Selected articles for (peds) neuroradiology (2023/02)

AJNR 

1. Early Fetal Corpus Callosum: Demonstrating Normal Growth and Detecting Pathologies in Early Pregnancy

2. Common Neuroimaging Findings in Bosch-Boonstra-Schaaf Optic Atrophy Syndrome

Radiology

1. 

 

 Selected articles for (peds) neuroradiology (2023/04)

AJNR 

1. Imaging the Tight Orbit: Radiologic Manifestations of Orbital Compartment Syndrome

2. Imaging of Lymphomas Involving the CNS: An Update-Review of the Full Spectrum of Disease with an Emphasis on the World Health Organization Classifications of CNS Tumors 2021 and Hematolymphoid Tumors 2022

3. Incidental Findings from 16,400 Brain MRI Examinations of Research Volunteers

Radiology

1. MRI-visible Perivascular Spaces in the Neonatal Brain

 Selected articles for (peds) neuroradiology (2023/03)

AJNR 

1. Edge-Enhancing Gradient-Echo MP2RAGE for Clinical Epilepsy Imaging at 7T

2. Diagnostic Utility of 3D Gradient-Echo MR Imaging Sequences through the Filum Compared with Spin-Echo T1 in Children with Concern for Tethered Cord

3. Neuroimaging Features of Biotinidase Deficiency

Radiology: AI

1. An Artificial Intelligence Training Workshop for Diagnostic Radiology Residents

Radiology

1. MRI-visible Dilated Perivascular Space in the Brain by Age: The Human Connectome Project

2. Peak Width of Skeletonized Mean Diffusivity: A Neuroimaging Marker for White Matter Injury

Selected (Peds) Neuroradiology Articles of the Month (Jan 2023) 

AJNR

1. The Monro-Kelli Doctrine: A Review and Call for Revision
http://www.ajnr.org/content/44/1/2

2. Dilated Optic Nerve Sheath in Mucopolysaccharidosis I: Common and Not Necessarily High Intracranial Pressure
http://www.ajnr.org/content/44/1/91

Radiographics

1. Arterial Spin Labeling: Techniques, Clinical Applications, and Interpretation

https://pubs.rsna.org/doi/10.1148/rg.220088

NEUROSURGERY

1. Epilepsy Surgery in Young Children With Tuberous Sclerosis Complex: A Novel Hybrid Multimodal Surgical Approach

https://journals.lww.com/neurosurgery/Abstract/2023/02000/Epilepsy_Surgery_in_Young_Children_With_Tuberous.21.aspx

2. Neurosurgical Outcomes for Pediatric Central Nervous System Tumors in the United States

https://journals.lww.com/neurosurgery/Abstract/2023/02000/Neurosurgical_Outcomes_for_Pediatric_Central.22.aspx

Results:

24930 cases from the National Cancer Database pediatric brain tumors from 2004 to 2018. Primary outcomes included 30/90 days postoperative mortality (30M/90M), readmission within 30 days of discharge (30R), and length of inpatient stay (LOS). of all cases were 4753 (19.1%) juvenile pilocytic astrocytomas, 3262 (13.1%) medulloblastomas, 2200 (8.8%) neuronal/mixed neuronal-glial tumors, and 2135 (8.6%) ependymal tumors. Patients aged 0 to 4 years had significantly poorer outcomes than patients in older age groups (90M: 3.5% vs 0.7%-0.9%; 30R: 6.5% vs 3.6%-4.8%; LOS: 12.0 days vs 6.0-8.9 days). Tumor size was a strong predictor of poor outcomes with each additional cm in diameter conferring a 26%, 7%, and 23% increased risk of 90M, 30R, and prolonged LOS, respectively. Data over the study period demonstrated year over year improvements of 4%, 3%, and 2%, respectively, for 90M, 30R, and prolonged LOS. Facilities with a high volume of pediatric tumor cases had improved 90M (1.1% vs 1.5%, P = .041) and LOS (7.6 vs 8.6 days, P < .001). Patients with private health insurance had better outcomes than patients with government insurance.

CONCLUSION: 

There is substantial variability in surgical morbidity and mortality of pediatric CNS tumors. Additional investigation is warranted to reduce outcome differences that may be based on socioeconomic factors.