Medical Radiology and Radiation Safety. 2016. Vol. 61. No. 5. P. 42-47

DIAGNOSTIC RADIOLDGY

N.S. Vorotuntceva, L.G. Nikulshina-Zhikina

The Ultrasonic Diagnostic of Perinatal Neck Injury and Its Consequenses as the Alternative to the Radiological Examination

Kursk State medical university, Kursk, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

ABSTRACT

Purpose: To reduce radiation exposure to infants of different age groups one must improve radiodiagnosis of perinatal neck injury and its effects.

Material and methods: 679 children in the age of from 7 days to 6 years receiving treatment in the neonatal and premature infants’ pathology unit, psychoneurological unit of children’s hospitals were examined. (X-ray and ultrasonic) examination was carried out. APOLLO X-ray diagnostic complex was used. Radiographs were taken by the standard technique. Ultrasonography of the neck was made on GE Lodgic Expert and ALOKA Prosound a6 ultrasonic scanners with use of the curved and linear transducers of the frequency from 2.9 to 7.5 MHz by our offered technique. Statistical data processing was carried out with use of Statistica 6.0 program.

Results: To reduce radiation exposure to infants of different age groups we suggested the ultrasonic examination technique of children with perinatal neck injury and later one. Comparison of radiological and ultrasonic examination methods in terms of diagnosis of perinatal neck injury and its effects on children of different age groups has been displayed. The diagnosed radiological and ultrasonic symptoms of perinatal children’s groups have been calculated. As the alternative to the radiological examination of the cervical spine, for reducing the radiation exposure to infantile contingent we have proposed the ultrasonic examination technique, intended for diagnosis of perinatal neck injury and its effects in neonatals and children of early and pre-school age.

Conclusions: 1. Functional ultrasonic neck examination of infants, children of early and pre-school age, including estimation of the clavisternomastoid muscles and other soft tissues improves the diagnosis of spinal perinatal injury and its effects. 2. Radiodiagnosis of perinatal neck injury of neonatal and infants of early age should be based on the ultrasonic examination. 3. The neck radiography in the frontal and lateral projections has the priority in the pathology diagnosis of children of pre-school age. However, functional X-ray examinations must be replaced by similar ultrasonic ones.

Key words: birth injury, X-ray diagnostics, ultrasonography, birth spinal injury sequelae, radiological protection, ionizing radiation

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For citation: Vorotuntceva NS, Nikulshina-Zhikina LG.The Ultrasonic Diagnostic Method of Perinatal Neck Injury and Its Consequenses as the Alternative to the Radiological Examination. Medical Radiology and Radiation Safety. 2016;61(5):42-7. Russian.

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