Literature DB >> 12791451

Clinical significance of incidental magnetic resonance image abnormalities in mastoid cavity and middle ear in children.

Karin Blomgren1, Soraya Robinson, Tuula Lönnqvist, Harri Saxèn, Anne Pitkäranta.   

Abstract

OBJECTIVE: Magnetic resonance imaging of the head may reveal incidental findings in paranasal sinuses. The purpose of this study was to discover whether similar changes could be identified in the mastoid cavity and middle ear as well.
METHODS: A group of 50 children undergoing magnetic resonance imaging of the head for suspected intracranial pathology were prospectively gathered. Their parents completed a questionnaire concerning each child's medical history connected with acute otitis media. Otoradiologists evaluated the pictures for mastoid cavity and middle ear and paranasal sinus abnormalities.
RESULTS: In six (12%) children, magnetic resonance imaging detected abnormalities resembling acute inflammatory changes, although none had had acute otitis media during the preceding last 3 months. Abnormalities detected in the paranasal sinuses were not correlated with abnormalities in the mastoid cavity and middle ear.
CONCLUSIONS: High signal intensity in magnetic resonance images from the mastoid cavity and middle ear may be incidental and without any clinical significance. These findings must be interpreted together with knowledge of the child's medical condition and clinical examination of the ears.

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Year:  2003        PMID: 12791451     DOI: 10.1016/s0165-5876(03)00094-6

Source DB:  PubMed          Journal:  Int J Pediatr Otorhinolaryngol        ISSN: 0165-5876            Impact factor:   1.675


  3 in total

Review 1.  Managing incidental findings in human subjects research: analysis and recommendations.

Authors:  Susan M Wolf; Frances P Lawrenz; Charles A Nelson; Jeffrey P Kahn; Mildred K Cho; Ellen Wright Clayton; Joel G Fletcher; Michael K Georgieff; Dale Hammerschmidt; Kathy Hudson; Judy Illes; Vivek Kapur; Moira A Keane; Barbara A Koenig; Bonnie S Leroy; Elizabeth G McFarland; Jordan Paradise; Lisa S Parker; Sharon F Terry; Brian Van Ness; Benjamin S Wilfond
Journal:  J Law Med Ethics       Date:  2008       Impact factor: 1.718

2.  Comparison of MR imaging findings in paediatric and adult patients with acute mastoiditis and incidental intramastoid bright signal on T2-weighted images.

Authors:  R Saat; G Mahmood; A Laulajainen-Hongisto; L Lempinen; A A Aarnisalo; J Jero; A Markkola
Journal:  Eur Radiol       Date:  2015-11-25       Impact factor: 5.315

3.  Differences in mastoid and middle-ear cavity opacification in CT between intensive care patients and patients with acute mastoiditis requiring surgical treatment.

Authors:  Simon Bernatz; Scherwin Mahmoudi; Simon S Martin; Iris Burck; Thomas J Vogl; Jörg Ackermann; Timo Stöver; Sven Balster; Maximilian Gröger
Journal:  Eur J Radiol Open       Date:  2021-06-21
  3 in total

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