Langford Stacey, Panigrahy Ashok, Narayanan Srikala, Hwang Misun, Fitz Charles, Flom Lynda, Lee Vincent Kyu, Zuccoli Giulio
Department of Radiology, Section of Neuroradiology, Children's Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Pittsburgh, PA, 15224, USA.
Neuroradiology. 2015 Dec;57(12):1263-8. doi: 10.1007/s00234-015-1584-7. Epub 2015 Aug 29.
The benefits of multiplanar reconstructed images (MPR) of unenhanced axial head computed tomography (CT) data have not been established in trauma patients younger than 3 years old, a population in which a reliable history and physical examination may be most difficult. We retrospectively evaluated unenhanced head CTs in pediatric trauma patients to investigate the various benefits of MPR in this age group.
A total of 221 unenhanced head CTs performed for any case of head trauma (HT) on children younger than 3 years old were independently reviewed by two radiologists. Studies were reviewed first in the standard axial plane alone and then with the addition of MPR. Reviewers were asked to determine if the MPR affected the ability to make findings of hemorrhage, incidental findings, and artifacts.
MPR improved the detection of hemorrhage in 14 cases (6.5 %, p-value < 0.01) and incidental findings in five cases (2.3 %, p-value < 0.05) as well as helped prove artifacts in five cases (2.3 %, p-value < 0.05).
Routine use of MPR in HT patients younger than 3 years old has the potential to increase the detection of acute and incidental imaging findings.
对于3岁以下的创伤患者，未增强的轴向头部计算机断层扫描（CT）数据的多平面重建图像（MPR）的益处尚未得到证实，而这个年龄段的患者可能最难获得可靠的病史和进行体格检查。我们回顾性评估了儿科创伤患者的未增强头部CT，以研究MPR在该年龄组中的各种益处。
两名放射科医生独立回顾了对3岁以下儿童因任何头部创伤（HT）病例进行的总共221次未增强头部CT。首先仅在标准轴位平面上回顾研究，然后再加上MPR进行回顾。要求审阅者确定MPR是否影响发现出血、偶然发现和伪影的能力。
MPR在14例（6.5%，p值<0.01）中提高了出血的检出率，在5例（2.3%，p值<0.05）中提高了偶然发现的检出率，并在5例（2.3%，p值<0.05）中帮助证实了伪影。
在3岁以下的HT患者中常规使用MPR有可能提高急性和偶然影像学发现的检出率。
