Brain death in children: is computed tomography angiography reliable as an ancillary test?
| Autor: | Eda Almus, Erhan Bıyıklı, Özge Yapıcı, Ferdağ Almus, Feyza İnceköy Girgin, Nilüfer Öztürk |
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| Přispěvatelé: | Almus E., BIYIKLI E., YAPICI Ö., Almus F., Girgin F. I., Ozturk N. |
| Rok vydání: | 2022 |
| Předmět: |
Nükleer Tıp
Sağlık Bilimleri DIAGNOSIS Pediatrics Clinical Medicine (MED) Çocuk Sağlığı ve Hastalıkları Child Health and Diseases CONFIRMATORY TEST Ancillary test Health Sciences PERFUSION Radyoloji Nükleer Tıp ve Görüntüleme Klinik Tıp (MED) Radiology Nuclear Medicine and imaging RADYOLOJİ NÜKLEER TIP ve MEDİKAL GÖRÜNTÜLEME Pediatri Perinatoloji ve Çocuk Sağlığı Children Internal Medicine Sciences Brain death Klinik Tıp Radiological and Ultrasound Technology Dahili Tıp Bilimleri CLINICAL MEDICINE Cerebral vessels CT ANGIOGRAPHY Tıp Pediatri Radyoloji ve Ultrason Teknolojisi Nuclear medicine RELIABILITY Pediatrics Perinatology and Child Health Medicine PEDİATRİ Computed tomography angiography RADIOLOGY NUCLEAR MEDICINE & MEDICAL IMAGING |
| Zdroj: | Pediatric Radiology. 53:131-141 |
| ISSN: | 1432-1998 0301-0449 |
| DOI: | 10.1007/s00247-022-05419-2 |
| Popis: | The diagnosis of brain death is primarily clinical. Sometimes ancillary tests are needed.This study compared sensitivity and interobserver agreement of the 10-, 7- and 4-point CT angiography scoring systems for the diagnosis of brain death in children.CT angiography examinations of 50 pediatric patients with a clinical diagnosis of brain death were evaluated according to 10-, 7- and 4-point scoring systems. Images were evaluated by two radiologists who considered the vessel opacification first in the arterial phase (AUsing the clinical exam as the reference standard, we found sensitivities for 10-, 7- and 4-point scoring systems to be 70%, 88% and 92% in the AJust as in adult age groups, in children the 4-point scale appears to be more sensitive than the 10- and 7-point scales for CT angiography-based assessment of brain death. Because the scoring systems have similar sensitivities, they could be used as ancillary tests in pediatric cases. |
| Databáze: | OpenAIRE |
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