Incidental findings on brain magnetic resonance imaging of children with sickle cell disease

Lori C. Jordan, Robert C. McKinstry, Michael A. Kraut, William S. Ball, Bruce A. Vendt, James F. Casella, Michael R. DeBaun, John J. Strouse

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: We describe the prevalence and range of incidental intracranial abnormalities identified through MRI of the brain in a large group of children screened for a clinical trial. METHODS: We included 953 children between 5 and 14 years of age who were screened with MRI of the brain for the Silent Infarct Transfusion Trial. All had sickle cell anemia or sickle β-null thalassemia. MRI scans were interpreted by 3 neuroradiologists. MRI scans reported to have any abnormality were reviewed by 2 study neuroradiologists. Incidental findings were classified into 4 categories, that is, no, routine, urgent, or immediate referral recommended. Cerebral infarctions and vascular lesions were not considered incidental and were excluded. RESULTS: We identified 63 children (6.6% [95% confidence interval: 5.1%- 8.4%]) with 68 incidental intracranial MRI findings. Findings were classified as urgent in 6 cases (0.6%), routine in 25 cases (2.6%), and no referral required in 32 cases (3.4%). No children required immediate referral. Two children with urgent findings underwent surgery in the subsequent 6 months. CONCLUSION: In this large cohort of children, incidental intracranial findings were identified for 6.6%, with potentially serious or urgent findings for 0.6%.

Original languageEnglish (US)
Pages (from-to)53-61
Number of pages9
JournalPediatrics
Volume126
Issue number1
DOIs
StatePublished - Jul 1 2010

Keywords

  • Brain imaging
  • Children
  • Incidental findings
  • Magnetic resonance imaging
  • Sickle cell disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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