Streibert Phillipp Fridolin, Piroth Werner, Mansour Michael, Haage Patrick, Langer Thorsten, Borusiak Peter
Witten/Herdecke University, Germany.
Clin Pediatr (Phila). 2011 Dec;50(12):1134-9. doi: 10.1177/0009922811414289. Epub 2011 Jul 14.
The aim of this study was to evaluate the frequency of abnormal findings in magnetic resonance imaging (MRI) in children with headache, the clinical relevance of these findings, and whether more sophisticated technologies also result in more relevant abnormal findings. The MRIs of 1004 children with age ranging from 1 to 17 years were retrospectively analyzed. Children who were investigated with established sequences (n = 419) were compared with those examined with state-of-the-art MRI acquisition technology (n = 585). In 216/1004 investigations, MRI was performed because of headache (74/216 with established sequences, 142/216 with state-of-the-art acquisition technology). In 114/216 (52.8%) patients with headache, the MRI was abnormal with relevant findings in 23/114 patients and findings without clinical relevance in 91/114 children. A higher incidence of abnormal findings than in previous reports was found but there was only limited clinical gain of information using modern sequences in children with headache.
本研究的目的是评估头痛儿童磁共振成像（MRI）异常发现的频率、这些发现的临床相关性，以及更先进的技术是否也会带来更多相关的异常发现。对1004名年龄在1至17岁的儿童的MRI进行了回顾性分析。将采用既定序列进行检查的儿童（n = 419）与采用最先进的MRI采集技术进行检查的儿童（n = 585）进行比较。在1004次检查中，有216次是因头痛进行MRI检查（采用既定序列的74次，采用最先进采集技术的142次）。在114/216（52.8%）例头痛患者中，MRI异常，其中23/114例患者有相关发现，91/114例儿童的发现无临床相关性。发现异常发现的发生率高于以往报告，但在头痛儿童中使用现代序列获得的临床信息增益有限。
