Changing Trends in Brain Imaging Technique for Pediatric Patients with Ventriculoperitoneal Shunts
| Autor: | R. Aaron Robison, Nathan Robison, Mary Rose Mamey, Margaret J. Trost, Dean Coffey |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Malignancy Ventriculoperitoneal Shunt Article 03 medical and health sciences Ventriculoperitoneal shunts 0302 clinical medicine Neuroimaging Older patients 030225 pediatrics Medical imaging medicine Humans Child Retrospective Studies medicine.diagnostic_test business.industry Incidence (epidemiology) Shunt malfunction Brain Magnetic resonance imaging General Medicine Radiation Exposure medicine.disease Magnetic Resonance Imaging Pediatrics Perinatology and Child Health Surgery Female Neurology (clinical) Radiology business Tomography X-Ray Computed 030217 neurology & neurosurgery Hydrocephalus |
| Popis: | Background: Children with ventriculoperitoneal shunts (VPS) undergoing brain computed tomography (CT) for shunt malfunction evaluation are at risk for later malignancy due to radiation exposure. We aimed to determine if and how hospitals have adopted radiation-avoiding magnetic resonance imaging (MRI) techniques. Methods: We performed a secondary analysis of the Pediatric Health Information System (PHIS) database. Children with VPS presenting to acute wards at 31 PHIS hospitals between January 1, 2007 and January 2, 2015 and receiving noncontrast neuroimaging on day of service 0/1 were included. Outcome measures were (1) incidence of MRI over time and (2) comparison of demographic characteristics between hospitals with MRI representing higher versus lower proportions (>15% or Results: MRIs increased by 18.1% from 2007 to 2015. Hospitals were assigned to high-use (n = 12) or minimal-use (n = 19) MRI groups based on year 2014/2015 MRI percentages. The only identified difference was an older mean age in the high-use group (8.1 vs. 7.5 years; p = 0.03). Conclusions: MRI is increasingly used to evaluate patients with VPS. Hospitals with more MRI use had older patients and no increase in cost or length of stay. Initiating local quality improvement projects may help identify barriers to MRI uptake and increase use. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|