Ganau Mario, Magdum Shailendra A, Calisto Amedeo
Department of Neurosurgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Transl Pediatr. 2021 Apr;10(4):1231-1243. doi: 10.21037/tp-20-484.
A short-cut narrative review was conducted according to the SANRA guidelines to identify studies describing normal and abnormal postoperative radiological features of the most common paediatric neurosurgical procedures. Rather than focusing on the original pathology addressed by neurosurgical means, this review explored three main areas of operative neurosurgery: ventricular access, supratentorial & infratentorial craniotomies, and posterior fossa/craniocervical junction decompression. A total of twenty-three landmark papers were included for review based on their relevance to address the research question and serve as a practical guide for paediatric neuroradiology trainees and fellows. Accurate in text referencing of the ClinicalTrials.gov identifier, and weblink, has also been provided for all trials discussed in the results section. All the above is complemented by relevant iconography meant to describe a wide range of postoperative changes and early complications. Finally, the review is enriched by a discussion touching upon haemostatic agents, intentionally retained foreign bodies and the future of machine learning for neuroradiology reporting. Overall, the information presented in a systematic fashion will not only help trainees and fellows to deepen these topics and expand their knowledge in preparation for written and oral boards, but will also represent a useful resource for everyone including trained neuroradiologists and neurosurgeons themselves.
根据SANRA指南进行了一项捷径叙述性综述，以识别描述最常见小儿神经外科手术正常和异常术后放射学特征的研究。本综述并非专注于神经外科手术所处理的原始病理学，而是探讨了手术神经外科的三个主要领域：脑室入路、幕上和幕下开颅手术以及后颅窝/颅颈交界减压术。基于其与解决研究问题的相关性，共纳入了23篇具有里程碑意义的论文进行综述，并作为小儿神经放射学实习生和研究员的实用指南。结果部分讨论的所有试验还准确提供了ClinicalTrials.gov标识符和网页链接的文本引用。上述所有内容都辅以相关的影像学资料，旨在描述广泛的术后变化和早期并发症。最后，通过对止血剂、故意留存的异物以及神经放射学报告中机器学习的未来进行讨论，丰富了本综述。总体而言，以系统方式呈现的信息不仅将帮助实习生和研究员深化这些主题，并扩展他们的知识，为笔试和口试做准备，而且对包括训练有素的神经放射学家和神经外科医生在内的所有人来说，都将是一个有用的资源。
