Diffusion-weighted magnetic resonance imaging for diagnosis of post-operative paediatric cholesteatoma
| Autor: | R McCallum, H Coleman, H Pervaiz, G Irwin, K McAllister |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | The Journal of Laryngology & Otology. 137:484-489 |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | ObjectivesHigh rates of recidivism are reported after paediatric cholesteatoma surgery. Our practice has adapted to include non-echoplanar diffusion-weighted magnetic resonance imaging for the diagnosis of residual or recurrent cholesteatoma. This audit aimed to evaluate the performance of non-echoplanar diffusion-weighted magnetic resonance imaging in our paediatric population.MethodsA retrospective review was conducted of non-echoplanar diffusion-weighted magnetic resonance imaging scans performed to detect residual disease or recurrence after surgery for cholesteatoma in children from 1 January 2012 to 30 November 2017 in our centre. Follow-up diffusion-weighted magnetic resonance imaging scans were reviewed to 16 August 2019.ResultsThirty-four diffusion-weighted magnetic resonance imaging scans were included. The sensitivity and specificity values of diffusion-weighted magnetic resonance imaging for detecting post-operative cholesteatoma were 81 per cent and 72 per cent, respectively. Positive predictive and negative predictive values were 72 per cent and 81 per cent, respectively.ConclusionUse of diffusion-weighted magnetic resonance imaging is recommended as a replacement for routine second-look surgical procedures in the paediatric population. However, we would caution that patients require close follow up after negative diffusion-weighted magnetic resonance imaging findings. |
| Databáze: | OpenAIRE |
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