Retrospective study of Ct brain imaging findings indicated for infants at a tertiary care hospital

Keywords: Hypoxia ischemic encephalopathy (HIE), seizures, Infants, computerised tomography(CT), HIE (Hypoxic ischemic encephalopathy), Neurosonogram (NSG)

Abstract

Computed tomography in the diagnosis of pathologies in children is becoming increasingly popular.

The aim: to study findings of referrals for CT scans (Computerised Tomography) of the brain in children in the department of Radiology in a developing environment.

Materials and methods: retrospective imaging observational study was done in a 1000 bedded tertiary care hospital in South India in the year 2022 from April to August for 5 months under 16 slice CT scan. Cases are referred from the department of Pediatrics to the department of Radiology as part of the routine clinical evaluation and treatment protocol.

Results: Our sample includes 100 infants; after exclusion criteria total of 60 infants' brain CTs were taken into account, and analysed their imaging from radiology department records. Of 60 cases, 18 (30 %) showed HIE Pattern, and 42 (70 %) had normal plain CT Brain findings. However, due to clinical signs and symptoms, they are evaluated under сontrast CT imaging (after checking creatinine levels), showing 20 cases (33.3 %) are standard, 10 cases (16.6 %) show meningitis, and 2 cases (3.3 %) show SOL. Out of 18 cases of HIE, 10 cases (16.6 %) are under less than 6 months and they undergone neuro sonogram showing 4 cases (6.6 %) normal NSG, 2 cases (3.3 %) showing grade IV HIE, another 2 cases (3.3 %) showing grade II, III HIE Findings.

Conclusions: Our study concluded that plain CT brain showed normal in the majority of the cases which came to the department of Radiology after admission to the hospital. Those cases with strong clinical history are evaluated with contrast CT and evaluated the findings. After contrast imaging, most cases showing their infective, obstructive, and other causes of illness are interpreted. However, its role is minimal for seizures in which CT/CECT shows normal study. Under 6 months, NSG is a suitable method for evaluating and screening the infant's brain.

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Author Biographies

Arelly Jyostna, Osmania Medical College

Department of Pediatrics

Talluri Sunitha, Osmania Medical College

Department of Radiology

Athkuri Ravi Teja, Osmania Medical College

Department of Radiology

Vijaya Kumari M., Osmania Medical College

Department of Radiology

Ashwini Jyothi A. J., Osmania Medical College

Department of Radiology

Sunil Kumar P., Osmania Medical College

Department of Radiology

References

Panigrahy, A., Borzage, M., Blüml, S. (2010). Basic Principles and Concepts Underlying Recent Advances in Magnetic Resonance Imaging of the Developing Brain. Seminars in Perinatology, 34 (1), 3–19. doi: https://doi.org/10.1053/j.semperi.2009.10.001

Sources and effects of ionising radiation. UNSCEAR. 2000 Report to the General Assembly Vol. 1 (2000). United Nations Scientific Committee on Effects of Atomic Radiation. New York. doi: https://doi.org/10.18356/49c437f9-en

Ohaegbulam, S., Ndubuisi, C., Ani, C., Mezue, W., Erechukwu, U. (2011). Cranial computed tomography scan findings in head trauma patients in Enugu, Nigeria. Surgical Neurology International, 2 (1), 182. doi: https://doi.org/10.4103/2152-7806.91137

Martinez-Biarge, M., Diez-Sebastian, J., Rutherford, M. A., Cowan, F. M. (2010). Outcomes after central grey matter injury in term perinatal hypoxic-ischaemic encephalopathy. Early Human Development, 86 (11), 675–682. doi: https://doi.org/10.1016/j.earlhumdev.2010.08.013

Donnelly, L. F. (2005). Reducing Radiation Dose Associated with Pediatric CT by Decreasing Unnecessary Examinations. American Journal of Roentgenology, 184 (2), 655–657. doi: https://doi.org/10.2214/ajr.184.2.01840655

Brenner, D. J., Hall, E. J. (2007). Computed Tomography – An Increasing Source of Radiation Exposure. New England Journal of Medicine, 357 (22), 2277–2284. doi: https://doi.org/10.1056/nejmra072149

Eghbalian, F., Rasuli, B., Monsef, F. (2015). Frequency, Causes, and Findings of Brain CT Scans of Neonatal Seizure at Besat Hospital, Hamadan, Iran. Iranian Journal of Child Neurology, 9 (1), 56–63.

Memon, S., Memon, M. H. (2006). Spectrum and immediate outcome of seizures in neonates. Journal of College of Physicians and Surgeons Pakistan, 16 (11), 717–720.

Dehdashtian, M., Momen, A. A., Ziaei, T., Moradkhani, S. (2004). Evaluation of seizure etiology in convulsive neonates admitted to Imam Khomeini and Abozar hospitals of Ahvaz 2004–2007. Jundishapur Scientific Medical Journal, 8 (2), 163.

Kohelet, D., Shoehart, R., Lusky, A. et al. (2005). Israel Neonatal Network, risk factors for neonatal seizures in very low birth weight infants: population-based study. The Journal of Pediatrics, 16 (8), 245–251.

Long, M., Brandon, D. H. (2007). Induced Hypothermia for Neonates With Hypoxic‐Ischemic Encephalopathy. Journal of Obstetric, Gynecologic & Neonatal Nursing, 36 (3), 293–298. doi: https://doi.org/10.1111/j.1552-6909.2007.00150.x

Hoehn, T., Hansmann, G., Bührer, C., Simbruner, G., Gunn, A. J., Yager, J. et al. (2008). Therapeutic hypothermia in neonates. Review of current clinical data, ILCOR recommendations and suggestions for implementation in neonatal intensive care units. Resuscitation, 78 (1), 7–12. doi: https://doi.org/10.1016/j.resuscitation.2008.04.027

Kurinczuk, J. J., White-Koning, M., Badawi, N. (2010). Epidemiology of neonatal encephalopathy and hypoxic–ischaemic encephalopathy. Early Human Development, 86 (6), 329–338. doi: https://doi.org/10.1016/j.earlhumdev.2010.05.010

Anas, I., Muhammed, S. A. (2012). Audit of pediatric computed tomography at Aminu Kano teaching hospital, Kano, Nigeria. West African Journal of Radiology, 19, 11–13.

Nzeh, D., Oyinloye, O. I., Odebode, O. T., Akande, H., Braimoh, K. (2010). Ultrasound evaluation of brain infections and its complications in Nigerian infants. Tropical Doctor, 40 (3), 178–180. doi: https://doi.org/10.1258/td.2010.090384

Standards for Intravascular Contrast Administration to Adult Patients (2015). The Royal College of Radiologists. Available at: https://www.rcr.ac.uk/sites/default/files/Intravasc_contrast_web.pdf

Chishti, F. A., Al Saeed, O. M., Al-Khawari, H., Shaikh, M. (2003). Contrast-Enhanced Cranial Computed Tomography in Magnetic Resonance Imaging Era. Medical Principles and Practice, 12 (4), 248–251. doi: https://doi.org/10.1159/000072292

Beckett, K. R., Moriarity, A. K., Langer, J. M. (2015). Safe Use of Contrast Media: What the Radiologist Needs to Know. RadioGraphics, 35 (6), 1738–1750. doi: https://doi.org/10.1148/rg.2015150033

Garnica-Garza, H. M. (2010). A Monte Carlo Comparison of Three Different Media for Contrast Enhanced Radiotherapy of the Prostate. Technology in Cancer Research & Treatment, 9 (3), 271–278. doi: https://doi.org/10.1177/153303461000900306

CT Head with or without intravenous contrast: Information Leaflet (2021). University Hospitals Coventary and Warwicshire. NHS Trust Patient Information.


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Published
2022-11-30
How to Cite
Jyostna, A., Sunitha, T., Teja, A. R., Kumari M., V., Jyothi A. J., A., & Kumar P., S. (2022). Retrospective study of Ct brain imaging findings indicated for infants at a tertiary care hospital. EUREKA: Health Sciences, (6), 3-9. https://doi.org/10.21303/2504-5679.2022.002717
Section
Medicine and Dentistry