ABSTRACT
Currently, standardized magnetic resonance imaging (MRI) scoring systems and protocols for assessment of idiopathic inflammatory myopathies (IIMs) in children and adults are lacking. Therefore, we will perform a scoping review of the literature to collate and evaluate the existing semi-quantitative and quantitative MRI scoring systems and protocols for the assessment and monitoring of skeletal muscle involvement in patients with IIMs. The aim is to compile evidence-based information that will facilitate the future development of a universal standardized MRI scoring system for both research and clinical applications in IIM. A systematic search of electronic databases (PubMed, EMBASE, and Cochrane) will be undertaken to identify relevant articles published between January 2000 and October 2023. Data will be synthesized narratively. This scoping review seeks to comprehensively summarize and evaluate the evidence on the scanning protocols and scoring systems used in the assessment of diagnosis, disease activity, and damage using skeletal muscle MRI in IIMs. The results will allow the development of consensus recommendations for clinical practice and enable the standardization of research methods for the MRI assessment of skeletal muscle changes in patients with IIMs.
Subject(s)
Magnetic Resonance Imaging , Muscle, Skeletal , Myositis , Humans , Magnetic Resonance Imaging/methods , Myositis/diagnostic imaging , Muscle, Skeletal/diagnostic imaging , Child , Adult , Whole Body Imaging/methods , Research DesignABSTRACT
BACKGROUND: Gender inequalities in academic medicine persist despite progress over the past decade. Evidence-based targeted interventions are needed to reduce gender inequalities. OBJECTIVE: This systematic review aimed to investigate the impact of COVID-19 on gender trends in authorship of paediatric radiology research worldwide. MATERIALS AND METHODS: This prospectively registered, PRISMA-compliant systematic review searched the following databases: PubMed, MEDLINE, Web of Science, and Scopus from January 1, 2018, to May 29, 2023, with no restrictions on country of origin. Screening and data extraction occurred independently and in duplicate. Gender of first, last, and corresponding authors were determined using an artificial intelligence-powered, validated, multinational database ( www.genderize.io ). Two time periods were categorised according to the Johns Hopkins Center for Systems Science and Engineering: pre-COVID (prior to March 2020) and peak and post-COVID (March 2020 onwards). One-sample binomial testing was used to analyse proportion of authorship based on gender. Categorical variables were described as frequencies and percentages, and compared using testing chi-square or Fisher exact testing, with a threshold of P<0.05 representing statistical significance. RESULTS: In total, 922 articles were included with 39 countries represented. A statistically significant difference in authorship based on gender persisted during the peak and post-COVID time period (March 2020 onwards) where women represented a statistically significant lower proportion of last (35.5%) and corresponding (42.7%) authors (P<0.001, P=0.001, respectively). Statistically significant differences for first authors were not found in either period (P=0.08 and P=0.48). CONCLUSION: This study identifies differences in gender trends for authorship in paediatric radiology research worldwide. Future efforts to increase authorship by women are needed.
Subject(s)
Authorship , COVID-19 , Pediatrics , Radiology , Humans , COVID-19/epidemiology , Female , Male , SARS-CoV-2 , Periodicals as Topic , SexismABSTRACT
Os autores estudaram tres casos de ascaridiase na infancia que apresentaram aspectos radiologicos, ultra-sonograficos e intra-operatorios caracteristicos...
Subject(s)
Humans , Infant , Child, Preschool , Ascaridiasis/complications , Ascaridiasis/surgery , Ascaridiasis/diagnosis , Ascaridiasis , Ascaridiasis , Diagnosis, Differential , Diagnostic Imaging , Tomography, X-Ray ComputedABSTRACT
Os autores descrevem um caso de gemelaridade conjugada incompleta, em que o feto parasito apresentava bacia, perineo e membros inferiores ligados a pelve do hospedeiro. Trata-se de um caso raro, no qual os métodos de imagem contribuiram para a conduta pós-natal, conferindo uma sobrevida adequada
Subject(s)
Humans , Female , Infant, Newborn , Pregnancy , Congenital, Hereditary, and Neonatal Diseases and Abnormalities/diagnosis , Twins, Monozygotic , Diagnostic Imaging/methods , Ultrasonography , UrographyABSTRACT
Os autores relatam um caso de osteomelite em membros inferiores, em que houve migração de êmbolos sépticos para os pulmões, como complicação do quadro inicial. Discute-se a clínica, a patologia e a possibilidade de se fazer o diagnóstico por meio da radiografia convencional, da tomografia computadorizada e da cintilografia.
Subject(s)
Adolescent , Male , Humans , Pulmonary Embolism/diagnosis , Pulmonary Embolism/etiology , Osteomyelitis/complications , Osteomyelitis/diagnosis , Osteomyelitis/etiology , Systemic Inflammatory Response SyndromeABSTRACT
Os autores relatam um caso de osteoartropatia hipertrófica na infância, associada a hepatopatia crônica. Recentemente, foi observado que, após transplante hepa´tico, pode haver melhora do quadro de artrite associado a osteoartropatia.
Subject(s)
Child, Preschool , Female , Humans , Jaundice/complications , Osteoarthropathy, Secondary Hypertrophic/diagnosis , Osteoarthropathy, Secondary Hypertrophic/etiology , Arthritis , Liver DiseasesABSTRACT
Os autores apresentam dois casos de osteopetrose com os principais achados imagenologicos do mesmo.