التفاصيل البيبلوغرافية
العنوان: |
Use of EOS Low-Dose Biplanar X-Ray for Shunt Series in Children with Hydrocephalus: A Preliminary Study. |
المؤلفون: |
Ben-Sira, Liat1, Shiran, Shelly I.1, Pratt, Li-tal1, Precel, Ronit1, Ovadia, Dror2, Constantini, Shlomi3, Roth, Jonathan3 jonaroth@gmail.com |
المصدر: |
World Neurosurgery. Aug2018, Vol. 116, pe273-e277. 1p. |
مصطلحات موضوعية: |
*HYDROCEPHALUS in children, *PEDIATRIC neurology, *BRAIN diseases, *RETROSPECTIVE studies, *RADIOGRAPHY |
مستخلص: |
Introduction Shunt series (SS) are a common diagnostic tool used to verify shunt integrity. SS include X-ray films of the skull, chest, and abdomen and often are performed either when a shunted patient presents with suspected shunt malfunction or as a screening test to identify shunt disconnections or dislodgment. EOS low-dose biplanar X-rays are associated with significantly reduced radiation doses compared with ordinary X-rays and are used for various indications. This is the first publication on the use of EOS as a SS technique. Methods Over a period of 6 months, EOS were performed at our center for various orthopedic indications, mostly for scoliosis evaluation. Nine children (<20 years of age) had a ventriculoperitoneal shunt and served as the study group. We retrospectively reviewed shunt visibility and integrity in the EOS scans as well as regular SS or plain spinal X-rays. Results Three patients had bilateral shunts, and 8 had previous X-rays for comparison. In all patients, the shunt integrity was easily demonstrated on the EOS images. Two patients had an identified shunt disconnection confirmed on the EOS images. No shunt-related information was missed on the EOS compared with the other X-ray images. Conclusions These preliminary results suggest that EOS may be used as an alternative technology to demonstrate shunt integrity instead of regular X-ray SS. Favorable shunt visibility without the need for multiple radiation exposures and image processing (such as stitching) results in a significantly shorter examination time and significant less radiation. [ABSTRACT FROM AUTHOR] |
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