Diagnostic value of spinal ultrasound compared to MRI for diagnosis of spinal anomalies in pediatrics
Background Spinal dysraphism (SD) is a spectrum of congenital disorders. MRI is the gold standard technique for diagnosis of SD. Spinal ultrasonography (USG) can be used as a screening tool for SD in infants. The purpose of our study is to assess the diagnostic value of spinal USG in the diagnosis o...
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| Veröffentlicht in: | Egyptian Journal of Radiology and Nuclear Medicine 2020-01, Vol.51 (1), p.18-11, Article 18 |
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| creator | Tawfik, Nermeen A. Ahmed, Ahmed Tohamy El-Shafei, Tarek E. Habba, Mohamed R. |
| description | Background
Spinal dysraphism (SD) is a spectrum of congenital disorders. MRI is the gold standard technique for diagnosis of SD. Spinal ultrasonography (USG) can be used as a screening tool for SD in infants. The purpose of our study is to assess the diagnostic value of spinal USG in the diagnosis of spinal dysraphism in pediatrics compared to MRI as a gold standard technique. Our prospective, cross-sectional study involved 45 infants and children with suspected spinal dysraphism. All patients were subjected to supervision of their medical history, full neurological examination, spinal ultrasonography and anatomical spine assessment by conventional MRI examination including sagittal and axial T1W & T2W, sagittal & coronal STIR imaging. Comparison of spinal USG with MRI findings was done.
Results
There is excellent overall agreement between MRI and ultrasound diagnosis in the evaluation of spinal cord morphology and bony elements in patients aged ≤ 2 years old (
κ
= 0.96 and 0.98) respectively, and fair overall agreement between MRI and ultrasound diagnosis (
κ
= 0.58) in patients aged > 2 years old. The accuracy of spinal USG in diagnosis of spinal dysraphism in patients aged ≤ 2 years old was as the following: specificity (94.5–100%), sensitivity (84.3100%), PPV (86.7–100%) and NPV (85.7–100%), as compared to MRI.
Conclusion
Spinal ultrasound can be used as a first-line screening investigation for SD; patients with USG abnormalities proceed to MRI. Spinal ultrasound is of no worthy value after the age of bone ossification, and MRI is the best modality of diagnosis in older pediatrics. |
| doi_str_mv | 10.1186/s43055-020-0131-7 |
| format | Article |
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Spinal dysraphism (SD) is a spectrum of congenital disorders. MRI is the gold standard technique for diagnosis of SD. Spinal ultrasonography (USG) can be used as a screening tool for SD in infants. The purpose of our study is to assess the diagnostic value of spinal USG in the diagnosis of spinal dysraphism in pediatrics compared to MRI as a gold standard technique. Our prospective, cross-sectional study involved 45 infants and children with suspected spinal dysraphism. All patients were subjected to supervision of their medical history, full neurological examination, spinal ultrasonography and anatomical spine assessment by conventional MRI examination including sagittal and axial T1W & T2W, sagittal & coronal STIR imaging. Comparison of spinal USG with MRI findings was done.
Results
There is excellent overall agreement between MRI and ultrasound diagnosis in the evaluation of spinal cord morphology and bony elements in patients aged ≤ 2 years old (
κ
= 0.96 and 0.98) respectively, and fair overall agreement between MRI and ultrasound diagnosis (
κ
= 0.58) in patients aged > 2 years old. The accuracy of spinal USG in diagnosis of spinal dysraphism in patients aged ≤ 2 years old was as the following: specificity (94.5–100%), sensitivity (84.3100%), PPV (86.7–100%) and NPV (85.7–100%), as compared to MRI.
Conclusion
Spinal ultrasound can be used as a first-line screening investigation for SD; patients with USG abnormalities proceed to MRI. Spinal ultrasound is of no worthy value after the age of bone ossification, and MRI is the best modality of diagnosis in older pediatrics.</description><identifier>ISSN: 2090-4762</identifier><identifier>ISSN: 0378-603X</identifier><identifier>EISSN: 2090-4762</identifier><identifier>DOI: 10.1186/s43055-020-0131-7</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Agreements ; Anesthesia ; Comparative analysis ; Diagnosis ; Genetic disorders ; Hydrocephalus ; Imaging ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Morphology ; Nuclear Medicine ; Patients ; Pediatrics ; Population ; Radiology ; Scoliosis ; Spina bifida ; Spinal cord ; Spinal dysraphism ; Spinal ultrasonography ; Statistical analysis ; Ultrasonic imaging ; Ultrasound imaging ; Urinary incontinence</subject><ispartof>Egyptian Journal of Radiology and Nuclear Medicine, 2020-01, Vol.51 (1), p.18-11, Article 18</ispartof><rights>The Author(s) 2020</rights><rights>COPYRIGHT 2020 Springer</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-ca97915a27dd0003bdcea45331e6ffb26d4b2ece6d18cdcbe8f5d9f013fc4cbe3</citedby><cites>FETCH-LOGICAL-c492t-ca97915a27dd0003bdcea45331e6ffb26d4b2ece6d18cdcbe8f5d9f013fc4cbe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Tawfik, Nermeen A.</creatorcontrib><creatorcontrib>Ahmed, Ahmed Tohamy</creatorcontrib><creatorcontrib>El-Shafei, Tarek E.</creatorcontrib><creatorcontrib>Habba, Mohamed R.</creatorcontrib><title>Diagnostic value of spinal ultrasound compared to MRI for diagnosis of spinal anomalies in pediatrics</title><title>Egyptian Journal of Radiology and Nuclear Medicine</title><addtitle>Egypt J Radiol Nucl Med</addtitle><description>Background
Spinal dysraphism (SD) is a spectrum of congenital disorders. MRI is the gold standard technique for diagnosis of SD. Spinal ultrasonography (USG) can be used as a screening tool for SD in infants. The purpose of our study is to assess the diagnostic value of spinal USG in the diagnosis of spinal dysraphism in pediatrics compared to MRI as a gold standard technique. Our prospective, cross-sectional study involved 45 infants and children with suspected spinal dysraphism. All patients were subjected to supervision of their medical history, full neurological examination, spinal ultrasonography and anatomical spine assessment by conventional MRI examination including sagittal and axial T1W & T2W, sagittal & coronal STIR imaging. Comparison of spinal USG with MRI findings was done.
Results
There is excellent overall agreement between MRI and ultrasound diagnosis in the evaluation of spinal cord morphology and bony elements in patients aged ≤ 2 years old (
κ
= 0.96 and 0.98) respectively, and fair overall agreement between MRI and ultrasound diagnosis (
κ
= 0.58) in patients aged > 2 years old. The accuracy of spinal USG in diagnosis of spinal dysraphism in patients aged ≤ 2 years old was as the following: specificity (94.5–100%), sensitivity (84.3100%), PPV (86.7–100%) and NPV (85.7–100%), as compared to MRI.
Conclusion
Spinal ultrasound can be used as a first-line screening investigation for SD; patients with USG abnormalities proceed to MRI. Spinal ultrasound is of no worthy value after the age of bone ossification, and MRI is the best modality of diagnosis in older pediatrics.</description><subject>Agreements</subject><subject>Anesthesia</subject><subject>Comparative analysis</subject><subject>Diagnosis</subject><subject>Genetic disorders</subject><subject>Hydrocephalus</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morphology</subject><subject>Nuclear Medicine</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Population</subject><subject>Radiology</subject><subject>Scoliosis</subject><subject>Spina bifida</subject><subject>Spinal cord</subject><subject>Spinal dysraphism</subject><subject>Spinal ultrasonography</subject><subject>Statistical analysis</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound imaging</subject><subject>Urinary incontinence</subject><issn>2090-4762</issn><issn>0378-603X</issn><issn>2090-4762</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNp1kUtr3TAQhU1poCHND-hO0LVTvSzJy5C-LqQUSrsWY2l00cW2XMku9N9XiUse0EoLScP5hjk6TfOG0SvGjHpXpKBd11JOW8oEa_WL5pzTnrZSK_7yyf1Vc1nKidYlKWVKnjf4PsJxTmWNjvyCcUOSAilLnGEk27hmKGmbPXFpWiCjJ2siX74dSEiZ-J2M5QkCc5pgjFhInMmCVbLm6Mrr5izAWPDy73nR_Pj44fvN5_b266fDzfVt62TP19ZBr3vWAdfe1xnF4B2C7IRgqEIYuPJy4OhQeWacdwOa0Pk-VM_ByfoUF81h7-sTnOyS4wT5t00Q7X0h5aOFXK2OaKURzPSowfNBis6AHrwywLQ2XKJ2tdfbvdeS088Ny2pPacvVZLHcMK6F4oY-qo5Qm8Y5pPpnborF2WtlKNOm16yqrv6hqtvjFF2aMcRafwawHXA5lZIxPJhh1N5lbvfMbc3c3mVudWX4zpSqnY-YHwf-P_QHiDquBg</recordid><startdate>20200117</startdate><enddate>20200117</enddate><creator>Tawfik, Nermeen A.</creator><creator>Ahmed, Ahmed Tohamy</creator><creator>El-Shafei, Tarek E.</creator><creator>Habba, Mohamed R.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>DOA</scope></search><sort><creationdate>20200117</creationdate><title>Diagnostic value of spinal ultrasound compared to MRI for diagnosis of spinal anomalies in pediatrics</title><author>Tawfik, Nermeen A. ; Ahmed, Ahmed Tohamy ; El-Shafei, Tarek E. ; Habba, Mohamed R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-ca97915a27dd0003bdcea45331e6ffb26d4b2ece6d18cdcbe8f5d9f013fc4cbe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Agreements</topic><topic>Anesthesia</topic><topic>Comparative analysis</topic><topic>Diagnosis</topic><topic>Genetic disorders</topic><topic>Hydrocephalus</topic><topic>Imaging</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morphology</topic><topic>Nuclear Medicine</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Population</topic><topic>Radiology</topic><topic>Scoliosis</topic><topic>Spina bifida</topic><topic>Spinal cord</topic><topic>Spinal dysraphism</topic><topic>Spinal ultrasonography</topic><topic>Statistical analysis</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound imaging</topic><topic>Urinary incontinence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tawfik, Nermeen A.</creatorcontrib><creatorcontrib>Ahmed, Ahmed Tohamy</creatorcontrib><creatorcontrib>El-Shafei, Tarek E.</creatorcontrib><creatorcontrib>Habba, Mohamed R.</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Egyptian Journal of Radiology and Nuclear Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tawfik, Nermeen A.</au><au>Ahmed, Ahmed Tohamy</au><au>El-Shafei, Tarek E.</au><au>Habba, Mohamed R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic value of spinal ultrasound compared to MRI for diagnosis of spinal anomalies in pediatrics</atitle><jtitle>Egyptian Journal of Radiology and Nuclear Medicine</jtitle><stitle>Egypt J Radiol Nucl Med</stitle><date>2020-01-17</date><risdate>2020</risdate><volume>51</volume><issue>1</issue><spage>18</spage><epage>11</epage><pages>18-11</pages><artnum>18</artnum><issn>2090-4762</issn><issn>0378-603X</issn><eissn>2090-4762</eissn><abstract>Background
Spinal dysraphism (SD) is a spectrum of congenital disorders. MRI is the gold standard technique for diagnosis of SD. Spinal ultrasonography (USG) can be used as a screening tool for SD in infants. The purpose of our study is to assess the diagnostic value of spinal USG in the diagnosis of spinal dysraphism in pediatrics compared to MRI as a gold standard technique. Our prospective, cross-sectional study involved 45 infants and children with suspected spinal dysraphism. All patients were subjected to supervision of their medical history, full neurological examination, spinal ultrasonography and anatomical spine assessment by conventional MRI examination including sagittal and axial T1W & T2W, sagittal & coronal STIR imaging. Comparison of spinal USG with MRI findings was done.
Results
There is excellent overall agreement between MRI and ultrasound diagnosis in the evaluation of spinal cord morphology and bony elements in patients aged ≤ 2 years old (
κ
= 0.96 and 0.98) respectively, and fair overall agreement between MRI and ultrasound diagnosis (
κ
= 0.58) in patients aged > 2 years old. The accuracy of spinal USG in diagnosis of spinal dysraphism in patients aged ≤ 2 years old was as the following: specificity (94.5–100%), sensitivity (84.3100%), PPV (86.7–100%) and NPV (85.7–100%), as compared to MRI.
Conclusion
Spinal ultrasound can be used as a first-line screening investigation for SD; patients with USG abnormalities proceed to MRI. Spinal ultrasound is of no worthy value after the age of bone ossification, and MRI is the best modality of diagnosis in older pediatrics.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s43055-020-0131-7</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Egyptian Journal of Radiology and Nuclear Medicine, 2020-01, Vol.51 (1), p.18-11, Article 18 |
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| subjects | Agreements Anesthesia Comparative analysis Diagnosis Genetic disorders Hydrocephalus Imaging Magnetic resonance imaging Medicine Medicine & Public Health Morphology Nuclear Medicine Patients Pediatrics Population Radiology Scoliosis Spina bifida Spinal cord Spinal dysraphism Spinal ultrasonography Statistical analysis Ultrasonic imaging Ultrasound imaging Urinary incontinence |
| title | Diagnostic value of spinal ultrasound compared to MRI for diagnosis of spinal anomalies in pediatrics |
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