Affiliation:
1. Department of Radiology, Children's Hospital (HER) Rabat Ibn Sina Rabat Morocco
2. Department of Intensive Care and Anesthesiology, Children's Hospital (HER) Rabat Ibn Sina Rabat Morocco
Abstract
AbstractBackgroundIn neuro‐intensive care, transcranial temporal ultrasound is used in adults and children to monitor brain‐injured patients. It is accepted as a valuable tool for exploring brain structures. Our study aims to establish a correlation between the measurement of the third ventricle (V3) by transcranial ultrasound via temporal window and a reference method, computed tomography (CT), which could validate the method for hydrocephalus detection in the children population.DesignThis is a prospective double‐blind study of 34 children under 15 years. Two consultants in intensive care performed the ultrasound while a radiologist performed the CT measurements.ResultsOf the 34 patients included, the V3 could be measured in 88% of cases. Among these 30 patients, there is a good correlation between CT and ultrasound measurements with a Spearman correlation coefficient of 0.773. This correlation is more important as the diameter of the V3 increases. We could determine a threshold of 3.65 mm in diameter to identify hydrocephalus on ultrasound with a detection sensitivity of 100%, and a specificity of 94.1%.ConclusionMeasuring the diameter of the V3 by trans‐cranial sonography remains a simple, reproducible, non‐invasive tool and has a good correlation with reference examinations such as CT.
Subject
Radiology, Nuclear Medicine and imaging
Cited by
2 articles.
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