Feasibility of dynamic MRI for evaluating velopharyngeal insufficiency in children
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : C. Drissi & M. Mitrofanoff & C. Talandier & C. Falip & V. Le Couls & C. Adamsbaum
- چاپ و سال / کشور: 2011
Description
Objective To demonstrate the feasibility of dynamic MRI with near-real-time temporal resolution for analysing velopharyngeal closure. Methods Eleven children and young adults (seven girls, four boys, mean age: 8.4 years) with suspected velopharyngeal insufficiency (VPI), and one healthy volunteer underwent MRI (1.5 Tesla) using T2 fast imaging sequences. Imaging was done without any sedation at rest and during various phonations in the axial and sagittal planes. Images were analysed by two radiologists, a plastic surgeon and a speech therapist. Results The MRI examinations were well tolerated by even the youngest patient. A qualitative analysis found that the sagittal dynamic sequences during phonation were in relation to the clinical data in all patients. A quantitative analysis enabled calculation of the elevation angle of the soft palate in relation to the hard palate, the velar eminence angle and the percentage of reduction of the anteroposterior diameter of the pharyngeal lumen. Conclusion Dynamic MRI is a non-invasive, rapid and repeatable method. It can be considered a complementary tool to endoscopy and fluoroscopy, particularly in children, for assessing VPI without any sedation or radiation exposure.
Eur Radiol (2011) 21:1462–1469 DOI 10.1007/s00330-011-2069-7 Received: 15 September 2010 / Revised: 20 December 2010 / Accepted: 22 December 2010 / Published online: 2 February 2011
