Proisy Maïa, Riffaud Laurent, Chouklati Kamal, Tréguier Catherine, Bruneau Bertrand
CHU Rennes, Department of Radiology, Hôpital Sud, F-35203 Rennes, France; INSERM U1228 VisAGeS Unit, CNRS UMR 6074, Université de Rennes 1, F-35042 Rennes, France.
CHU Rennes, Department of Neurosurgery, CHU de Rennes, F-35033 Rennes, France.
Eur J Radiol. 2017 May;90:250-255. doi: 10.1016/j.ejrad.2017.03.006. Epub 2017 Mar 18.
The aim of this study was to report our experience with ultrasonography in our routine practice for the diagnosis of cranial deformity in infants.
We conducted a single-institution retrospective study of infants referred to our department because of skull deformity. We only included in this study infants having undergone both US and 3D-CT to ensure accurate comparisons. Each cranial suture was described as normal or closed (partial or complete closure). Sonography examination results were correlated with 3D-CT findings as a gold-standard.
Forty infants were included with a mean age of 5.2±4.9months. Thirty had a craniosynostosis and 10 children had a postural deformity with normal sutures. Correlation between US and 3D-CT for the diagnosis of normal or closed suture had a specificity and a sensitivity of 100%. US examination for the diagnosis of complete or incomplete synostosis had a sensitivity of 100%.
Cranial US is an effective technique to make a positive or negative diagnosis of prematurely closed suture. US examination of sutures is a fast and non-radiating technique, which may serve as a first-choice imaging modality in infants with skull deformity.
本研究旨在报告我们在日常实践中使用超声检查诊断婴儿颅骨畸形的经验。
我们对因颅骨畸形转诊至我科的婴儿进行了单机构回顾性研究。本研究仅纳入同时接受了超声检查和三维CT检查的婴儿，以确保进行准确比较。每条颅缝被描述为正常或闭合（部分或完全闭合）。超声检查结果与作为金标准的三维CT结果进行相关性分析。
纳入40例婴儿，平均年龄5.2±4.9个月。其中30例患有颅缝早闭，10例儿童有姿势性畸形但颅缝正常。超声与三维CT在诊断正常或闭合颅缝方面的相关性特异性和敏感性均为100%。超声检查诊断完全或不完全颅缝早闭的敏感性为100%。
颅骨超声是对过早闭合颅缝做出阳性或阴性诊断的有效技术。颅缝超声检查是一种快速且无辐射的技术，可作为颅骨畸形婴儿的首选成像方式。
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