MR detection of retinal hemorrhages: correlation with graded ophthalmologic exam

Pediatric Radiology
Angela J BeaversSuzanne B Haney

Abstract

Dilated fundoscopic exam is considered the gold standard for detecting retinal hemorrhage, but expertise in obtaining this exam is not always immediately available. MRI can detect retinal hemorrhages, but correlation of the grade or severity of retinal hemorrhage on dilated fundoscopic exam with retinal hemorrhage visibility on MRI has not been described. To determine the value of standard brain protocol MRI in detecting retinal hemorrhage and to determine whether there is any correlation with MR detection of retinal hemorrhage and the dilated fundoscopic exam grade of hemorrhage. We conducted a retrospective chart review of 77 children <2 years old who were seen for head trauma from April 2007 to July 2013 and had both brain MRI and dilated fundoscopic exam or retinal camera images. A staff pediatric radiologist and radiology resident reviewed the MR images. Retinal hemorrhages were graded by a chief ophthalmology resident on a 12-point scale based on the retinal hemorrhage type, size, location and extent as seen on review of retinal camera images and detailed reports by ophthalmologists. Higher scores indicated increased severity of retinal hemorrhages. There was a statistically significant difference in the median grade of r...Continue Reading

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Citations

Apr 27, 2016·Der Radiologe·P HoferE Mützel
Mar 1, 2017·AJR. American Journal of Roentgenology·Jason N Wright
Nov 24, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Divya GundaAnthony M Alleman
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Nov 7, 2019·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Gunes OrmanThierry A G M Huisman
Sep 5, 2018·Pediatric Emergency Care·Jennifer B HansenJane F Knapp
Aug 7, 2020·Clinical Neuroradiology·Mehmet GencturkAlexander M McKinney

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