Computed Tomography Vs Magnetic Resonance Imaging for Identifying Acute Lesions in Pediatric Traumatic Brain Injury

Buttram, Sandra; Garcia-Filion, Pamela; Miller, Jeffrey H; Youssfi, Mostafa; Brown, Seth M.; Dalton, Heidi J.; Adelson, P. David

doi:10.1542/hpeds.2014-0094

Cited by 46 publications

(27 citation statements)

References 30 publications

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“…Buttram et al [12] debate the merits of using CAT scan (CT) versus MRI to image children who may be victims of AHT. The studies are complementary, with 3D reconstruction of CT scan providing information about skull fractures and MRI often yielding more information about parenchymal injury.…”

Section: Abusive Head Traumamentioning

confidence: 99%

Child maltreatment

Newton¹

2016

Current Opinion in Pediatrics

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Section: Abusive Head Traumamentioning

confidence: 99%

Child maltreatment

Newton¹

2016

Current Opinion in Pediatrics

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“…33,34 Though CT remains the diagnostic standard in acute neuroimaging, where available MRI may provide additional clinically relevant information, in addition to that required for immediate surgical decision making or acute management decisions such as hospital admission. 35 In particular, intraparenchymal lesions, such as contusions, ischemia, and traumatic or diffuse axonal injury, and posterior fossa lesions may not be easily detectable on CT imaging but evident with MRI. Such lesions not only correlate with outcomes but may also impact clinical management decisions.…”

Section: Acute and Serial Imaging-evolving Goalsmentioning

confidence: 99%

The Role of Neuroimaging in the Diagnosis, Treatment, and Prognosis of Traumatic Brain Injury in Children

Murphy

Duhaime

2016

J Pediatr Neuroradiol

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Neuroimaging is a central pillar in the diagnosis, management, prognostication, and research of pediatric traumatic brain injury (TBI). Head computed tomography (CT) is the most readily available and rapid method of acute neuroimaging in emergency departments and it has been viewed as the diagnostic standard. However, concern about excessive and unnecessary radiation exposure in children has led to the development of clinical prediction rules with a goal of limiting excessive CT imaging in children with blunt head trauma. There is a trend toward increased use of structural magnetic resonance imaging (MRI) including tailored rapid techniques, in both acute and follow-up imaging in children. Where available, MRI is more sensitive for parenchymal injury than CT and may fulfill the dual goal of decreasing radiation exposure and increasing the yield of more subtle parenchymal trauma. In the current era of TBI management, the diagnosis and treatment of TBI is driven increasingly by neuroimaging. The ability of neuroimaging to provide multidimensional information, specifically, pathoanatomic classification of injuries, as well as important data on injury evolution over time, is increasingly relied upon to match appropriate treatments to the pathophysiology specific to a given injury profile. When combined with premorbid, acute clinical, biomarker, and genetic data, the hope is that multidimensional characterization of injury will improve current management of children with TBIs as well as stratify patients more effectively for clinical trials in the future.

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“…7 Several studies have shown that conventional MRI has equal or higher sensitivity for detection of intracranial hemorrhage and intraparenchymal injury. 6,[8][9][10][11] A retrospective study of 105 children with TBI reported that conventional MRI detected more than twice as many intraparenchymal lesions compared with CT. 11 In addition, Huisman et al reported that diffusion weighted imaging (DWI) identifies the largest number of TAI lesions fast-spin echo (FSE) T2weighted (T2WI), fluid-attenuated inversion recovery (FLAIR), and T2 Ã gradient-recall echo (GRE) sequences. 12 DWI was also shown to contribute to predictive models of injury outcomes.…”

Section: The Evolving Role Of Mri In Acute Pediatric Tbimentioning

confidence: 99%

Use of Conventional and Advanced MRI Techniques in Accidental Pediatric Traumatic Brain Injury

Mendoza

Kadom

Palasis

et al. 2016

J Pediatr Neuroradiol

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Traumatic brain injury (TBI) has a complex and dynamic pathophysiology, and neuroimaging plays a critical role in its evaluation in the acute, subacute, and chronic settings. Here, we describe technical advancements in magnetic resonance (MR) imaging techniques that promote use of MRI for acute TBI in children to avoid radiation exposure. We also discuss the value of using advanced MR imaging techniques for research in children with TBI.

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Computed Tomography Vs Magnetic Resonance Imaging for Identifying Acute Lesions in Pediatric Traumatic Brain Injury

Cited by 46 publications

References 30 publications

Child maltreatment

Child maltreatment

The Role of Neuroimaging in the Diagnosis, Treatment, and Prognosis of Traumatic Brain Injury in Children

Use of Conventional and Advanced MRI Techniques in Accidental Pediatric Traumatic Brain Injury

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