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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Dentomaxillofac+Radiol
2016 ; 45
(7
): 20160136
Nephropedia Template TP
gab.com Text
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English Wikipedia
The use of magnetic resonance imaging in the evaluation of upper airway
structures in paediatric obstructive sleep apnoea syndrome: a systematic review
and meta-analysis
#MMPMID27440304
Patini R
; Arrica M
; Di Stasio E
; Gallenzi P
; Cordaro M
Dentomaxillofac Radiol
2016[]; 45
(7
): 20160136
PMID27440304
show ga
OBJECTIVES: A systematic review was conducted to assess the effectiveness of MRI
in evaluating upper airway structures in children affected by obstructive sleep
apnoea syndrome (OSAS). METHODS: A literature search was performed in the
Cochrane Central Register of Controlled Trials, Web of Science, Scopus and PubMed
databases from their inception to 31/03/2016, including available randomized
controlled trials and controlled clinical trials published in English assessing
the use of MRI integrated with traditional polysomnography (PSG) among children
up to 15 years of age affected by OSAS. The primary outcome to be evaluated was
the efficacy of MRI in analyzing the upper airway total volume among healthy
children compared with children affected by OSAS. Secondary outcomes were to
compare the efficacy of MRI in analyzing the upper airway cross-sectional area in
the areas adjacent to the adenoids and tonsils, adenoid and tonsil volume, and
soft-tissue and maxillofacial bone parameters in the same sample. Results were
expressed using a random-effects model and mean differences (MD) with 95%
confidence intervals (CI). RESULTS: The search yielded 1005 titles in total; the
selection process narrowed to 3 titles, which were all assessed as indicating an
unclear level of risk of bias. The meta-analysis found evidence of MRI
effectiveness in evaluating differences in the upper airway total volume between
paediatric patients affected by OSAS and paediatric patients not affected by OSAS
(MD -0.56?cm(3); 95% CI: -1.05 to -0.07). CONCLUSIONS: Although MRI could be
considered effective in evaluating upper airway structures in children affected
by OSAS, based on the present evidence, PSG is still the golden standard and
further studies are required to verify MRI reliability.