Document Detail


Three-dimensional sonographic evaluation of the infant spine: preliminary findings.
MedLine Citation:
PMID:  12478647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aims of this study were to evaluate normal spinal anatomy in neonates and infants as seen by 3-dimensional sonography (3D US), to determine the value of 3D US in the evaluation of occult spinal dysraphia in infants, and to correlate the findings of 3D US with those of 2-dimensional sonography (2D US) and MRI, when available. METHODS: We used 2D US and 3D US to examine the lumbosacral spine in infants with cutaneous stigmata, syndromes associated with spinal dysraphia, and abnormal radiographs. We also evaluated, as controls, healthy infants who had no markers of spinal abnormality. 2D sonograms, 3D sonograms, radiographs, and MRI scans, when available, were compared to assess differences in the display of the infant spine. RESULTS: In total, we examined 29 infants: 18 subjects and 11 control infants. The correlation between 2D US and 3D US was 100% in the detection of congenital defects of the spinal cord, although 3D US allowed superior visualization of the vertebral bodies and posterior spinal elements. When a gross abnormality of the posterior spinal elements occurred with pathologic overlying soft tissue, interpretation was simpler with MRI than with sonography. CONCLUSIONS: 3D US is a useful adjunct to 2D US when screening the infant spine for congenital defects, particularly in showing alignment of posterior spinal elements and integrity of vertebral bodies. This ability is important because posterior spinal defects may be associated with underlying spinal cord abnormalities.
Authors:
Jacqueline A Hughes; Rose De Bruyn; Kalpana Patel; Sarah-Jane Langford; Dominic Thompson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  31     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2002-12-12     Completed Date:  2003-04-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  9-20     Citation Subset:  IM    
Copyright Information:
Copyright 2002 Wiley Periodicals, Inc.
Affiliation:
Department of Pediatric Radiology, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Humans
Imaging, Three-Dimensional
Infant
Infant, Newborn
Lumbosacral Region
Magnetic Resonance Imaging
Sensitivity and Specificity
Spinal Diseases / congenital,  diagnosis,  ultrasonography*
Spine / anatomy & histology*,  ultrasonography*

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


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