Case of victims of modern imaging technology: Increased information noise concealing the diagnosis

Mahajan, Abhishek; Santhoshkumar, G V; Kawthalkar, Ameya Shirish; Vaish, Richa; Sable, Nilesh; Arya, Supreeta; Desai, Subhash

doi:10.4329/wjr.v9.i12.454

Cited by 5 publications

(2 citation statements)

References 12 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There has been an exponential rise in medical imaging which, in some cases, is unnecessary. This has led to a new entity coined 'victims of modern imaging technology' or VOMIT, 7 when investigations may be unwarranted or done for unjustified indications, resulting in adverse effects or discomfort for patients and their families. Imaging a young or uncooperative child, entails the risks associated with general anaesthesia, as well as increased radiation exposure, and can also cause anxiety for parents.…”

Section: Introductionmentioning

confidence: 99%

Ten‐year review of neuroimaging in acute paediatric strabismus

Chong

Allen

Jarvis

et al. 2021

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

Background: Acute childhood strabismus is often a clinical conundrum faced by ophthalmologists. Currently, there are no clear clinical guidelines on how to investigate a child presenting with acute strabismus. Furthermore, there is no consensus as to whether to initially perform neuroimaging of a child to rule out the small but serious risk of intracranial pathology, or to pursue a careful observational approach. This paper aims to outline a standardised approach to investigating acute strabismus in paediatric patients.Methods: A retrospective chart review of all paediatric patients that presented over a 10-year period to the ophthalmology departments at two tertiary level hospitals in New Zealand was conducted. Patients under 18 years of age with an acute presentation of strabismus, who underwent neuroimaging, were included.Results: A total of 500 patient records were reviewed. Seventy patients met the study inclusion criteria. Of these patients, 17 (24.3%) had non-isolated strabismus while 53 patients (75.7%) had isolated strabismus. Twelve patients (70.6%) who presented with a non-isolated strabismus had abnormal neuroimaging. Of those who presented with an isolated strabismus, 4 (7.5%) had abnormal neuroimaging. Conclusions: Acute onset non-isolated strabismus is a significant predictor of underlying neurological abnormality in children and requires urgent neuroimaging. However, a cautious approach in which there is close observation, along with general paediatric and/or paediatric neurology input, may be appropriate for children presenting acutely with an isolated strabismus.

show abstract

Section: Introductionmentioning

confidence: 99%

Ten‐year review of neuroimaging in acute paediatric strabismus

Chong

Allen

Jarvis

et al. 2021

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Given the increasing dependence on imaging in order to make a patient diagnosis and thus the increased usage of CT scans and other imaging modalities, asymptomatic and idiopathic intussusception might be picked up more than usual [7] . Care was taken in our case to ensure that our patient was not a part of being a ‘Victim of modern imaging technology (VOMIT)’ ie someone who undergoes multiple investigations which are mostly unnecessary [8] .…”

Section: Discussionmentioning

confidence: 99%