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The investigators aim to identify the frequency with which an elective brain MRI yields and etiologic diagnosis to explain its indication. The protocol includes children undergoing elective brain MRI with anesthesia prior to their third birthday.
On December 14, 2016 the FDA issued a warning regarding elective anesthetics in children under three years of age. While a single, short exposure to general anesthesia may not have negative effects on behavior or learning, repeated or prolonged anesthetics may affect brain development. To that end, minimizing exposure to elective general anesthetics if procedures are not clearly indicated in young children appeals to reason.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Developmental Delay | Children under age 3 who underwent MRI brain with anesthesia for the indication of Developmental Delay (between the dates of Dec 13, 2015 - Dec 13, 2016) at our institution. |
| |
| Seizure | Children under age 3 who underwent MRI brain with anesthesia for the indication of Seizure (between the dates of Dec 13, 2015 - Dec 13, 2016) at our institution. |
| |
| Developmental Delay and Seizure | Children under age 3 who underwent MRI brain with anesthesia for the indication of Developmental Delay and Seizure (between the dates of Dec 13, 2015 - Dec 13, 2016) at our institution. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Change in plan of care based on MRI results | Diagnostic Test | Study subjects have "received the intervention" if the results of their MRI either 1. provide an etiology for said MRI's indication or 2. the patient received a change in plan of care based on MRI results. |
| Measure | Description | Time Frame |
|---|---|---|
| Etiologic diagnosis obtained from MRI brain | Determine the incidence of brain MRI abnormality that led to etiological explanation of developmental delay, autism or seizure. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Quantify anesthetic exposure | To determine the doses of all anesthetic and sedative agents administered and the duration of anesthesia | 1 year |
| Incidence of repeat MRI | To determine the incidence of repeat MRI scan in the study population. anesthesia. To determine the incidence of repeat MRI scan in the study population. |
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Inclusion Criteria:
Exclusion Criteria:
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Children under age 3 undergoing MRI brain with anesthesia or sedation between Dec 13, 2015 and Dec 13, 2016
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| Name | Affiliation | Role |
|---|---|---|
| Dean B Andropoulos, MD | Baylor College of Medicine | Study Director |
| Jamie W Sinton, MD | Baylor College of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Texas Children's Hospital | Houston | Texas | 77030 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28457518 | Background | Murias K, Moir A, Myers KA, Liu I, Wei XC. Systematic review of MRI findings in children with developmental delay or cognitive impairment. Brain Dev. 2017 Sep;39(8):644-655. doi: 10.1016/j.braindev.2017.04.006. Epub 2017 Apr 27. | |
| 12562474 | Background | Simpson GA, Colpe L, Greenspan S. Measuring functional developmental delay in infants and young children: prevalence rates from the NHIS-D. Paediatr Perinat Epidemiol. 2003 Jan;17(1):68-80. doi: 10.1046/j.1365-3016.2003.00459.x. |
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This is a retrospective study, this question seems not applicable.
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| ID | Term |
|---|---|
| D012640 | Seizures |
| D007859 | Learning Disabilities |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| 1 year |
| 17607144 | Background | Rodriguez DP, Poussaint TY. Neuroimaging of the child with developmental delay. Top Magn Reson Imaging. 2007 Feb;18(1):75-92. doi: 10.1097/RMR.0b013e3180f63511. |
| 15739114 | Background | Decobert F, Grabar S, Merzoug V, Kalifa G, Ponsot G, Adamsbaum C, des Portes V. Unexplained mental retardation: is brain MRI useful? Pediatr Radiol. 2005 Jun;35(6):587-96. doi: 10.1007/s00247-005-1406-x. Epub 2005 Mar 1. |
| 9548639 | Background | Schaefer GB, Bodensteiner JB. Radiological findings in developmental delay. Semin Pediatr Neurol. 1998 Mar;5(1):33-8. doi: 10.1016/s1071-9091(98)80016-8. |
| 27564559 | Background | Huang YY, Li L, Monteleone M, Ferrari L, States LJ, Riviello JJ, Kernie SG, Mencin AA, Gupta S, Sun LS. Use of Anesthesia for Imaging Studies and Interventional Procedures in Children. J Neurosurg Anesthesiol. 2016 Oct;28(4):400-404. doi: 10.1097/ANA.0000000000000355. |
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |