Infrascanner™ in the diagnosis of intracranial lesions in children with traumatic brain injuries

Background: The number of traumatic injuries among children is increasing. However, so-called mild TBI might result in unfavourable outcomes. Early diagnosis of intracranial haematomas prior to development of serious complications may be a decisive factor for a favourable outcome. InfraScan company...

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Published in:	Brain injury Vol. 30; no. 1; pp. 18 - 22
Main Authors:	Semenova, Zh. B., Marshintsev, A. V., Melnikov, A. V., Meshcheryakov, S. V., Adayev, A. R., Lukyanov, V. I.
Format:	Journal Article
Language:	English
Published:	England Informa Healthcare 02-01-2016
Subjects:	Adolescent Brain Injuries, Traumatic - complications Brain Injuries, Traumatic - diagnosis Child Child, Preschool Craniocerebral Trauma - complications Craniocerebral Trauma - diagnosis Female Humans Infrascanner intracranial haemorrhage Intracranial Hemorrhages - complications Intracranial Hemorrhages - diagnosis Male mild head injury near-infrared spectroscopy paediatric TBI Risk Factors Sensitivity and Specificity Spectrophotometry, Infrared - methods Tomography, X-Ray Computed - methods traumatic brain injury traumatic brain injury near-infrared spectroscopy mild head injury Infrascanner intracranial haemorrhage paediatric TBI
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Summary:	Background: The number of traumatic injuries among children is increasing. However, so-called mild TBI might result in unfavourable outcomes. Early diagnosis of intracranial haematomas prior to development of serious complications may be a decisive factor for a favourable outcome. InfraScan company developed and brought to the market the Infrascanner® model 1000, which is a portable detector of blood collections that operates in the near infrared (NIR) band. Objective: To estimate the efficiency of the Infrascanner® model 1000 for detection of intracranial haematomas among children with mild TBI. Materials and methods: Ninety-five patients with mild TBI were examined. An indication for cerebral CT after mild TBI was the presence of risk factors of intracranial lesions. The Infrascanner was used by a neurosurgeon during primary examination. CT was performed in 43 patients (45%), while 52 patients (55%) with a low risk of intracranial lesions were under observation. Results: The results of examination of patients using CT and infrared scanning coincided in 39 cases and intracranial haematomas were detected in eight patients. False-positive results were obtained in three cases. The sensitivity of the procedure used in this group of patients with a medium and high risk of development of intracranial haemorrhages was 1.00 (0.66; 1.00). The specificity was 0.91 (0.81; 1.00)-the proportions and a 95% CI. The false-positive risk is 0.27 (0.00; 0.58). During infrared scanning in patients with low risk of intracranial lesions, false-positive results were obtained in four cases and false-negative results were absent. Conclusion: Infra-scanning might be viewed as a screening technique for intracranial haemorrhages in ambulances and outpatient trauma centres in order to decide on hospitalization, CT scanning and referral to a neurosurgeon. Infra-scanning combined with evaluation of risk factors of intracranial damage might reduce the number of unnecessary radiological examinations.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0269-9052 1362-301X
DOI:	10.3109/02699052.2014.989401