Wrist MR imaging in children: Effect on clinical diagnosis and management

被引：4
|
作者：
Taylor, Kevin W. [1 ]
Moore, Michael M. [1 ]
Brian, James [1 ]
Methratta, Sosamma [1 ]
Bernard, Stephanie [1 ]
机构：
[1] Penn State Milton S Hershey Med Ctr, Dept Radiol, 500 Univ Dr, Hershey, PA 17033 USA
来源：
CLINICAL IMAGING | 2017年 / 44卷
关键词：
MRI; Wrist; Children; Pediatric; Utility; OCCULT SCAPHOID FRACTURES; COST-EFFECTIVENESS; TRAUMA; ARTHRITIS; UTILITY; HAND;
D O I：
10.1016/j.clinimag.2017.04.001
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Objectives: Evaluate the impact of wrist MRI in children on clinical diagnosis and management. Materials and methods: Four year retrospective analysis including demographics, MRI diagnoses, and effect on diagnoses and management were determined. Results: 101 patients were included. Wrist MRI altered management in 86% (95% CI: 77-92%) and diagnosis in 46% (36-56%) of patients. MRI changed both diagnosis and management in 41% (31-51%), changed management only in 46% (35-56%), changed diagnosis only in 5% (2-12%), and had no change in diagnosis or management in 9% (95% CI: 4-17%). Conclusion: Wrist MRI in children changes clinical diagnosis and management in a substantial proportion of cases. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码：61 / 65
页数：5
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