The Unnecessity of Positron Emission Tomography Computed Tomography in the Etiologic Evaluation of Neurodevelopmental Delay in Craniosynostosis Patients.
10.7181/acfs.2017.18.1.21
- Author:
Chae Eun YANG
1
;
Eun Kyung PARK
;
Myung Chul LEE
;
Kyu Won SHIM
;
Yong Oock KIM
Author Information
1. Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. SGM625@yuhs.ac
- Publication Type:Original Article
- Keywords:
Craniosynostosis;
Positron emission tomography computed tomography;
Evaluation
- MeSH:
Brain;
Craniosynostoses*;
Electrons*;
Glucose;
Humans;
Magnetic Resonance Imaging;
Metabolism;
Osteogenesis, Distraction;
Positron-Emission Tomography*;
Skull;
Tomography, X-Ray Computed
- From:Archives of Craniofacial Surgery
2017;18(1):21-24
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In evaluation of craniosynostosis patients in terms of neurodevelopmental delay, positron emission tomography computed tomography (PET-CT) scan can be used to assess brain abnormalities through glucose metabolism. We aimed to determine the unnecessity of PET-CT in this study. METHODS: Thirty-eight patients diagnosed with craniosynostosis who underwent distraction osteogenesis from October, 2010 to November, 2013 were reviewed. Magnetic resonance imaging (MRI) and PET-CT scan were carried out for evaluation of the brain structure and function, whereas X-ray and CT scan were taken for evaluation of the skull. RESULTS: Nine patients reported abnormal MRI findings which were not significant, and five patients showed local problem on brain on PET-CT scan. No correlation was found among them. CONCLUSION: PET-CT evaluation of possible abnormal brain findings do not affect surgical planning or require additional therapy. Preoperative PET-CT scan is not the essential study to get any etiologic information of the disease consequences or to establish the treatment plan.
