Kevin W Taylor1, Michael M Moore2, James Brian3, Sosamma Methratta4, Stephanie Bernard5. 1. Department of Radiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States. Electronic address: 1kevtaylor@gmail.com. 2. Department of Radiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States. Electronic address: mmoore5@hmc.psu.edu. 3. Department of Radiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States. Electronic address: jbrian@hmc.psu.edu. 4. Department of Radiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States. Electronic address: smethratta@hmc.psu.edu. 5. Department of Radiology, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States. Electronic address: sbernard@hmc.psu.edu.
Abstract
OBJECTIVES: Evaluate the impact of wrist MRI in children on clinical diagnosis and management. MATERIALS AND METHODS: Four year retrospective analysis including demographics, MRI diagnoses, and effect on diagnoses and management were determined. RESULTS: 101 patients were included. Wrist MRI altered management in 86% (95% CI: 77-92%) and diagnosis in 46% (36-56%) of patients. MRI changed both diagnosis and management in 41% (31-51%), changed management only in 46% (35-56%), changed diagnosis only in 5% (2-12%), and had no change in diagnosis or management in 9% (95% CI: 4-17%). CONCLUSION: Wrist MRI in children changes clinical diagnosis and management in a substantial proportion of cases.
OBJECTIVES: Evaluate the impact of wrist MRI in children on clinical diagnosis and management. MATERIALS AND METHODS: Four year retrospective analysis including demographics, MRI diagnoses, and effect on diagnoses and management were determined. RESULTS: 101 patients were included. Wrist MRI altered management in 86% (95% CI: 77-92%) and diagnosis in 46% (36-56%) of patients. MRI changed both diagnosis and management in 41% (31-51%), changed management only in 46% (35-56%), changed diagnosis only in 5% (2-12%), and had no change in diagnosis or management in 9% (95% CI: 4-17%). CONCLUSION: Wrist MRI in children changes clinical diagnosis and management in a substantial proportion of cases.
Authors: Anne-Sophie van der Post; Sjoerd Jens; Frank F Smithuis; Miryam C Obdeijn; Roelof-Jan Oostra; Mario Maas Journal: Skeletal Radiol Date: 2021-04-17 Impact factor: 2.199