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

页码：61 / 65

页数：5

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