Evidence map›Paper›PMID 34075452›Full record

ArticlePediatric radiology2021

Magnetic resonance imaging findings following button battery ingestion.

Neil E O Grey, LaDonna J Malone, Angie L Miller, Hsiang-Feng Carroll, Racha T Khalaf, Robert E Kramer, Lorna P Browne

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Article in Pediatric radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Neil E O GreyDepartment of Radiology, University of Colorado, Aurora, CO, USA.
LaDonna J MaloneDepartment of Radiology, University of Colorado, Aurora, CO, USA. ladonna.malone@childrenscolorado.org.ORCID http://orcid.org/0000-0001-8995-8490
Angie L MillerDepartment of Radiology, University of Colorado, Aurora, CO, USA.
Hsiang-Feng CarrollDepartment of Radiology, University of Colorado, Aurora, CO, USA.
Racha T KhalafDepartment of Pediatrics, University of South Florida, Tampa, FL, USA.
Robert E KramerDigestive Health Institute, Children's Hospital of Colorado, Aurora, CO, USA.
Lorna P BrowneDepartment of Radiology, University of Colorado, Aurora, CO, USA.
Children's Hospital Colorado · USUniversity of Colorado Anschutz Medical Campus · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLithium button battery ingestions have been increasing in frequency since the early 2000s and can develop severe and sometimes fatal complications from caustic injury even after rapid battery removal. To aid in clinical decision-making, we began obtaining magnetic resonance imaging (MRI)/MR angiography in these patients.

objectiveOur goal was to review MRI/MR angiography imaging in button battery ingestion cases and compare with other imaging, clinical data and outcomes in these patients. MATERIALS AND

methodsIn this retrospective institutional-review-board-approved study, we reviewed all button battery ingestion cases with MRI from April 2012 to September 2018. Clinical data, endoscopic findings and all imaging studies were rereviewed. MRIs were evaluated for inflammation, blooming artifact and complications including vascular injury, tracheoesophageal fistula, esophageal perforation and spondylodiscitis, and compared to endoscopy, esophagram and bronchoscopy.

resultsTwenty-three patients with button battery ingestions had a total of 51 MRI/MR angiograms. Seventy percent of the cohort was male with a median age of 2 years (range: 0.94-17 years). Severe complications were found in 48% of patients (11/23), including esophageal perforation (n=11), tracheoesophageal fistula (n=3) and spondylodiscitis (n=1). No patients had vascular injury. Cervical location of the battery was significantly associated with severe complications (10/11 cases). The length of the blooming artifact was greater than 2 cm in those with severe complications and, in most cases, <2 cm in those without severe complications. All complications were seen on initial screening MR exam with serial exams showing decreased inflammation.

conclusionMRI/MR angiography can provide valuable information about complications, including esophageal perforation, tracheoesophageal fistula and spondylodiscitis. Decreasing inflammation surrounding the esophagus and vasculature is believed to be clinically reassuring and aids in managing button battery ingestion patients.

Indexed as

Foreign BodiesAdolescentChildChild, PreschoolEatingElectric Power SuppliesHumansInfantMagnetic Resonance ImagingMaleRetrospective StudiesButton batteryChildrenEsophagusForeign bodyMagnetic resonance angiographyMagnetic resonance imagingPerforationTracheoesophageal fistula

Identifiers

PMID34075452
OpenAlexW3164167946

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.