Int J Pediatr Otorhinolaryngol:儿科单边听力感官听力损失中,CT和MRI阳性诊断率评估

2018-11-05 AlexYang MedSci原创

在儿科患者中,对具有单边感官听力损失(USNHL)诊断成像的选择有计算机断层扫描(CT)和核磁共振成像(MRI)2中技术手段。尽管CT和MRI在评估儿科USNHL患者中能够提供有价值的信息,但是选择哪一种成像手段是最理想的仍旧存在争议,并且应该在儿童中优先研究。最近,有研究人员就评估了比较了CT和MRI在USNHL中的诊断阳性率结果。研究人员进行了一个多单位的回顾性图表回顾,儿科患者患有听力损失的

在儿科患者中,对具有单边感官听力损失(USNHL)诊断成像的选择有计算机断层扫描(CT)和核磁共振成像(MRI)2中技术手段。尽管CT和MRI在评估儿科USNHL患者中能够提供有价值的信息,但是选择哪一种成像手段是最理想的仍旧存在争议,并且应该在儿童中优先研究。最近,有研究人员就评估了比较了CT和MRI在USNHL中的诊断阳性率结果。

研究人员进行了一个多单位的回顾性图表回顾,儿科患者患有听力损失的时间在2010年到2012年之间。研究总共鉴定了219名年龄在0-18岁的患有USNHL,且经历CT和/或MRI的儿科患者。研究人员在96名经历MRI的41名患者中发现成像异常(诊断率为42.7%),在188名经历CT的69名患者中发现了异常(诊断率为36.7%)。对那些经历了2中成像方法的患者(n=69),在诊断阳性率上与单独的CT或者MRI相比,没有显著的差异(p>0.05)。

最后,研究人员指出,在评估USNHL儿童时,CT和MRI成像具有相似的诊断阳性率结果。父母和患者应该考虑与每次成像有关的花费、测试时长、放射接触、镇静接触和诊断准确性,并且这些因素在选择合适的诊断方法中应该加以考虑。

原始出处:


本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1638844, encodeId=66a2163884434, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Tue May 07 08:41:00 CST 2019, time=2019-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727704, encodeId=0b7a1e2770447, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Jan 16 01:41:00 CST 2019, time=2019-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981632, encodeId=d84e198163248, content=<a href='/topic/show?id=87679163e47' target=_blank style='color:#2F92EE;'>#诊断率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91637, encryptionId=87679163e47, topicName=诊断率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Sun Dec 23 23:41:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1951468, encodeId=86261951468aa, content=<a href='/topic/show?id=afc3532e51e' target=_blank style='color:#2F92EE;'>#感官听力损失#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53275, encryptionId=afc3532e51e, topicName=感官听力损失)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f98e185, createdName=psybestwish, createdTime=Sat Feb 02 19:41:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306281, encodeId=fec61306281e9, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Wed Nov 07 03:41:00 CST 2018, time=2018-11-07, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1638844, encodeId=66a2163884434, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Tue May 07 08:41:00 CST 2019, time=2019-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727704, encodeId=0b7a1e2770447, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Jan 16 01:41:00 CST 2019, time=2019-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981632, encodeId=d84e198163248, content=<a href='/topic/show?id=87679163e47' target=_blank style='color:#2F92EE;'>#诊断率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91637, encryptionId=87679163e47, topicName=诊断率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Sun Dec 23 23:41:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1951468, encodeId=86261951468aa, content=<a href='/topic/show?id=afc3532e51e' target=_blank style='color:#2F92EE;'>#感官听力损失#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53275, encryptionId=afc3532e51e, topicName=感官听力损失)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f98e185, createdName=psybestwish, createdTime=Sat Feb 02 19:41:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306281, encodeId=fec61306281e9, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Wed Nov 07 03:41:00 CST 2018, time=2018-11-07, status=1, ipAttribution=)]
    2019-01-16 feather89
  3. [GetPortalCommentsPageByObjectIdResponse(id=1638844, encodeId=66a2163884434, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Tue May 07 08:41:00 CST 2019, time=2019-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727704, encodeId=0b7a1e2770447, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Jan 16 01:41:00 CST 2019, time=2019-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981632, encodeId=d84e198163248, content=<a href='/topic/show?id=87679163e47' target=_blank style='color:#2F92EE;'>#诊断率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91637, encryptionId=87679163e47, topicName=诊断率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Sun Dec 23 23:41:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1951468, encodeId=86261951468aa, content=<a href='/topic/show?id=afc3532e51e' target=_blank style='color:#2F92EE;'>#感官听力损失#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53275, encryptionId=afc3532e51e, topicName=感官听力损失)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f98e185, createdName=psybestwish, createdTime=Sat Feb 02 19:41:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306281, encodeId=fec61306281e9, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Wed Nov 07 03:41:00 CST 2018, time=2018-11-07, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1638844, encodeId=66a2163884434, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Tue May 07 08:41:00 CST 2019, time=2019-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727704, encodeId=0b7a1e2770447, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Jan 16 01:41:00 CST 2019, time=2019-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981632, encodeId=d84e198163248, content=<a href='/topic/show?id=87679163e47' target=_blank style='color:#2F92EE;'>#诊断率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91637, encryptionId=87679163e47, topicName=诊断率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Sun Dec 23 23:41:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1951468, encodeId=86261951468aa, content=<a href='/topic/show?id=afc3532e51e' target=_blank style='color:#2F92EE;'>#感官听力损失#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53275, encryptionId=afc3532e51e, topicName=感官听力损失)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f98e185, createdName=psybestwish, createdTime=Sat Feb 02 19:41:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306281, encodeId=fec61306281e9, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Wed Nov 07 03:41:00 CST 2018, time=2018-11-07, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1638844, encodeId=66a2163884434, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Tue May 07 08:41:00 CST 2019, time=2019-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727704, encodeId=0b7a1e2770447, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Jan 16 01:41:00 CST 2019, time=2019-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1981632, encodeId=d84e198163248, content=<a href='/topic/show?id=87679163e47' target=_blank style='color:#2F92EE;'>#诊断率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91637, encryptionId=87679163e47, topicName=诊断率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Sun Dec 23 23:41:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1951468, encodeId=86261951468aa, content=<a href='/topic/show?id=afc3532e51e' target=_blank style='color:#2F92EE;'>#感官听力损失#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53275, encryptionId=afc3532e51e, topicName=感官听力损失)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f98e185, createdName=psybestwish, createdTime=Sat Feb 02 19:41:00 CST 2019, time=2019-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306281, encodeId=fec61306281e9, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Wed Nov 07 03:41:00 CST 2018, time=2018-11-07, status=1, ipAttribution=)]
    2018-11-07 ysjykql

相关资讯

盘点:耳蜗移植研究进展

人工耳蜗是一种电子装置,由体外言语处理器将声音转换为一定编码形式的电信号,通过植入体内的电极系统直接兴奋听神经来恢复或重建聋人的听觉功能。近年来,随着电子技术、计算机技术、语音学、电生理学、材料学、耳显微外科学的发展,人工耳蜗已经从实验研究进入临床应用。现在全世界已把人工耳蜗作为治疗重度聋至全聋的常规方法。梅斯医学小编整理了近期耳蜗移植的研究进展,与大家一起分享学习!【1】Sci Rep:混合

Pediatr Blood Cancer:在顺铂治疗后的儿童癌症幸存者中,不对称感官听力损失是晚发听力损失的风险因子

耳毒性是顺铂化疗的一种明显的并发症。听力损失可以分成对称和不对称听力损失并且在治疗后可能减弱。最近,有研究人员调查了不对称听力损失(AHL)和晚发听力损失(LOHL)在顺铂治疗的儿科癌症患者中的风险。研究包括了993名患者的医疗和听力测定图标结果,时间在1990年的8月到2015年3月。研究发现,在进行AHL评估的患者中,26%的患者表现出了AHL。在LOHL评估的患者中,42%患者的听力在治疗完

Front Mol Neurosci:ARHGEF6功能丧失引起听毛细胞静纤毛缺陷和听力损失

ARHGEF6属于Rho GTPases鸟嘌呤核苷酸交换因子类(GEFs)家族蛋白,它能够特异性的激活Rho GTPases CDC42和RAC1的火星。Arhgef6是X染色体连锁的智障基因,也称为XLID46,并且携带Arhgef6变异的患者临床特性包括智力障碍,在一些案例中还包括感官听力损失。Rho GTPases作为一种分子开关能够在许多细胞过程中起作用。它们的活性可以通过GTP的结合或者

Eur Arch Otorhinolaryngol:CDH23的p.P240L变异与非综合征听力损失风险分析

最近,有研究人员进行了一个元分析评估了p.P240L(c.C719T)变异与非综合征听力损失(NSHL)之间的相关性。研究人员在PubMed、EMBASE、OVID、Cochrane library、Web of Science、Chinese National Knowledge Infrastructure和Wanfang数据库中鉴定了与患病率相关的文献。研究总共包括了4个相关的研究,并用于元

Int Arch Otorhinolaryngol:老年人中,听力损失、高血压和糖尿病之间可能的相关性研究

衰老可以引起身体结构的持续性变化,并且能够导致临床障碍,而生命的正在增加,尤其是在发展中国家。最近,有研究人员在老年人中评估了听力损失的流行度,并且探究了听力损失与高血压和糖尿病(DM)之间可能的相关性。研究是一个代表性的研究,包括了519名老年人,年龄均在60岁以上。他们经历了听觉评估(纯音听觉测试),并且填写了一个并发症调查问卷,该调查问卷包括了年龄、性别、鼻炎和医疗历史情况,并且还考虑到了D

盘点:近期听力损失进展

听力损失(hearing loss)又称聋度(deafness)或听力级(hearing level)。是人耳在某一频率的听阈比正常听阈高出的分贝数。由于年龄关系产生的听力损失称为老年性耳聋;由于社会环境噪声(年龄、职业性噪声和疾病等影响除外)产生的听力损失称为社会性耳聋;职业性噪声导致的听力损失称为噪声性耳聋。梅斯医学小编整理了近期听力损失的研究进展,与大家一起分享学习!【1】Am J Au