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Radiology · Paediatric imaging: craniosynostosis
Sample itemAn infant has a long, narrow skull with a palpable ridge along the sagittal suture. Which imaging best defines the fused sutures and plans surgery?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Low-dose CT with three-dimensional reconstruction
Premature sagittal suture fusion gives a scaphocephalic head. CT with 3D reconstruction shows which sutures are fused and assists surgical planning. Dose is kept low in infants, and MRI is used to assess associated brain anomalies.
Option by option
A. Isotope bone scan
A bone scan does not image sutures well.
B. Low-dose CT with three-dimensional reconstruction (correct)
Correct. 3D CT delineates the sutures.
C. Plain abdominal film
An abdominal film is unrelated.
D. Fluoroscopy
Fluoroscopy has no role.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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