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Text
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<a href="http://doi.org/10.1177/0883073809353149" target="_blank" rel="noreferrer">http://doi.org/10.1177/0883073809353149</a>
Dublin Core
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Title
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Incidental neuroimaging findings in nonacute headache
Publisher
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Journal Of Child Neurology
Date
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2010
Subject
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Child; Cross-Sectional Studies; Female; Humans; Male; Cohort Studies; Comorbidity; adolescent; Preschool; retrospective studies; Headache Disorders/epidemiology/pathology/radiography; Incidental Findings; Nervous System Malformations/epidemiology/pathology/radiography
Creator
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Graf WD; Kayyali HR; Abdelmoity AT; Womelduff GL; Williams AR; Morriss MC
Description
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We studied the frequency and consequences of incidental neuroimaging findings in 400 otherwise healthy, nonacute pediatric headache patients through a retrospective, cross-sectional analysis. We excluded patients with currently recommended clinical criteria to consider diagnostic neuroimaging. We categorized neuroimaging results as normal, remarkable without clinical action, remarkable with clinical follow-up action, and abnormal. One hundred eighty-five of 400 patients (46%) had neuroimaging. Of these, 78.4% of neuroimaging studies were normal, and none was considered abnormal. Also, 21.5% had remarkable findings in the neuroradiology report. The frequency and types of all incidental findings were generally comparable to previous studies. One third of these patients received further consultation or neuroimaging because of incidental findings. In the evaluation of nonacute pediatric headache, overuse of neuroimaging leads to frequent discovery of incidental findings and increased testing. Individualized health care calls for physician-consumer discussions about current indications for neuroimaging, the general frequency of incidental findings, and potential difficulties in their interpretation.
2010
Identifier
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<a href="http://doi.org/10.1177/0883073809353149" target="_blank" rel="noreferrer">10.1177/0883073809353149</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2010
Abdelmoity AT
Adolescent
Backlog
Child
Cohort Studies
Comorbidity
Cross-sectional Studies
Female
Graf WD
Headache Disorders/epidemiology/pathology/radiography
Humans
Incidental Findings
Journal Article
Journal of Child Neurology
Kayyali HR
Male
Morriss MC
Nervous System Malformations/epidemiology/pathology/radiography
Preschool
Retrospective Studies
Williams AR
Womelduff GL