| Interpretation scheme for nonexpert pediatricians evaluating magnetic resonance images of children with cerebral palsy. | |
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MedLine Citation:
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PMID: 17950418 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study evaluated the usability of our MRI interpretation scheme among pediatricians with different skill levels in evaluating MRI of patients with cerebral palsy. We divided MRI findings into three groups: no abnormalities, pre/perinatally acquired lesions, and other abnormalities. Pre/perinatally acquired lesions were divided into six subgroups. Other abnormalities included brain malformations, ventriculomegaly, atrophic changes, and other unclassifiable abnormalities. We compared the interpretations of eight participants, i.e., three nonexpert pediatricians, two junior pediatric neurologists, and three senior pediatric neurologists, in evaluating magnetic resonance images of 73 children with cerebral palsy. The degree of agreement was substantial or near perfect for all participants. When limited to pre/perinatally acquired lesions, the degree of agreement was near perfect for all but one participant. The rate of correct diagnosis did not differ greatly according to participants' experience with pre/perinatally acquired lesions. For patients with basal ganglia thalamic lesions, multicystic encephalomalacia, and posthemorrhagic porencephaly, the rate of correct diagnosis increased according to participants' experience. Pre/perinatally acquired lesions can be appropriately interpreted by nonexpert pediatricians utilizing our interpretation scheme. |
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Authors:
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Fumio Hayakawa; Akihisa Okumura; Toru Kato; Koichi Maruyama; Tetsuo Kubota; Motomasa Suzuki; Seiko Iwata; Takeshi Tsuji; Kazuyoshi Watanabe |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric neurology Volume: 37 ISSN: 0887-8994 ISO Abbreviation: Pediatr. Neurol. Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-10-22 Completed Date: 2008-01-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508183 Medline TA: Pediatr Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 331-7 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Okazaki City Hospital, Okazaki, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Palsy
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diagnosis* Child Child, Preschool Diagnosis, Differential Evaluation Studies as Topic* Female Humans Infant, Newborn Magnetic Resonance Imaging* Male Pediatrics* Professional Competence* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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