Multiplanar reconstructed CT images increased depiction of intracranial hemorrhages in pediatric head trauma

Abstract

Introduction: The benefits of multiplanar reconstructed images (MPR) of unenhanced axial head computed tomography (CT) data have not been established in trauma patients younger than 3 years old, a population in which a reliable history and physical examination may be most difficult. We retrospectively evaluated unenhanced head CTs in pediatric trauma patients to investigate the various benefits of MPR in this age group.

Methods: A total of 221 unenhanced head CTs performed for any case of head trauma (HT) on children younger than 3 years old were independently reviewed by two radiologists. Studies were reviewed first in the standard axial plane alone and then with the addition of MPR. Reviewers were asked to determine if the MPR affected the ability to make findings of hemorrhage, incidental findings, and artifacts.

Results: MPR improved the detection of hemorrhage in 14 cases (6.5 %, p-value < 0.01) and incidental findings in five cases (2.3 %, p-value < 0.05) as well as helped prove artifacts in five cases (2.3 %, p-value < 0.05).

Conclusion: Routine use of MPR in HT patients younger than 3 years old has the potential to increase the detection of acute and incidental imaging findings.

Keywords: Abusive head trauma; Brain hemorrhage, traumatic; Craniocerebral trauma; Pediatrics.