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Magnetic resonance imaging of the spine in a pediatric population: incidental findings

OBJECTIVE: To determine the prevalence of incidental findings on magnetic resonance imaging (MRI) scans of the cervical, thoracic and lumbar spine in a paediatric population. MATERIALS AND METHODS: We evaluated 190 spinal MRI examinations of patients aged ≤ 18 years of age. The study included only p...

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Autores principales: Daher, Renato Tavares, Daher, Murilo Tavares, Daher, Ricardo Tavares, Rabahi, Marcelo Fouad, Fernandes, Marcos Rassi, Gama, Hugo Pereira Pinto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7545738/
https://www.ncbi.nlm.nih.gov/pubmed/33071373
http://dx.doi.org/10.1590/0100-3984.2018.0099
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author Daher, Renato Tavares
Daher, Murilo Tavares
Daher, Ricardo Tavares
Rabahi, Marcelo Fouad
Fernandes, Marcos Rassi
Gama, Hugo Pereira Pinto
author_facet Daher, Renato Tavares
Daher, Murilo Tavares
Daher, Ricardo Tavares
Rabahi, Marcelo Fouad
Fernandes, Marcos Rassi
Gama, Hugo Pereira Pinto
author_sort Daher, Renato Tavares
collection PubMed
description OBJECTIVE: To determine the prevalence of incidental findings on magnetic resonance imaging (MRI) scans of the cervical, thoracic and lumbar spine in a paediatric population. MATERIALS AND METHODS: We evaluated 190 spinal MRI examinations of patients aged ≤ 18 years of age. The study included only patients for whom complete medical records were available and who underwent complete MRI examination of the cervical, thoracic or lumbar spine, including whole-spine sagittal T2-weighted sequences. Imaging findings not related to the symptom or indication for MRI were considered incidental findings. RESULTS: Of the 190 MRI examinations evaluated, 110 were in women and 80 were in men. The mean age of the study population was 12.46 ± 3.68 years. The main clinical indications for MRI in the sample were lumbago, scoliosis, dorsalgia and cervicalgia. Incidental findings were detected in the cervical, thoracic and lumbar spine in 40 (21.05%), 26 (13.83%) and 43 (22.63%) of the patients, respectively. The most common were (in the cervical spine) reversal/correction of the normal curvature; (in the thoracic spine) intravertebral disc herniation (Schmorl’s node) and disc dehydration; and (in the lumbar spine) disc protrusion (12 cases), Schmorl’s node (5 cases) and spondylolysis (4 cases). CONCLUSION: Incidental findings on MRI of the spine are less common in the paediatric population than in the adult population. Nevertheless, careful clinical evaluation of paediatric patients with complaints of axial and radiating pain is necessary in order to determine the correlation between symptoms and imaging findings.
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spelling pubmed-75457382020-10-15 Magnetic resonance imaging of the spine in a pediatric population: incidental findings Daher, Renato Tavares Daher, Murilo Tavares Daher, Ricardo Tavares Rabahi, Marcelo Fouad Fernandes, Marcos Rassi Gama, Hugo Pereira Pinto Radiol Bras Original Article OBJECTIVE: To determine the prevalence of incidental findings on magnetic resonance imaging (MRI) scans of the cervical, thoracic and lumbar spine in a paediatric population. MATERIALS AND METHODS: We evaluated 190 spinal MRI examinations of patients aged ≤ 18 years of age. The study included only patients for whom complete medical records were available and who underwent complete MRI examination of the cervical, thoracic or lumbar spine, including whole-spine sagittal T2-weighted sequences. Imaging findings not related to the symptom or indication for MRI were considered incidental findings. RESULTS: Of the 190 MRI examinations evaluated, 110 were in women and 80 were in men. The mean age of the study population was 12.46 ± 3.68 years. The main clinical indications for MRI in the sample were lumbago, scoliosis, dorsalgia and cervicalgia. Incidental findings were detected in the cervical, thoracic and lumbar spine in 40 (21.05%), 26 (13.83%) and 43 (22.63%) of the patients, respectively. The most common were (in the cervical spine) reversal/correction of the normal curvature; (in the thoracic spine) intravertebral disc herniation (Schmorl’s node) and disc dehydration; and (in the lumbar spine) disc protrusion (12 cases), Schmorl’s node (5 cases) and spondylolysis (4 cases). CONCLUSION: Incidental findings on MRI of the spine are less common in the paediatric population than in the adult population. Nevertheless, careful clinical evaluation of paediatric patients with complaints of axial and radiating pain is necessary in order to determine the correlation between symptoms and imaging findings. Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2020 /pmc/articles/PMC7545738/ /pubmed/33071373 http://dx.doi.org/10.1590/0100-3984.2018.0099 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Daher, Renato Tavares
Daher, Murilo Tavares
Daher, Ricardo Tavares
Rabahi, Marcelo Fouad
Fernandes, Marcos Rassi
Gama, Hugo Pereira Pinto
Magnetic resonance imaging of the spine in a pediatric population: incidental findings
title Magnetic resonance imaging of the spine in a pediatric population: incidental findings
title_full Magnetic resonance imaging of the spine in a pediatric population: incidental findings
title_fullStr Magnetic resonance imaging of the spine in a pediatric population: incidental findings
title_full_unstemmed Magnetic resonance imaging of the spine in a pediatric population: incidental findings
title_short Magnetic resonance imaging of the spine in a pediatric population: incidental findings
title_sort magnetic resonance imaging of the spine in a pediatric population: incidental findings
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7545738/
https://www.ncbi.nlm.nih.gov/pubmed/33071373
http://dx.doi.org/10.1590/0100-3984.2018.0099
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