1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => FreeToRead
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)


  
    



















































































































    Minimizing Radiation Exposure in Evaluation of Pediatric Head Trauma: Use of Rapid MR Imaging | American Journal of Neuroradiology  
    



















    































    
  
  




    
    

  

      


    

      

  
  
  

    

  

    

  

                
    

      

  

    

  
      
  
  

    


Advertisement



  



  


  
  



  



    

  


  


  


  
  
  
  
  
  

  	      


    
      

    
  
    
        
    

  

    
                        

  

                
    

      

	  

		
		

			

			  

  
      
  
  

    

  
  
      
Research ArticlePEDIATRICS

  
      

  
      
Minimizing Radiation Exposure in Evaluation of Pediatric Head Trauma: Use of Rapid MR Imaging
  
    	
H. Mehta, J. Acharya, A.L. Mohan, M.E. Tobias, L. LeCompte and D. Jeevan

  
    	
American Journal of Neuroradiology January 2016,  37 (1) 11-18; DOI: https://doi.org/10.3174/ajnr.A4464 

  
  
  



  


  
  



			

		

	
	
 	
	  
  

		
		

			

			  

  
      
  
  

    
  


  
  



  
      
  
  

    

  

    

  
      
  
  

    
References
  1. 1.↵
    1. 

    2. Luerssen  TG, 
    3. Klauber  MR, 
    4. Marshall  LF
    . Outcome from head injury related to patient's age: a longitudinal prospective study of adult and pediatric head injury. J Neurosurg 1988;68:409–16 doi:10.3171/jns.1988.68.3.0409 pmid:3343613
    CrossRefPubMedWeb of Science
  2. 2.↵
    1. 

    2. Rutland-Brown  W, 
    3. Langlois  JA, 
    4. Thomas  KE, et al
    . Incidence of traumatic brain injury in the United States, 2003. J Head Trauma Rehabil 2006;21:544–48 doi:10.1097/00001199-200611000-00009 pmid:17122685
    CrossRefPubMedWeb of Science
  3. 3.↵
    1. 

    2. Colvin  JD, 
    3. Thurm  C, 
    4. Pate  BM, et al
    . Diagnosis and acute management of patients with concussion at children's hospitals. Arch Dis Child 2013;98:934–38 doi:10.1136/archdischild-2012-303588 pmid:23852997
    Abstract/FREE Full Text
  4. 4.↵
    1. 

    2. Morrison  J, 
    3. Mâsse  B, 
    4. Ouellet  P, et al
    . Four-film X-ray series is more sensitive than 2-film for diagnosis of skull fractures in children. Pediatr Emerg Care 2013;29:1189–93 doi:10.1097/PEC.0b013e3182a9f7c1 pmid:24168880
    CrossRefPubMed
  5. 5.↵
    1. 

    2. Af Geijerstam  JL, 
    3. Britton  M, 
    4. Marke  LA
    . Mild head injury: observation or computed tomography? Economic aspects by literature review and decision analysis. Emerg Med J 2004;21:54–58 doi:10.1136/emj.2003.003178 pmid:14734377
    Abstract/FREE Full Text
  6. 6.↵
    1. 

    2. Stein  SC, 
    3. Burnett  MG, 
    4. Glick  HA
    . Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study. J Trauma 2006;61:558–66 doi:10.1097/01.ta.0000233766.60315.5e pmid:16966987
    CrossRefPubMedWeb of Science
  7. 7.↵
    1. 

    2. Sarsfield  MJ, 
    3. Morley  EJ, 
    4. Callahan  JM, et al
    . Evaluation of emergency medicine discharge instructions in pediatric head injury. Pediatr Emerg Care 2013;29:884–87 doi:10.1097/PEC.0b013e31829ec0d9 pmid:23903674
    CrossRefPubMed
  8. 8.↵
    1. 

    2. Schnadower  D, 
    3. Vazquez  H, 
    4. Lee  J, et al
    . Controversies in the evaluation and management of minor blunt head trauma in children. Curr Opin Pediatr 2007;19:258–64 doi:10.1097/MOP.0b013e3281084e85 pmid:17505183
    CrossRefPubMedWeb of Science
  9. 9.↵
    1. 

    2. Schutzman  SA, 
    3. Greenes  DS
    . Pediatric minor head trauma. Ann Emerg Med 2001;37:65–74 doi:10.1067/mem.2001.109440 pmid:11145776
    CrossRefPubMedWeb of Science
  10. 10.↵
    1. 

    2. Toyama  Y, 
    3. Kobayashi  T, 
    4. Nishiyama  Y, et al
    . CT for acute stage of closed head injury. Radiat Med 2005;23:309–16 pmid:16342901
    PubMed
  11. 11.↵
    1. 

    2. Blackwell  CD, 
    3. Gorelick  M, 
    4. Holmes  JF, et al
    . Pediatric head trauma: changes in use of computed tomography in emergency departments in the United States over time. Ann Emerg Med 2007;49:320–24 doi:10.1016/j.annemergmed.2006.09.025 pmid:17145113
    CrossRefPubMedWeb of Science
  12. 12.↵
    1. 

    2. Klig  JE
    . Issues of computerized tomography scans in children and implications for emergency care. Curr Opin Pediatr 2006;18:231–33 doi:10.1097/01.mop.0000193319.06322.76 pmid:16721140
    CrossRefPubMed
  13. 13.↵
    1. 

    2. Brenner  D, 
    3. Elliston  C, 
    4. Hall  E, et al
    . Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 2001;176:289–96 doi:10.2214/ajr.176.2.1760289 pmid:11159059
    CrossRefPubMedWeb of Science
  14. 14.↵
    1. 

    2. Malviya  S, 
    3. Voepel-Lewis  T, 
    4. Eldevik  OP, et al
    . Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes. Br J Anaesth 2000;84:743–48 doi:10.1093/oxfordjournals.bja.a013586 pmid:10895749
    Abstract/FREE Full Text
  15. 15.↵
    1. 

    2. Coté  CJ, 
    3. Karl  HW, 
    4. Notterman  DA, et al
    . Adverse sedation events in pediatrics: analysis of medications used for sedation. Pediatrics 2000;106:633–44 doi:10.1542/peds.106.4.633 pmid:11015502
    Abstract/FREE Full Text
  16. 16.↵
    1. 

    2. Partovi  S, 
    3. Fram  EK, 
    4. Karis  JP
    . Fast spin echo MR imaging. Neuroimaging Clin N Am 1999;9:553–76 pmid:10433645
    PubMed
  17. 17.↵
    1. 

    2. Ikeda  K, 
    3. Hokuto  I, 
    4. Mori  K, et al
    . Intrauterine MRI with single-shot fast-spin echo imaging showed different signal intensities in hypoplastic lungs. J Perinat Med 2000;28:151–54 pmid:10875102
    CrossRefPubMed
  18. 18.↵
    1. 

    2. Ashley  WW  Jr., 
    3. McKinstry  RC, 
    4. Leonard  JR, et al
    . Use of rapid-sequence magnetic resonance imaging for evaluation of hydrocephalus in children. J Neurosurg 2005;103(2 suppl):124–30 doi:10.3171/jns.2005.103.1.0124 pmid:16370277
    CrossRefPubMed
  19. 19.↵
    1. 

    2. O'Neill  BR, 
    3. Pruthi  S, 
    4. Bains  H, et al
    . Rapid sequence magnetic resonance imaging in the assessment of children with hydrocephalus. World Neurosurg 2013;80:e307–312 doi:10.1016/j.wneu.2012.10.066 pmid:23111234
    CrossRefPubMedWeb of Science
  20. 20.↵
    1. 

    2. Thompson  EM, 
    3. Baird  LC, 
    4. Selden  NR
    . Results of a North American survey of rapid-sequence MRI utilization to evaluate cerebral ventricles in children. J Neurosurg Pediatr 2014;13:636–40 doi:10.3171/2014.2.PEDS13567 pmid:24724716
    CrossRefPubMed
  21. 21.↵
    1. 

    2. Missios  S, 
    3. Quebada  PB, 
    4. Forero  JA, et al
    . Quick-brain magnetic resonance imaging for nonhydrocephalus indications. J Neurosurg Pediatr 2008;2:438–44 doi:10.3171/PED.2008.2.12.438 pmid:19035694
    CrossRefPubMed
  22. 22.↵
    1. 

    2. Landis  JR, 
    3. Koch  GG
    . The measurement of observer agreement for categorical data. Biometrics 1977;33:159–74 doi:10.2307/2529310 pmid:843571
    CrossRefPubMedWeb of Science
  23. 23.↵
    1. 

    2. Roguski  M, 
    3. Morel  B, 
    4. Sweeney  M, et al
    . Magnetic resonance imaging as an alternative to computed tomography in select patients with traumatic brain injury: a retrospective comparison. J Neurosurg Pediatr 2015;15:529–34 doi:10.3171/2014.10.PEDS14128 pmid:25700122
    CrossRefPubMed
  24. 24.↵
    1. 

    2. Hennelly  KE, 
    3. Mannix  R, 
    4. Nigrovic  LE, et al
    . Pediatric traumatic brain injury and radiation risks: a clinical decision analysis. J Pediatr 2013;162:392–97 doi:10.1016/j.jpeds.2012.07.018 pmid:22921827
    CrossRefPubMed
  25. 25.↵
    1. 

    2. Lee  H, 
    3. Wintermark  M, 
    4. Gean  AD, et al
    . Focal lesions in acute mild traumatic brain injury and neurocognitive outcome: CT versus 3T MRI. J Neurotrauma 2008;25:1049–56 doi:10.1089/neu.2008.0566 pmid:18707244
    CrossRefPubMedWeb of Science
  26. 26.↵
    1. 

    2. Gentry  LR, 
    3. Godersky  JC, 
    4. Thompson  B, et al
    . Prospective comparative study of intermediate-field MR and CT in the evaluation of closed head trauma. AJR Am J Roentgenol 1988;150:673–82 doi:10.2214/ajr.150.3.673 pmid:3257625
    CrossRefPubMedWeb of Science
  27. 27.↵
    1. 

    2. Jenkins  A, 
    3. Teasdale  G, 
    4. Hadley  MD, et al
    . Brain lesions detected by magnetic resonance imaging in mild and severe head injuries. Lancet 1986;2:445–46 pmid:2874424
    CrossRefPubMedWeb of Science
  28. 28.↵
    1. 

    2. Mittl  RL, 
    3. Grossman  RI, 
    4. Hiehle  JF, et al
    . Prevalence of MR evidence of diffuse axonal injury in patients with mild head injury and normal head CT findings. AJNR Am J Neuroradiol 1994;15:1583–89 pmid:7985582
    Abstract/FREE Full Text
  29. 29.↵
    1. 

    2. Orrison  WW, 
    3. Gentry  LR, 
    4. Stimac  GK, et al
    . Blinded comparison of cranial CT and MR in closed head injury evaluation. AJNR Am J Neuroradiol 1994;15:351–56 pmid:8192085
    Abstract/FREE Full Text
  30. 30.↵
    1. 

    2. Yuh  EL, 
    3. Mukherjee  P, 
    4. Lingsma  HF, et al
    ; TRACK-TBI Investigators. Magnetic resonance imaging improves 3-month outcome prediction in mild traumatic brain injury. Ann Neurol 2013;73:224–35 doi:10.1002/ana.23783 pmid:23224915
    CrossRefPubMed
  31. 31.↵
    1. 

    2. Smith-Bindman  R, 
    3. Lipson  J, 
    4. Marcus  R, et al
    . Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009;169:2078–86 doi:10.1001/archinternmed.2009.427 pmid:20008690
    CrossRefPubMedWeb of Science
  32. 32.↵
    1. 

    2. Linton  OW, 
    3. Mettler  FA  Jr.
    ; National Council on Radiation Protection and Measurements. National conference on dose reduction in CT, with an emphasis on pediatric patients. AJR Am J Roentgenol 2003;181:321–29 doi:10.2214/ajr.181.2.1810321 pmid:12876005
    CrossRefPubMedWeb of Science
  33. 33.↵
    1. 

    2. White  KS
    . Invited article: helical/spiral CT scanning—a pediatric radiology perspective. Pediatr Radiol 1996;26:5–14 doi:10.1007/BF01403695 pmid:8598996
    CrossRefPubMedWeb of Science
  34. 34.↵
    1. 

    2. Kashluba  S, 
    3. Hanks  RA, 
    4. Casey  JE, et al
    . Neuropsychologic and functional outcome after complicated mild traumatic brain injury. Arch Phys Med Rehabil 2008;89:904–11 doi:10.1016/j.apmr.2007.12.029 pmid:18452740
    CrossRefPubMedWeb of Science
  35. 35.↵
    1. 

    2. Sadowski-Cron  C, 
    3. Schneider  J, 
    4. Senn  P, et al
    . Patients with mild traumatic brain injury: immediate and long-term outcome compared to intra-cranial injuries on CT scan. Brain Inj 2006;20:1131–37 doi:10.1080/02699050600832569 pmid:17123929
    CrossRefPubMedWeb of Science
  


  
  



  




  


  
  



  
      
  
  

    
  


  
  



  
      
  
  

     Back to top  


  
  



			

		

		
		

			

			  

  
        
In this issue

    
  
  

    
  


  
  



  
      
  
  

    

  

    

  
      
  
  

    


Advertisement



  



  


  
  



  



  


  
  



  
      
  
  

    

	  
  

		

          

            

  
      
  
  

     Print  


  
  



  
      
  
  

     Download PDF  


  
  



  
      
  
  

    
 Email Article
  


  
  



  
      
  
  

    
 Citation Tools
  


  
  



          

        

        
        

          

            



  
      
  
  

    

  

    

  
      
  
  

    

  
  
  
  
      
Minimizing Radiation Exposure in Evaluation of Pediatric Head Trauma: Use of Rapid MR Imaging
  
    	
H. Mehta, J. Acharya, A.L. Mohan, M.E. Tobias, L. LeCompte, D. Jeevan

  
    	
American Journal of Neuroradiology Jan 2016, 37 (1) 11-18; DOI: 10.3174/ajnr.A4464 

  
  
  



  


  
  



  
      
  
  

    

  
    
  
  
    
  
  
    
  


  


  
  



  
      
  
  

    
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  


  
  



  



  


  
  



  
      
  
  

    
  


  
  



          

        

	
 	
	
	


  


  
  



  
      
  
  

    
              Purchase  


  
  



  
        
Jump to section

    
  
  

    
  


  
  



  
      
  
  

    
  


  
  



			

		

	
	
 	
	
	


    

  



  

                
    

      

  

    

  
      
  
  

    


Advertisement