Islamic International Medical College, Rawalpindi, 44000, MBBS, Pakistan.
Neurosurg Rev. 2024 Sep 19;47(1):641. doi: 10.1007/s10143-024-02897-w.
Pediatric head trauma is a significant cause of morbidity and mortality, with children, particularly those under two years old, being more susceptible to skull fractures due to their unique physiological and developmental characteristics. A recent study by Azusa Ono et al. examined the impact of repeated imaging in children under 24 months with minor head trauma, revealing that 40.6% of those who underwent follow-up MRI after an initial CT scan showed new intracranial findings. The study emphasizes the importance of careful consideration of repeated imaging based on initial findings and associated risk factors, such as the presence of subcutaneous hematoma and fractures intersecting coronal sutures. This underscores the need for improved diagnostic approaches to minimize radiation exposure while ensuring accurate diagnosis.Artificial Intelligence (AI) offers a promising solution, with research indicating that AI models can significantly improve diagnostic precision, increasing accuracy from 78.1 to 85.2% and reducing errors by two to three times. Additionally, AI has demonstrated high accuracy in detecting various types of brain hemorrhages, potentially facilitating earlier and more precise detection of hematomas associated with skull fractures. Integrating AI into diagnostic practices could enhance early detection, reduce diagnostic errors, and improve outcomes for pediatric head trauma cases. The study underscores the critical need for advanced diagnostic methods to better manage and treat head injuries in young children, where timely and accurate diagnosis is crucial.
儿科头部创伤是发病率和死亡率的一个重要原因,由于儿童,特别是 2 岁以下的儿童,具有独特的生理和发育特征,因此更容易发生颅骨骨折。最近,Azusa Ono 等人的一项研究检查了对 24 个月以下有轻微头部创伤的儿童进行重复成像的影响,结果显示,在初始 CT 扫描后进行后续 MRI 检查的儿童中,有 40.6%显示出新的颅内发现。该研究强调了根据初始发现和相关风险因素(如存在皮下血肿和交叉冠状缝的骨折)仔细考虑重复成像的重要性。这凸显了需要改进诊断方法,以尽量减少辐射暴露,同时确保准确诊断。人工智能 (AI) 提供了一个有前途的解决方案,研究表明,AI 模型可以显著提高诊断精度,将准确性从 78.1%提高到 85.2%,并将错误减少两到三倍。此外,AI 在检测各种类型的脑出血方面具有很高的准确性,可能有助于更早、更准确地检测与颅骨骨折相关的血肿。将 AI 纳入诊断实践可以提高早期检测能力,减少诊断错误,并改善儿科头部创伤病例的预后。该研究强调了需要先进的诊断方法来更好地管理和治疗幼儿头部受伤的迫切需要,因为及时和准确的诊断至关重要。