| Autor: |
Kühn, sven, sönksen, sven-erik, Noble, hans-Jürgen, Knopf, heinz, Frischmuth, Jörg, Waldeck, stephan, Müller-Forell, Wibke, Weber, Frank, Bressem, lothar |
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| Zdroj: |
Aerospace Medicine & Human Performance; May2022, Vol. 93 Issue 5, p450-457, 8p |
| Abstrakt: |
INTRODUCTION: With improved imaging technology, the number of incidental findings detected in cerebral MRi is increasing. this is a challenge that the German air Force has to deal with in the context of standardized MRi examinations of young pilot candidates and pilots. METHODS: the German air Force centre of aerospace Medicine hosted a 2-d conference to develop recommendations and procedures for the handling of some of the most frequently encountered cerebral incidental findings. RESULTS: Radiological MRi findings from a total of 2724 routine examinations of the skull of pilots and pilot applicants (26.8 ± 10.6 yr old; range from 16 to 62; over 80% range from 17 to 33; 96% men) revealed that in 28.1% of the examinations, one or more incidental findings were discovered. For seven of the following categories of incidental findings, decision guidelines could be established: white matter hyperintensities (N = 393; prevalence 14.4%; 95% ci 13.11--15.75), pinealis cysts (317; 11.6%; 10.43--12.84), developmental venous anomalies (64; 2.3%; 1.78--2.92), cavernomas (15; 0.6%; 0.27--0.83), aneurysms (14; 0.5%; 0.25--0.78), cholesterol granulomas (22; 0.8%; 0.47--1.14), and heterotopias of the gray matter (6; 0.2%; 0.04--0.4). CONCLUSION: considering pilots health and aviation safety, a waiver decision is often possible after thorough discussion, depending on the specific criteria of the incidental finding and of the type of license. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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