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Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study

Although serious accidents remain the leading cause of pediatric mortality, protocols to orient diagnostic procedures towards a certain type of initial imaging are widely needed. Since 2007, we have performed whole-body magnetic resonance imaging (WBMR) and whole-body computed tomography (WBCT) for...

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Autores principales: Raimann, Marnie, Ludwig, Johanna, Heumann, Peter, Rechenberg, Ulrike, Goelz, Leonie, Mutze, Sven, Schellerer, Vera, Ekkernkamp, Axel, Bakir, Mustafa Sinan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093446/
https://www.ncbi.nlm.nih.gov/pubmed/37046436
http://dx.doi.org/10.3390/diagnostics13071218
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author Raimann, Marnie
Ludwig, Johanna
Heumann, Peter
Rechenberg, Ulrike
Goelz, Leonie
Mutze, Sven
Schellerer, Vera
Ekkernkamp, Axel
Bakir, Mustafa Sinan
author_facet Raimann, Marnie
Ludwig, Johanna
Heumann, Peter
Rechenberg, Ulrike
Goelz, Leonie
Mutze, Sven
Schellerer, Vera
Ekkernkamp, Axel
Bakir, Mustafa Sinan
author_sort Raimann, Marnie
collection PubMed
description Although serious accidents remain the leading cause of pediatric mortality, protocols to orient diagnostic procedures towards a certain type of initial imaging are widely needed. Since 2007, we have performed whole-body magnetic resonance imaging (WBMR) and whole-body computed tomography (WBCT) for diagnoses of severely injured children. We retrospectively reviewed 134 WBMR and 158 WBCT in patients younger than 16 years that were performed at two trauma centers between 2007 and 2018. A higher Injury Severity Score (ISS) was found in WBCT vs. WBMR (10.6 vs. 5.8; p = 0.001), but without any significant difference in mortality. The WBMR was significantly preferred at younger ages (9.6 vs. 12.8 years; p < 0.001). The time between patient’s arrival until diagnosis was 2.5 times longer for WBCT (92.1 vs. 37.1 min; p < 0.001). More patients in the CT group received analgesic sedation and/or intubation at 37.3% vs. 21.6% in the MRI group. Of these patients, 86.4% (CT) and 27.6% (MRI) were already preclinically sedated (p < 0.001). Correspondingly, 72.4% of the patients were first sedated in-hospital for MRIs. In conclusion, WBMR is an alternative and radiation-free imaging method for high-energy-traumatized children. Although the selected diagnostics seemed appropriate, limitations regarding longer duration or additional analgesic sedation are present, and further studies are needed.
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spelling pubmed-100934462023-04-13 Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study Raimann, Marnie Ludwig, Johanna Heumann, Peter Rechenberg, Ulrike Goelz, Leonie Mutze, Sven Schellerer, Vera Ekkernkamp, Axel Bakir, Mustafa Sinan Diagnostics (Basel) Article Although serious accidents remain the leading cause of pediatric mortality, protocols to orient diagnostic procedures towards a certain type of initial imaging are widely needed. Since 2007, we have performed whole-body magnetic resonance imaging (WBMR) and whole-body computed tomography (WBCT) for diagnoses of severely injured children. We retrospectively reviewed 134 WBMR and 158 WBCT in patients younger than 16 years that were performed at two trauma centers between 2007 and 2018. A higher Injury Severity Score (ISS) was found in WBCT vs. WBMR (10.6 vs. 5.8; p = 0.001), but without any significant difference in mortality. The WBMR was significantly preferred at younger ages (9.6 vs. 12.8 years; p < 0.001). The time between patient’s arrival until diagnosis was 2.5 times longer for WBCT (92.1 vs. 37.1 min; p < 0.001). More patients in the CT group received analgesic sedation and/or intubation at 37.3% vs. 21.6% in the MRI group. Of these patients, 86.4% (CT) and 27.6% (MRI) were already preclinically sedated (p < 0.001). Correspondingly, 72.4% of the patients were first sedated in-hospital for MRIs. In conclusion, WBMR is an alternative and radiation-free imaging method for high-energy-traumatized children. Although the selected diagnostics seemed appropriate, limitations regarding longer duration or additional analgesic sedation are present, and further studies are needed. MDPI 2023-03-23 /pmc/articles/PMC10093446/ /pubmed/37046436 http://dx.doi.org/10.3390/diagnostics13071218 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Raimann, Marnie
Ludwig, Johanna
Heumann, Peter
Rechenberg, Ulrike
Goelz, Leonie
Mutze, Sven
Schellerer, Vera
Ekkernkamp, Axel
Bakir, Mustafa Sinan
Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study
title Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study
title_full Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study
title_fullStr Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study
title_full_unstemmed Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study
title_short Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics—A Retrospective Long-Term Two-Center Study
title_sort whole-body magnetic resonance tomography and whole-body computed tomography in pediatric polytrauma diagnostics—a retrospective long-term two-center study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093446/
https://www.ncbi.nlm.nih.gov/pubmed/37046436
http://dx.doi.org/10.3390/diagnostics13071218
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