Document Detail


Indications for orbital imaging by the oculoplastic surgeon.
MedLine Citation:
PMID:  21326128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the indications for ordering orbital imaging and the indications for ordering CT versus MRI by oculoplastic surgeons and to assess the correlation between surgeon's clinical indications for imaging and the radiologist's diagnosis.
DESIGN: Retrospective review of imaging requisitions and radiology reports.
PARTICIPANTS: Patients of 4 oculoplastic surgeons who required CT or MRI scans.
METHODS: Imaging requisitions and radiology reports of patients from 4 oculoplastic surgeons were reviewed to determine the indication for ordering a CT or MRI scan between March 2006 and March 2009. The indications were then compared with the radiologist's diagnosis.
RESULTS: A total of 735 patients were included: 449 (61.1%) female and 286 (38.9%) male, with an average age of 50.1 years and an age range of 7 months to 93 years. Of these patients, a total of 632 CT and 223 MRI scans were ordered, 135 of which were follow-up scans.
CONCLUSIONS: The most common indication for CT scan was thyroid disease, followed by orbital tumors and then inflammatory disease, while the most common indication for MRI scan was orbital tumors, followed by inflammatory disease and then thyroid disease. CT scans were more commonly ordered than MRI, largely for trauma and to rule out orbital foreign body.
Authors:
Albert Y Wu; Kim Jebodhsingh; Tran Le; Christine Law; Nancy A Tucker; Dan D DeAngelis; James H Oestreicher; John T Harvey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  27     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-12     Completed Date:  2011-09-21     Revised Date:  2011-12-16    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  260-2     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology and Visual Sciences, University of Toronto, Toronto, Ontario, Canada. albertyapowu@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Diagnostic Techniques, Ophthalmological / statistics & numerical data*
Female
Humans
Infant
Magnetic Resonance Imaging / methods,  statistics & numerical data*
Male
Middle Aged
Orbit / pathology*
Orbital Diseases / diagnosis*
Referral and Consultation / statistics & numerical data
Retrospective Studies
Tomography, X-Ray Computed / methods,  statistics & numerical data*
Unnecessary Procedures / statistics & numerical data
Comments/Corrections
Comment In:
Ophthal Plast Reconstr Surg. 2011 Nov;27(6):469; author reply 469-70   [PMID:  22072208 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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