MRCT and CT in the diagnosis of pediatric disease imaging: assessing imaging performance and clinical effects

• Published in: BMC medical imaging Vol. 24; no. 1; pp. 96 - 6
• Main Authors: Wang, Xiaofei, Hu, Wen
• Format: Journal Article
• Language: English
• Published: London BioMed Central 25.04.2024; BioMed Central Ltd; BMC
• Subjects: Adolescent; Atrophy; Birth injuries; Brain - diagnostic imaging; Calcification; Cerebral palsy; Cerebral Palsy - diagnostic imaging; Chi-square test; Child; Child, Preschool; Children; Clinical results; Comparative analysis; Computed tomography; Congenital diseases; CT imaging; Developmental disabilities; Diagnosis; Diagnostic imaging; Diagnostic systems; Diseases; Encephalomalacia; Female; Health aspects; Humans; Imaging; Imaging performance; Infant; Ischemia; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Male; Medical diagnosis; Medical imaging; Medical research; Medicine; Medicine & Public Health; Medicine, Experimental; Movement disorders; Multimodal Imaging - methods; Neuroimaging; Pediatrics; Radiology; Retrospective Studies; Substantia alba; Test methods; Tomography, X-Ray Computed - methods; Encephalomalacia; Cerebral palsy; Cerebral ischemia; Imaging performance; Magnetic resonance imaging; Computed tomography; Gray-white matter atrophy of the brain; Clinical results
• ISSN: 1471-2342; 1471-2342
• DOI: 10.1186/s12880-024-01273-w

Objective This study focused on analyzing the clinical value and effect of magnetic resonance imaging plus computed tomography (MRCT) and CT in the clinical diagnosis of cerebral palsy in children. Methods From February 2021 to April 2023, 94 children diagnosed with cerebral palsy were selected from our hospital for study subjects. These patients were divided into CT and MRI groups, with CT examination given to the CT group and MRI examination given to the MRI group. The positive rate of the two examination methods in the diagnosis of cerebral palsy was compared, different imaging signs in two groups of children with cerebral palsy were compared, and the diagnostic test typing results between two groups were further analyzed. Results The diagnostic positivity rate of the children in the MRI group was 91.49%, which was significantly higher than that of the children in the CT group (70.21%) ( P  < 0.05). In both groups, encephalomalacia, bilateral frontal subdural effusions, and gray-white matter atrophy of the brain were the main signs, and the difference in the proportion of these three imaging signs between the two groups was not significant ( P  > 0.05). Differences between the two groups examined for cerebral palsy subtypes were not significant ( P  > 0.05). Conclusion The positive rate of pediatric cerebral palsy examined by MRI is higher than that of CT diagnosis, but the clinic should organically combine the two to further improve the detection validity and accuracy.