Optimal filum terminale thickness cutoff value on sonography for lipoma screening in young children

Hyun Joo Shin, Myung Joon Kim, Hye Sun Lee, Hyun Gi Kim, MiJung Lee

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives-The purpose of this study was to evaluate the normal thickness of the filum terminale on sonography and suggest an optimal cutoff value for filum terminale lipoma screening in young children. Methods-We retrospectively reviewed lumbosacral sonograms and magnetic resonance images from children younger than 36 months that were obtained between January 2013 and June 2014. The filum terminale thickness on sonography and the presence of fat in the filum terminale on magnetic resonance imaging were evaluated. Results-From 111 children (mean age ?} SD, 3.6 ?} 3.0 months), 49 did not have abnormal lesions (normal group), and 62 had fat infiltration in the filum terminale (lipoma group). The filum terminale was thicker in the lipoma group than the normal group (1.5 ?} 0.5 versus 0.9 ?} 0.2 mm; P < .001). Filum terminale thickness also showed significance in a multivariable analysis with sex and age (odds ratio per 0.1-mm unit, 2.754; P< .001) and in propensity score matching for age (P< .001). The optimal cutoff value for filum terminale lipoma screening was 1.1 mm, with 94% sensitivity and 86% specificity. Conclusions-The conventional cutoff value of 2 mm for a thickened filum terminale on sonography can be too thick. We suggest an optimal cutoff value of 1.1 mm for lipoma screening in young children.

Original languageEnglish
Pages (from-to)1943-1949
Number of pages7
JournalJournal of Ultrasound in Medicine
Volume34
Issue number11
DOIs
Publication statusPublished - 2015 Nov 1

Fingerprint

Cauda Equina
Lipoma
Ultrasonography
Fats
Propensity Score
Magnetic Resonance Spectroscopy
Odds Ratio
Magnetic Resonance Imaging
Sensitivity and Specificity

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Shin, Hyun Joo ; Kim, Myung Joon ; Lee, Hye Sun ; Kim, Hyun Gi ; Lee, MiJung. / Optimal filum terminale thickness cutoff value on sonography for lipoma screening in young children. In: Journal of Ultrasound in Medicine. 2015 ; Vol. 34, No. 11. pp. 1943-1949.
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abstract = "Objectives-The purpose of this study was to evaluate the normal thickness of the filum terminale on sonography and suggest an optimal cutoff value for filum terminale lipoma screening in young children. Methods-We retrospectively reviewed lumbosacral sonograms and magnetic resonance images from children younger than 36 months that were obtained between January 2013 and June 2014. The filum terminale thickness on sonography and the presence of fat in the filum terminale on magnetic resonance imaging were evaluated. Results-From 111 children (mean age ?} SD, 3.6 ?} 3.0 months), 49 did not have abnormal lesions (normal group), and 62 had fat infiltration in the filum terminale (lipoma group). The filum terminale was thicker in the lipoma group than the normal group (1.5 ?} 0.5 versus 0.9 ?} 0.2 mm; P < .001). Filum terminale thickness also showed significance in a multivariable analysis with sex and age (odds ratio per 0.1-mm unit, 2.754; P< .001) and in propensity score matching for age (P< .001). The optimal cutoff value for filum terminale lipoma screening was 1.1 mm, with 94{\%} sensitivity and 86{\%} specificity. Conclusions-The conventional cutoff value of 2 mm for a thickened filum terminale on sonography can be too thick. We suggest an optimal cutoff value of 1.1 mm for lipoma screening in young children.",
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Optimal filum terminale thickness cutoff value on sonography for lipoma screening in young children. / Shin, Hyun Joo; Kim, Myung Joon; Lee, Hye Sun; Kim, Hyun Gi; Lee, MiJung.

In: Journal of Ultrasound in Medicine, Vol. 34, No. 11, 01.11.2015, p. 1943-1949.

Research output: Contribution to journalArticle

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AB - Objectives-The purpose of this study was to evaluate the normal thickness of the filum terminale on sonography and suggest an optimal cutoff value for filum terminale lipoma screening in young children. Methods-We retrospectively reviewed lumbosacral sonograms and magnetic resonance images from children younger than 36 months that were obtained between January 2013 and June 2014. The filum terminale thickness on sonography and the presence of fat in the filum terminale on magnetic resonance imaging were evaluated. Results-From 111 children (mean age ?} SD, 3.6 ?} 3.0 months), 49 did not have abnormal lesions (normal group), and 62 had fat infiltration in the filum terminale (lipoma group). The filum terminale was thicker in the lipoma group than the normal group (1.5 ?} 0.5 versus 0.9 ?} 0.2 mm; P < .001). Filum terminale thickness also showed significance in a multivariable analysis with sex and age (odds ratio per 0.1-mm unit, 2.754; P< .001) and in propensity score matching for age (P< .001). The optimal cutoff value for filum terminale lipoma screening was 1.1 mm, with 94% sensitivity and 86% specificity. Conclusions-The conventional cutoff value of 2 mm for a thickened filum terminale on sonography can be too thick. We suggest an optimal cutoff value of 1.1 mm for lipoma screening in young children.

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