The University of Southampton
University of Southampton Institutional Repository

Indications for the performance of neuroimaging in children

Indications for the performance of neuroimaging in children
Indications for the performance of neuroimaging in children
Pediatric neurology relies on ultrasound, computed tomography (CT) and magnetic resonance (MR) imaging. CT prevails in acute neurological presentations, including traumatic brain injury (TBI), non-traumatic coma, stroke and status epilepticus, because of easy availability, with images of diagnostic quality, e.g. to exclude haemorrhage, usually completed quickly enough to avoid sedation. Concerns over the risks of ionizing radiation mean re-imaging and higher dose procedures, e.g. arteriography and venography, require justification. T1/T2-weighted imaging (T1/T2-WI) MR with additional sequences (arteriography, venography, T2*, spectroscopy, diffusion tensor, perfusion, diffusion- (DWI) and susceptibility-weighted (SWI)) often clarifies the diagnosis, which may alter management in acute settings, as well as chronic conditions, e.g. epilepsy. Clinical acumen remains essential to avoid imaging, e.g. in genetic epilepsies or migrainous headaches responding to treatment, or to target sequences to specific diagnosis e.g. T1/T2-WI for shunt dysfunction (with SWI for TBI); DWI, arteriography including neck vessels, and venography for acute hemiplegia or coma; coronal temporal cuts for partial epilepsy; or muscle imaging for motor delay. The risk of general anesthesia is low; ‘head only’ scanners may allow rapid MRI without sedation. Timely and accurate reporting, with discrepancy discussion between expert neuroradiologists, is important for management of the child and the family’s expectations.
1275-1290
Elsevier
Kirkham, Fenella
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Kirkham, Fenella
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58

Kirkham, Fenella (2016) Indications for the performance of neuroimaging in children. In, Handbook of Cinical Neurology: Neuroimaging II. Cambridge, GB. Elsevier, pp. 1275-1290. (doi:10.1016/B978-0-444-53486-6.00065-X).

Record type: Book Section

Abstract

Pediatric neurology relies on ultrasound, computed tomography (CT) and magnetic resonance (MR) imaging. CT prevails in acute neurological presentations, including traumatic brain injury (TBI), non-traumatic coma, stroke and status epilepticus, because of easy availability, with images of diagnostic quality, e.g. to exclude haemorrhage, usually completed quickly enough to avoid sedation. Concerns over the risks of ionizing radiation mean re-imaging and higher dose procedures, e.g. arteriography and venography, require justification. T1/T2-weighted imaging (T1/T2-WI) MR with additional sequences (arteriography, venography, T2*, spectroscopy, diffusion tensor, perfusion, diffusion- (DWI) and susceptibility-weighted (SWI)) often clarifies the diagnosis, which may alter management in acute settings, as well as chronic conditions, e.g. epilepsy. Clinical acumen remains essential to avoid imaging, e.g. in genetic epilepsies or migrainous headaches responding to treatment, or to target sequences to specific diagnosis e.g. T1/T2-WI for shunt dysfunction (with SWI for TBI); DWI, arteriography including neck vessels, and venography for acute hemiplegia or coma; coronal temporal cuts for partial epilepsy; or muscle imaging for motor delay. The risk of general anesthesia is low; ‘head only’ scanners may allow rapid MRI without sedation. Timely and accurate reporting, with discrepancy discussion between expert neuroradiologists, is important for management of the child and the family’s expectations.

Text
Neuroimaging handbook.docx - Accepted Manuscript
Restricted to Repository staff only
Request a copy

More information

Accepted/In Press date: 30 April 2016
e-pub ahead of print date: 16 July 2016
Published date: 16 July 2016
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 404244
URI: https://eprints.soton.ac.uk/id/eprint/404244
PURE UUID: d3ddba13-15b6-4a78-b766-e0bedfc47811
ORCID for Fenella Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

Catalogue record

Date deposited: 05 Jan 2017 09:42
Last modified: 26 Nov 2019 01:51

Export record

Altmetrics

Contributors

Author: Fenella Kirkham ORCID iD

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×