How has imaging of the head, neck and spine changed over 5 years in a district general hospital?

Over recent years, MRI has become the imaging modality of choice for examination of the head, neck and spine. The primary objective was to compare the clinical benefit of CT with MRI for children being investigated at a district general hospital. Secondary outcome measures were the change in amount...

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Bibliographic Details
Published in:Pediatric radiology 2002-02, Vol.32 (2), p.110-113
Main Authors: BUNN, Hazel J, PUGH, Robert E, THOMSON, Alistair
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child
Child, Preschool
Female
Head - diagnostic imaging
Head and Neck Neoplasms - diagnosis
Headache - etiology
Hospitals, General - trends
Humans
Infant
Infant, Newborn
Magnetic Resonance Imaging - trends
Male
Medical sciences
Neck - diagnostic imaging
Outcome Assessment (Health Care)
Predictive Value of Tests
Radiology Department, Hospital - trends
Retrospective Studies
Seizures - etiology
Spine - diagnostic imaging
Tomography, X-Ray Computed - trends
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Summary:Over recent years, MRI has become the imaging modality of choice for examination of the head, neck and spine. The primary objective was to compare the clinical benefit of CT with MRI for children being investigated at a district general hospital. Secondary outcome measures were the change in amount of and indications for imaging. This was a retrospective case note review of two 1-year periods. Clinical benefit was determined according to the diagnostic ability of the investigation. Statistical analysis was performed using the chi-square test. In 1992-1993 (period I) there were 74 CT scans, (40 boys, median age 3.4 years, range 0-18.0 years). In 1996-1997 (period II) there were 104 scans (50 CT, 54 MRI; 49 boys, median age 6.2 years, range 0.2-16.7 years). Imaging increased by 40% between the two periods. MRI gave enhanced clinical benefit over CT (P
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-001-0584-4