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Research ArticlePediatric Neuroimaging

Incidental Findings on Pediatric MR Images of the Brain

Brian S. Kim, Judy Illes, Richard T. Kaplan, Allan Reiss and Scott W. Atlas
American Journal of Neuroradiology November 2002, 23 (10) 1674-1677;
Brian S. Kim
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Judy Illes
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Richard T. Kaplan
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Allan Reiss
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Scott W. Atlas
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Article Figures & Data

Tables

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    TABLE 1:

    Referral Classifications for Incidental Neuroradiologic Findings

    ClassificationNumberPercentage of Total Images (n=225)Percentage of Total Abnormalities (n=47)
    Requiring no referral2812%60%
    Requiring routine referral178%36%
    Requiring urgent referral1<1%2%
    • Note.—Findings were from 225 research MR images obtained in a cohort of neurologically healthy children.

    • View popup
    TABLE 2:

    Classification of Neuroradiologic Abnormalities

    Classification and AbnormalityNumber
    No referral required
     Chronic sinusitis21
     Arachnoid cyst2
     Frontal venous angioma2
     Mega cisterna magna2
     Ventricular asymmetry1
     Chronic sinusitis with pineal cyst1
    Routine referral required6
     Acute sinusitis5
     Focal white matter lesion of uncertain etiology3
     Tonsillar ectopia1
     Hypoplasia pons1
     Petrous apex lesion1
     Acute sinusitis with arachnoid cyst
    Urgent referral required, cerebellar tonsil lesion uncertain etiology1
    • Note.—Abnormalities were detected on 225 conventional research brain MR images in a cohort of neurologically healthy children.

    • View popup
    TABLE 3:

    Distribution of Abnormalities by Subject Age at MR Imaging Examination

    Classification and AbnormalityNo. of Subjects by Age (y)
    01234567891011121314151617
    No referral required
     Chronic sinusitis010000133241420000
     Arachnoid cyst000000000100001000
     Frontal venous angioma000000000002000000
     Mega cisterna magna000000000100001000
     Ventricular asymmetry100000000000000000
     Chronic sinusitis with pineal cyst000000000001000000
    Routine referral required
     Acute sinusitis000000120010011000
     Focal white matter lesion of uncertain etiology000000000100002110
     Tonsillar ectopia000000011000001000
     Hypoplasia pons100000000000000000
     Petrous apex lesion000000000000000010
     Acute sinusitis with arachnoid cyst000000001000000000
    Urgent referral required, cerebellar tonsil lesion uncertain etiology000000001000000000
    • View popup
    TABLE 4:

    Incidental Findings by Referral Classification and Sex

    ClassificationPercentage of Total ImagesPercentage of Total Abnormalities by Sex
    Female (n=125)Male (n=100)Female (n=18)Male (n = 29)
    Total abnormalities14% (18)29% (29)100% (18)100% (29)
    Requiring no referral9% (11)18% (18)61%62%
    Requiring routine referral6% (7)10% (10)39%34%
    Requiring urgent referral0% (0)1% (1)0%3%
    • Note.—Data in parentheses are the number of abnormalities.

    • View popup
    TABLE 5:

    Incidental Findings by Referral Classification and Sex, with Findings of Sinusitis Removed

    ClassificationPercentage of Total ImagesPercentage of Total Abnormalities
    Female (n=125)Male (n=100)Female (n=3)Male (n = 17)
    Requiring no referral<1% (1)7% (7)33% (1)41% (7)
    Requiring routine referral2% (2)9% (9)67% (2)53% (9)
    Requiring urgent referral0% (0)1% (1)0% (0)6% (1)
    • Note.—Findings of sinusitis requiring no referral were removed from the analysis because of their clinical insignificance. Data in parentheses are the number of abnormalities.

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American Journal of Neuroradiology: 23 (10)
American Journal of Neuroradiology
Vol. 23, Issue 10
1 Nov 2002
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Incidental Findings on Pediatric MR Images of the Brain
Brian S. Kim, Judy Illes, Richard T. Kaplan, Allan Reiss, Scott W. Atlas
American Journal of Neuroradiology Nov 2002, 23 (10) 1674-1677;
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Brian S. Kim, Judy Illes, Richard T. Kaplan, Allan Reiss, Scott W. Atlas
Incidental Findings on Pediatric MR Images of the Brain
American Journal of Neuroradiology Nov 2002, 23 (10) 1674-1677;

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