A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Emergency neck MRI: feasibility and diagnostic accuracy in cases of neck infection
Tekijät: Nurminen J, Velhonoja J, Heikkinen J, Happonen T, Nyman M, Irjala H, Soukka T, Mattila K, Hirvonen J
Kustantaja: SAGE PUBLICATIONS LTD
Julkaisuvuosi: 2020
Journal: Acta Radiologica
Tietokannassa oleva lehden nimi: ACTA RADIOLOGICA
Lehden akronyymi: ACTA RADIOL
Artikkelin numero: ARTN 0284185120940242
Sivujen määrä: 8
ISSN: 0284-1851
eISSN: 1600-0455
DOI: https://doi.org/10.1177/0284185120940242
Verkko-osoite: https://doi.org/10.1177/0284185120940242
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/49709352
Background: Computed tomography (CT) has traditionally been the first-line imaging method in neck emergencies such as deep neck infections. Due to superior soft-tissue contrast, magnetic resonance imaging (MRI) may be an alternative to CT, also in emergency situations.
Purpose: To characterize the use of routine MRI in neck emergencies, with an emphasis on clinical feasibility and diagnostic accuracy in cases of neck infection.
Material and Methods: We conducted a retrospective cohort study of all primary neck MRI scans performed using a 3-T MRI device during a five-year follow-up period in a tertiary emergency radiology department. Imaging data were compared with final clinical diagnosis and surgical findings as reference standards.
Results: The search identified 461 primary neck MRI scans, of which 334 (72%) were performed on the basis of clinical suspicion of infection. Radiological evidence of infection was observed in 95% of these scans, and at least one abscess was detected in 229 cases (72% of confirmed infection). MRI had an overall technical success rate of 95% and had high positive predictive value for both infection (0.98) and detection of abscess (0.95).
Conclusion: We found that emergency neck MRI can be successfully performed on most patients, and that MRI detects neck infection with a high accuracy. These results suggest that MRI may be an alternative to CT as the first or only imaging modality in neck emergencies.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
