期刊文献+
共找到2篇文章
< 1 >
每页显示 20 50 100
Does sevoflurane sedation in pediatric patients lead to“pseudo”leptomeningeal enhancement in the brain on 3 Tesla magnetic resonance imaging?
1
作者 kiran hilal Kumail Khandwala +2 位作者 Saima Rashid Faheemullah Khan Shayan Sirat Maheen Anwar 《World Journal of Radiology》 2023年第4期127-135,共9页
BACKGROUND Prominent leptomeningeal contrast enhancement(LMCE)in the brain is observed in some pediatric patients during sedation for imaging.However,based on clinical history and cerebrospinal fluid analysis,the pati... BACKGROUND Prominent leptomeningeal contrast enhancement(LMCE)in the brain is observed in some pediatric patients during sedation for imaging.However,based on clinical history and cerebrospinal fluid analysis,the patients are not acutely ill and do not exhibit meningeal signs.Our study determined whether sevoflurane inhalation in pediatric patients led to this pattern of‘pseudo’LMCE(pLMCE)on 3 Tesla magnetic resonance imaging(MRI).AIM To highlight the significance of pLMCE in pediatric patients undergoing enhanced brain MRI under sedation to avoid misinterpretation in reports.METHODS A retrospective cross-sectional evaluation of pediatric patients between 0-8 years of age was conducted.The patients underwent enhanced brain MRI under inhaled sevoflurane.The LMCE grade was determined by two radiologists,and interobserver variability of the grade was calculated using Cohen’s kappa.The LMCE grade was correlated with duration of sedation,age and weight using the Spearman rho rank correlation.RESULTS A total of 63 patients were included.Fourteen(22.2%)cases showed mild LMCE,48(76.1%)cases showed moderate LMCE,and 1 case(1.6%)showed severe LMCE.We found substantial agreement between the two radiologists in detection of pLMCE on post-contrast T1 imaging(kappa value=0.61;P<0.001).Additionally,we found statistically significant inverse and moderate correlations between patient weight and age.There was no correlation between duration of sedation and pLMCE.CONCLUSION pLMCE is relatively common on post-contrast spin echo T1-weighted MRI of pediatric patients sedated by sevoflurane due to their fragile and immature vasculature.It should not be misinterpreted for meningeal pathology.Knowing pertinent clinical history of the child is an essential prerequisite to avoid radiological overcalling and the subsequent burden of additional investigations. 展开更多
关键词 BRAIN Pediatrics Gadolinium contrast Pseudo leptomeningeal enhancement 3 Tesla magnetic resonance imaging SEVOFLURANE
下载PDF
Interobserver reliability between pediatric radiologists and residents in ultrasound evaluation of intraventricular hemorrhage in premature infants
2
作者 Muhammad Danish Barakzai Ayimen Khalid +4 位作者 Zara Za Sheer Faheemullah Khan Naila Nadeem Noman Khan kiran hilal 《World Journal of Radiology》 2022年第11期367-374,共8页
BACKGROUND Germinal matrix intraventricular hemorrhage(IVH)may contribute to significant morbidity and mortality in premature infants.Timely identification and grading of IVH affect decision-making and clinical outcom... BACKGROUND Germinal matrix intraventricular hemorrhage(IVH)may contribute to significant morbidity and mortality in premature infants.Timely identification and grading of IVH affect decision-making and clinical outcomes.There is possibility of misinterpretation of the ultrasound appearances,and the interobserver variability has not been investigated between radiology resident and board-certified radiologist.AIM To assess interobserver reliability between senior radiology residents performing bedside cranial ultrasound during on-call hours and pediatric radiologists.METHODS From June 2018 to June 2020,neonatal cranial ultrasound examinations were performed in neonatal intensive care unit.Ultrasound findings were recorded by the residents performing the ultrasound and the pediatric attending radiologists.RESULTS In total,200 neonates were included in the study,with a mean gestational age of 30.9 wk.Interobserver agreement for higher grade(Grade III&IV)IVH was excellent.There was substantial agreement for lower grade(Grade I&II)IVH.CONCLUSION There is strong agreement between radiology residents and pediatric radiologists,which is higher for high grade IVHs. 展开更多
关键词 Ultrasound head Neonatal cranial ultrasound Cranial ultrasound Intraventricular hemorrhage Neonatal intraventricular hemorrhage
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部