[Cranial suture ultrasound for reducing radiation exposure in diagnosis of craniosynostosis in young children]. / Ul'trazvukovoe issledovanie shvov cherepa kak mera snizheniya luchevoi nagruzki v diagnostike kraniosinostozov u detei rannego vozrasta.
Zh Vopr Neirokhir Im N N Burdenko
; 86(2): 64-70, 2022.
Article
in Ru
| MEDLINE
| ID: mdl-35412714
ABSTRACT
Currently, there are no standards for examining patients with suspected craniosynostosis. CT of the brain with 3D skull reconstruction is a common approach to diagnose craniosynostosis in many hospitals. This technique in pediatric patients is associated with a high dose of ionizing radiation and prompts searching for other diagnostic methods. OBJECTIVE:
To generalize an experience of cranial suture ultrasound and compare diagnostic capabilities of various ultrasound devices. MATERIAL ANDMETHODS:
We retrospectively analyzed data of cranial suture ultrasound in 49 patients under the age of 14 months with a suspected craniosynostosis. All patients underwent expert-class ultrasound. Of these, 10 patients underwent middle-class ultrasound. Age of these patients ranged from 2 to 10 months.RESULTS:
According to ultrasound data, we have found 48 synostotic sutures in 42 patients. There were 2 inaccurate results among these 48 sutures. In both cases, expert-class ultrasound confirmed partial closure of cranial sutures while 3D CT revealed their complete closure. Sensitivity and specificity of technique were 95.8% and 100%, respectively. Both expert- and middle-class ultrasound revealed synostotic sutures in 10 children under 1 year old.CONCLUSION:
Our data have shown that ultrasound of cranial sutures may be a first-line imaging technique. This method has high sensitivity and specificity in pediatric patients. Moreover, middle-class ultrasound devices may be used for diagnosis.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Radiation Exposure
/
Craniosynostoses
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
Limits:
Child
/
Child, preschool
/
Humans
/
Infant
Language:
Ru
Journal:
Zh Vopr Neirokhir Im N N Burdenko
Year:
2022
Type:
Article
Affiliation country:
RUSSIA