Brain MRI Analysis of Children with Obstructive Sleep Apnea
Objective To investigate the value of brain MRI in children with obstructive sleep apnea.Methods A chart review of patients who underwent consecutive MRI and DISE examinations between January 2020 to April 2024 was performed.Descriptive statistics were reported and Cohen kappa coefficients were calculated to assess consistency between film MRI and DISE for obstruction of adenoids,lingual tonsils,and base of the tongue.Results The most common sites of obstruction on MRI were hypopharynx(56.3％),base of tongue(44.8％),lingual tonsil(38.0％)and macroglossia(37.6％).The coincidence rate for adenoid hypertrophy was moderate(k=0.53)and low for lingual tonsil hypertrophy(k=0.15)and root obstruction(k=0.09).DISE found more cases of multisegmental obstruction than MRI(94.9％vs48.2％).Conclusion DISE provides better detection of nasal and supratroglottic obstruction and is sensitive to partial and complete collapse,while MRI provides better soft tissue resolution for lymphoid hypertrophy and provides a panoramic view of primary and secondary respiratory obstruction.
万方数据
维普
