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Audit of regional screening guidelines for vestibular schwannoma

Published online by Cambridge University Press:  29 June 2007

P. J. D. Dawes  and
J.-P. Jeannon
P. J. D. Dawes*
Affiliation:
Department of Otolaryngology, Sunderland Royal Hospital, Sunderland, UK
J.-P. Jeannon
Affiliation:
Department of Otolaryngology, Sunderland Royal Hospital, Sunderland, UK
*
Address for correspondence: Mr P. J. D. Dawes, F.R.C.S., ENT Department, Dunedin Public Hospital, 201 Great King Street, Dunedin, New Zealand. Fax: 00 64 3 474 7956
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Abstract

An audit of 334 patients who underwent magnetic resonance imaging (MRI) as investigation for a possible diagnosis of vestibular schwannoma was carried out to assess adherence to previously agreed screening guidelines. This represents one year's activity. A posterior fossa tumour was identified in 12 patients. Scan requests were judged to be inappropriate for 28 cases. The issues surrounding the screening for acoustic neuroma are discussed.

Keywords

Schwannoma, vestibularMagnetic resonance imagingHealth planning guidelines
Type
Audit article
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 9 , September 1998 , pp. 860 - 864
Copyright
Copyright © JLO (1984) Limited 1998

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References

Anand, V. T., Kerr, A. G., Byrnes, D. P., Smyth, G. D. L. (1992) Non-surgical management of acoustic neuromas. Clinical Otolaryngology 17: 406–410.CrossRefGoogle ScholarPubMed
Lesser, T. H. S., Janser, R. C., Kleihues, P., Fisch, U. (1991) Clinical growth rate of acoustic schwannomas. Skull Base Surgery 1: 11–15.CrossRefGoogle ScholarPubMed
Linder, T. E., Tachodl, C. H., Fisch, U. (1997) Growth pattern of unilateral acoustic neuromas. 3rd European Skull Base Congress, London, April 9–11, 1997, Poster.Google Scholar
Moffatt, D. A., Hardy, D. G. (1989) Early diagnosis and surgical management of acoustic neuroma: Is it cost effective? Journal of the Royal Society of Medicine 82: 329–332.CrossRefGoogle Scholar
Ravi, K. V., Wells, S. C. (1996) A cost effective screening protocol for acoustic neuroma screening in the late 1990's. Journal of Laryngology and Otology 110: 1129–1132.CrossRefGoogle Scholar
Robson, A. K., Leighton, S. E., Anslow, P., Milford, C. A. (1994) MRI as a single screening procedure for acoustic neuroma: a cost effective protocol. Journal of the Royal Society of Medicine 86: 455–457.CrossRefGoogle Scholar
Saeed, S. R., Woolford, T. J., Ramsden, R. T., Lye, R. H. (1995) Magnetic resonance imaging: a cost effective first line investigation in the detection of vestibular schwannomas. British Journal of Neurosurgery 4: 497–503.CrossRefGoogle Scholar
Sheppard, I., Milford, C., Anslow, P. (1996) MRI in the detection of acoustic neuroma – a suggested protocol for screening. Clinical Otolaryngology 21: 301–304.CrossRefGoogle ScholarPubMed
Stack, J. P., Ramsden, R. T., Anton, N. M., Lye, R. H., Sheppard, I., Jenkins, J. P. R. (1988) Magnetic resonance imaging of acoustic neuromas: the role of gadolinium – DTPA. British Journal of Radiology 61: 800–805.CrossRefGoogle ScholarPubMed
Thomsen, J., Charabi, S., Tos, M., Charabi, B., Manton, M., Borgesson, S. (1997) Vestibular schwannoma growth – a never ending story. Presented to the 3rd European Skull Base Congress, London, April 9–11, 1997.Google Scholar
Tos, M., Thomsen, J. (1984) Epidemiology of acoustic neuromas. Journal of Laryngology and Otology 98: 685–692.CrossRefGoogle ScholarPubMed