1; 115 (6): 349-55.
- Pavone P, Conti I, Le Pira A, et al. Primary headache: role of investigations in a cohort of young children and adolescents. Pediatr Int 2011 Dec; 53 (6): 964-7.
- Yılmaz Ü, Çeleğen M, Yılmaz TS, et al. Childhood headaches and brain magnetic resonance imaging findings. Eur J Paediatr Neurol 2014 Mar; 18 (2): 163-70.
- Martens D, Oster I, Gottschlling S, et al. Cerebral MRI and EEG studies in the initial management of pediatric headaches. Swiss Med Wkly 2012 Jul 10; 142.
- Alaee A, Abbaskhanian A, Azimi M, et al. Investigating Brain MRI findings in children with headache. Iran J Child Neurol 2018 Summer; 12 (3): 78-85.
- Kalnin AJ, Fastenau PS, deGrauw TJ, et al. Magnetic resonance imaging findings in children with a first recognized seizure. Pediatr Neurol 2008 Dec; 39 (6): 404-14.
- Minh Xuan N, Khanh Tuong T, Quang Huy H, et al. Magnetic resonance ımaging findings and their association with electroencephalogram data in children with partial epilepsy. Cureus 2020; 12 (5): e7922.
- Aycan A. Kraniyosinostozis: Ardışık 15 vakanın analizi ve tedavisi. Van Tıp Dergisi 2018; 25 (2): 150-4.
Abstract
Amaç: Bu çalışmada, poliklinik koşullarında kraniyal manyetik rezonans görüntüleme istenilen 0-18 yaş aralığındaki hastaların tanı profillerini ortaya çıkarmayı ve kraniyal görüntüleme sonuçlarını cinsiyete ve yaş gruplarına göre değerlendirmeyi hedefledik.
Gereç ve Yöntem: Ağustos 2019-Mart 2021 tarihleri arasında Balıkesir Üniversitesi Tıp Fakültesi çocuk nöroloji ile çocuk sağlığı ve hastalıkları polikliniklerinde çeşitli endikasyonlar ile kraniyal manyetik rezonans görüntüleme istenen 0-18 yaş arasındaki hastaların dosyaları retrospektif olarak incelendi. Yaş, cinsiyet, ana yakınma ve nöroradyolojik görüntüleme sonuçlarına hastane kayıtlarından ulaşıldı. Veriler üç ayrı yaş grubuna ( 0-6, 7-12, 13-18) ayrıldı.
Bulgular: 313 olgunun kraniyal manyetik rezonans görüntülemesi incelendi. Hastaların ortalama yaşı 9.35±4.89 (4 ay-17 yıl) yıl idi. 164 (%52,4) erkek, 149 (%47,6) kız cinsiyet idi. 0-6 yaş grubunda 82 (%26,2), 7-12 yaş 104 (%33,2) ve 13-18 yaş grubunda 127 (%40,6) olgu mevcuttu. En sık kraniyal manyetik rezonans görüntüleme istem sebepleri; 106 (%33,9) olgu ile nö et/epilepsi, 65 (%20,8) olgu ile baş ağrısı, 28 (%8,9) olgu ile nöromotor retardasyon idi. 200 (%63,9) olgunun kraniyal görüntülemesi normalken, 113 olgunun (%36,1) sonucu anormal olarak değerlendirildi. En sık saptanan anormal bulgular intrakraniyal kitle (%2,5), nonpsesifik beyaz cevher lezyonu (%5,1), intrakraniyal kist (%5,7), sinüzit (%9,2), hidrosefali/hidransefaliydi (%2,6). Kraniyal görüntüleme bulgularının normal veya anormal olması açısından yaş grupları karşılaştırıldığında istatiksel olarak anlamlı fark saptanmadı (p=0.73), aynı açıdan cinsiyetler arasında ise istatiksel olarak anlamlı fark saptandı (p=0.007).
Sonuç: Çalışmamız, pediatri pratiğinde kraniyal MRG istem endikasyonları ve sonuçlarını içeren bir araştırma olması ve bu hastalarda tanısal profil oluşturması nedeni ile önem arz etmektedir.
References
- Duyn JH. Study of brain anatomy with high-field MRI: recent progress. Magn Reson Imaging 2010; 28 (8): 1210-5.
- Baker LC. Atlas SW, Afendulis CC. Expanded use of imaging technology and the challenge of measuring value. Health Aff (Millwood) 2008; 27 (6): 1467-78.
- Gooden CK. Anesthesia for magnetic resonance imaging. Curr Opin Anaesthesiol 2004 Aug; 17 (4): 339-42.
- Trost MJ, Robison N, Coffey D, et al. Changing trends in brain imaging technique for pediatric patients with ventriculoperitoneal shunts. Pediatr Neurosurg 2018; 53 (2): 116-20.
- Lateef TM, Kriss R, Carpenter K, et al. Neurologic complaints in young children in the ED: when is cranial computed tomography helpful? Am J Emerg Med 2012 Oct; 30 (8): 1507-14.
- Kammer B, Pfluger T, Schubert MI, et al. Magnetic resonance imaging of pediatric patients. In: Reimer P., Parizel P.M., Stichnoth FA. (eds) Clinical MR Imaging. 1999 Springer, Berlin, Heidelberg.
- Ohana O, Soffer S, Zimlichman E, et al. Overuse of CT and MRI in paediatric emergency departments. Br J Radiol 2018 May; 91 (1085): 20170434.
- Scheinfeld MH, Moon JY, Fagan MJ, et al. MRI usage in a pediatric emergency department: an analysis of usage and usage trends over 5 years. Pediatr Radiol 2017 Mar; 47 (3): 327-32.
- Tütüncü Toker R, Bodur M, Özmen A, et al. Travma dışı nörolojik yakınma ile çocuk acil polikliniğine aşvuran hastaların değerlendirilmesi. Güncel Pediatri 2020; 18 (3): 434-43.
- Aydın H, Bucak İ. Yeni kurulan bir çocuk nöroloji polikliniğine aşvuran ilk 1000 hastanın retrospektif değerlendirilmesi. Balıkesir Medical Journal 2021;5 (1): 54-9.
- Barış M, Cantürk A, Karabay N. Acil servisten istenen beyin BT tetkiklerinin retrospektif analizi: klinik ön tanı ve sonuç karşılaştırması. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 2020; 34 (2): 103-10.
- Özkaya AK, Kamaşak T, Mutlu M, et al. Çocuk acilde travma dışı nedenlerle santral sinir sistemi görüntülemeleri. F.Ü.Sağ.Bil.Tıp.Derg 2019; 33 (2): 107 – 13.
- Zwart JA, Dyb G, Holmen TL, et al. The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord-Trøndelag Health Study (Head-HUNT-Youth), a large population-based epidemiological study. Cephalalgia 2004 May; 24 (5): 373-9.
- Okagaki JF. Practice parameter: The utility of neuroimaging in the evaluation of headache in patients with normal neurologic examinations, Neurology1994; 44 (7): 1353.
- Gurkas E, Karalok ZS, Taskın BD, et al. Brain magnetic resonance imaging findings in children with headache. Arch Argent Pediatr 2017 Dec 1; 115 (6): 349-55.
- Pavone P, Conti I, Le Pira A, et al. Primary headache: role of investigations in a cohort of young children and adolescents. Pediatr Int 2011 Dec; 53 (6): 964-7.
- Yılmaz Ü, Çeleğen M, Yılmaz TS, et al. Childhood headaches and brain magnetic resonance imaging findings. Eur J Paediatr Neurol 2014 Mar; 18 (2): 163-70.
- Martens D, Oster I, Gottschlling S, et al. Cerebral MRI and EEG studies in the initial management of pediatric headaches. Swiss Med Wkly 2012 Jul 10; 142.
- Alaee A, Abbaskhanian A, Azimi M, et al. Investigating Brain MRI findings in children with headache. Iran J Child Neurol 2018 Summer; 12 (3): 78-85.
- Kalnin AJ, Fastenau PS, deGrauw TJ, et al. Magnetic resonance imaging findings in children with a first recognized seizure. Pediatr Neurol 2008 Dec; 39 (6): 404-14.
- Minh Xuan N, Khanh Tuong T, Quang Huy H, et al. Magnetic resonance ımaging findings and their association with electroencephalogram data in children with partial epilepsy. Cureus 2020; 12 (5): e7922.
- Aycan A. Kraniyosinostozis: Ardışık 15 vakanın analizi ve tedavisi. Van Tıp Dergisi 2018; 25 (2): 150-4.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | June 13, 2022 |
| Submission Date | September 17, 2021 |
| Published in Issue | Year 2022 |