儿童腕关节磁共振成像：对临床诊断和治疗的影响。
Wrist MR imaging in children: Effect on clinical diagnosis and management.
作者信息
Taylor Kevin W, Moore Michael M, Brian James, Methratta Sosamma, Bernard Stephanie
机构信息
Department of Radiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States.
出版信息
Clin Imaging. 2017 Jul-Aug;44:61-65. doi: 10.1016/j.clinimag.2017.04.001. Epub 2017 Apr 22.
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.
目的
评估儿童腕关节磁共振成像（MRI）对临床诊断和治疗的影响。
材料与方法
进行了为期四年的回顾性分析，确定了患者的人口统计学资料、MRI诊断结果以及对诊断和治疗的影响。
结果
共纳入101例患者。腕关节MRI改变了86%（95%可信区间：77%-92%）患者的治疗方案，改变了46%（36%-56%）患者的诊断结果。MRI同时改变诊断和治疗方案的患者占41%（31%-51%），仅改变治疗方案的占46%（35%-56%），仅改变诊断结果的占5%（2%-12%），对诊断和治疗方案均无改变的占9%（95%可信区间：4%-17%）。
结论
儿童腕关节MRI在很大比例的病例中改变了临床诊断和治疗方案。
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