Radiological Assessment of Children with Pectus Excavatum

Overview

Journal Indian J Pediatr

Specialty Pediatrics

Date 2007 Mar 6

PMID 17337826

Citations 7

Authors

Arturas Kilda

Algidas Basevicius

Vidmantas Barauskas

Saulius Lukosevicius

Donatas Ragaisis

Affiliations

Soon will be listed here.

Abstract

Objective: To assess what degree of chest wall deformation changes statistically reliably after surgery, using pre- and postoperative radiological examination data.

Methods: Radiological chest examinations were performed for 88 children before and after remedial operations. Pre- and postoperative chest radiograph and CT were performed to measure transversal chest width; sagittal left chest side depth, sagittal right chest side depth, sternovertebral distance and vertebral body length. Derivative indices were also estimated: Vertebral index (VI), Frontosagittal index (FI), Haller index (HI) and asymmetry index. Computerized assessment of data was used. For statistical analysis, the software "Statistica 6.0" was used.

Results: Postoperatively VI increased approximately by 2.37+/-2.72, FI decreased by 4.60+/-4.34 and HI value increased approximately up by 0.45+/-0.49. Statistically significant deformation index difference before and after surgery was not detected when VI was below 26.2 (p=0.08), FI was above 32.9 (p=0.079) and HI was less than 3.12 (p=0.098).

Conclusion: Preoperative CT and X-ray assessment of chest wall deformation degree is important for pediatric patients. The following deformation indices are indications for surgical treatment: VI>26, FSI< 33 and HI>3.1.

Citing Articles

Enhancing pectus excavatum diagnosis with an automated batch evaluation tool for chest computed tomography images.

Fan Y, Ng Y, Tzeng I, Hsu Y, Cheng Y, Zhou J Sci Rep. 2024; 14(1):23468.

PMID: 39379417 PMC: 11461728. DOI: 10.1038/s41598-024-73880-0.

Vacuum bell therapy for pectus excavatum: a retrospective study.

Lei W, Shao M, Hu Y, Cao J, Han W, Wang R BMC Pediatr. 2024; 24(1):173.

PMID: 38461230 PMC: 10924398. DOI: 10.1186/s12887-024-04615-3.

Is pectus excavatum a risk factor for radiation-induced lung disease in patients undergoing radiation therapy following breast-conserving surgery?.

Ishibashi N, Maebayashi T, Aizawa T, Sakaguchi M, Hata M, Sakurai K Thorac Cancer. 2018; 10(2):203-208.

PMID: 30561105 PMC: 6360220. DOI: 10.1111/1759-7714.12933.

Pectus excavatum: computed tomography and medium-term surgical outcome in a prospective cohort of 10 kittens.

Charlesworth T, Schwarz T, Sturgess C J Feline Med Surg. 2015; 18(8):613-9.

PMID: 26088565 PMC: 10816384. DOI: 10.1177/1098612X15591234.

Radiologic factors related to double-bar insertion in minimal invasive repair of pectus excavatum.

Kim K, Lee K, Lee J, Yang K, Hwang J, Je B World J Pediatr. 2014; 11(2):148-53.

PMID: 25416004 DOI: 10.1007/s12519-014-0522-9.

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