Transtemporal Ultrasound (US) Assessment of Third Ventricle Diameter (TVD): Comparison of US and MRI TVD in Pediatric Patients
| Autor: | Louise L. Schweizer, Andrea Bevot, Susanne R. Kerscher, Michael Alber, Martin U. Schuhmann, Thomas Nägele |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Adolescent Ultrasonography Doppler Transcranial Computed tomography 030105 genetics & heredity Ventricular system 03 medical and health sciences 0302 clinical medicine medicine Humans Prospective Studies Child Measurement plane Retrospective Studies Third Ventricle Brain Diseases Third ventricle medicine.diagnostic_test business.industry Brain Neoplasms Ultrasound Infant Newborn Infant Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging Hydrocephalus Clinical Practice medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Neurology (clinical) business Nuclear medicine Tomography X-Ray Computed 030217 neurology & neurosurgery |
| Zdroj: | Neuropediatrics. 51(3) |
| ISSN: | 1439-1899 |
| Popis: | Introduction In a retrospective magnetic resonance imaging (MRI)-based study, we showed that changes of the third ventricle diameter (TVD) are a reliable mirror of changes of the entire ventricular system. The third ventricle is easily accessible in more than 90% of children and adults using ultrasound (US) via the transtemporal bone-window; thus it can be assessed quickly and free of radiation. In order to use transtemporal US determination of TVD instead of MRI/CT in clinical practice, it is important to know if there is a correlation and bias between both methods, which is addressed in this study. Materials and Method This prospective study investigates 122 children (newborn–18 years). Diagnoses encompassed hydrocephalus (50%), tumors (14.8%), and other intracranial pathologies (35.2%). US-based TVD was measured via the transtemporal bone-window using a phased array 1 to 4MHz transducer. Results were compared with TVD measured on simultaneously acquired axial T1-weighted axial MRI or computed tomography (CT) scans. Results Overall mean values for TVD were 6.56 ± 5.84 and 6.47 ± 5.64 mm for US and MRI, respectively. There was an outstanding correlation between TVD measured by MRI and US (r = 0.991, p Conclusion US- and MRI-based TVD measurements correlate excellently and measure almost identical TVD values. US-based TVD is in mean ∼0.096 mm larger than MRI-based TVD due to a more angulated measurement plane. US is equal to the gold-standard MRI, a fact, opening new avenues for US-based TVD as a first-line assessment tool of ventricular width. |
| Databáze: | OpenAIRE |
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