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Research ArticlePediatrics
Open Access

Cost and Utility of Routine Contrast-Enhanced Neck MRA in a Pediatric MRI Stroke Evaluation Protocol

A. Baltensperger, D. Mirsky, J. Maloney, I. Neuberger, L. Fenton, T. Bernard, J. Borgstede and N. Stence
American Journal of Neuroradiology December 2019, 40 (12) 2143-2145; DOI: https://doi.org/10.3174/ajnr.A6315
A. Baltensperger
aFrom the Department of Pediatrics (A.B., T.B.)
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D. Mirsky
bSection of Child Neurology, Department of Radiology (D.M., J.M., I.N., L.F., N.S.)
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J. Maloney
bSection of Child Neurology, Department of Radiology (D.M., J.M., I.N., L.F., N.S.)
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I. Neuberger
bSection of Child Neurology, Department of Radiology (D.M., J.M., I.N., L.F., N.S.)
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L. Fenton
bSection of Child Neurology, Department of Radiology (D.M., J.M., I.N., L.F., N.S.)
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T. Bernard
aFrom the Department of Pediatrics (A.B., T.B.)
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J. Borgstede
cSection of Pediatric Radiology, and Department of Radiology (J.B.), University of Colorado School of Medicine, Aurora, Colorado.
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N. Stence
bSection of Child Neurology, Department of Radiology (D.M., J.M., I.N., L.F., N.S.)
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References

  1. 1.↵
    1. Lynch JK,
    2. Hirtz DG,
    3. DeVeber G, et al
    . Report of the National Institute of Neurological Disorders and Stroke workshop on perinatal and childhood stroke. Pediatrics 2002;109:116–23 doi:10.1542/peds.109.1.116 pmid:11773550
    Abstract/FREE Full Text
  2. 2.↵
    1. Rivkin MJ,
    2. Bernard TJ,
    3. Dowling MM, et al
    . Guidelines for urgent management of stroke in children. Pediatr Neurol 2016;56:8–17 doi:10.1016/j.pediatrneurol.2016.01.016 pmid:26969237
    CrossRefPubMed
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    1. Mackay MT,
    2. Wiznitzer M,
    3. Benedict SL, et al
    . Arterial ischemic stroke risk factors: the International Pediatric Stroke Study. Ann Neurol 2011;69:130–40 doi:10.1002/ana.22224 pmid:21280083
    CrossRefPubMedWeb of Science
  4. 4.↵
    1. Uohara MY,
    2. Beslow LA,
    3. Billinghurst L, et al
    . Incidence of recurrence in posterior circulation childhood arterial ischemic stroke. JAMA Neurol 2017;74:316–23 doi:10.1001/jamaneurol.2016.5166 pmid:28114639
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  5. 5.↵
    1. Fullerton HJ,
    2. Wintermark M,
    3. Hills NK, et al
    . Risk of recurrent arterial ischemic stroke in childhood: a prospective international study. Stroke 2016;47:53–59 doi:10.1161/STROKEAHA.115.011173 pmid:26556824
    Abstract/FREE Full Text
  6. 6.↵
    1. Mackay MT,
    2. Chua ZK,
    3. Lee M, et al
    . Stroke and nonstroke brain attacks in children. Neurology 2014;82:1434–40 doi:10.1212/WNL.0000000000000343 pmid:24658929
    Abstract/FREE Full Text
  7. 7.↵
    1. Stence NV,
    2. Fenton LZ,
    3. Goldenberg NA, et al
    . Craniocervical arterial dissection in children: diagnosis and treatment. Curr Treat Options Neurol 2011;13:636 doi:10.1007/s11940-011-0149-2 pmid:21979145
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  8. 8.↵
    1. Mirsky DM,
    2. Beslow LA,
    3. Amlie-Lefond C, et al
    . Pathways for neuroimaging of childhood stroke. Pediatr Neurol 2017;69:11–23 doi:10.1016/j.pediatrneurol.2016.12.004 pmid:28274641
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  9. 9.↵
    1. Wintermark M,
    2. Hills NK,
    3. DeVeber GA, et al
    . Clinical and imaging characteristics of arteriopathy subtypes in children with arterial ischemic stroke: results of the VIPS study. AJNR Am J Neuroradiol 2017;38:2172–79 doi:10.3174/ajnr.A5376 pmid:28982784
    Abstract/FREE Full Text
  10. 10.↵
    1. Flood TF,
    2. Stence NV,
    3. Maloney JA, et al
    . Pediatric brain: repeated exposure to linear gadolinium-based contrast material is associated with increased signal intensity at unenhanced T1-weighted MR imaging. Radiology 2017;282:222–28 doi:10.1148/radiol.2016160356 pmid:27467467
    CrossRefPubMed
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American Journal of Neuroradiology: 40 (12)
American Journal of Neuroradiology
Vol. 40, Issue 12
1 Dec 2019
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Cite this article
A. Baltensperger, D. Mirsky, J. Maloney, I. Neuberger, L. Fenton, T. Bernard, J. Borgstede, N. Stence
Cost and Utility of Routine Contrast-Enhanced Neck MRA in a Pediatric MRI Stroke Evaluation Protocol
American Journal of Neuroradiology Dec 2019, 40 (12) 2143-2145; DOI: 10.3174/ajnr.A6315

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Cost and Utility of Routine Contrast-Enhanced Neck MRA in a Pediatric MRI Stroke Evaluation Protocol
A. Baltensperger, D. Mirsky, J. Maloney, I. Neuberger, L. Fenton, T. Bernard, J. Borgstede, N. Stence
American Journal of Neuroradiology Dec 2019, 40 (12) 2143-2145; DOI: 10.3174/ajnr.A6315
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