Reducing sedation for pediatric body MRI using accelerated and abbreviated imaging protocols.
Magnetic resonance imaging (MRI) is an established diagnostic imaging tool for investigating pediatric disease. MRI allows assessment of structure, function, and morphology in cardiovascular imaging, as well as tissue characterization in body imaging, without the use of ionizing radiation. For MRI i...
| Publicado en: | Pediatric Radiology Vol. 48; no. 1; pp. 37 - 50 |
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| Autores principales: | , , , |
| Formato: | diagnostic images review tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127041622&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127041622 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03010449 O03 jtl: Pediatric Radiology issn: 03010449 maglogo: N pubinfo: dt: Jan2018 vid: 48 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 127041622 127041622 NLM29292482 127041622 10.1007/s00247-017-3987-6 NLM29292482 127041622 ppf: 37 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Reducing sedation for pediatric body MRI using accelerated and abbreviated imaging protocols. aug: au: Ahmad, Rizwan Hu, Houchun Harry Krishnamurthy, Ramkumar Krishnamurthy, Rajesh affil: Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA sug: subj: Anesthesia, General Adverse Effects Anesthetics Administration and Dosage Conscious Sedation Adverse Effects Anesthetics Adverse Effects Magnetic Resonance Imaging Methods Child Child: 6-12 years ab: Magnetic resonance imaging (MRI) is an established diagnostic imaging tool for investigating pediatric disease. MRI allows assessment of structure, function, and morphology in cardiovascular imaging, as well as tissue characterization in body imaging, without the use of ionizing radiation. For MRI in children, sedation and general anesthesia (GA) are often utilized to suppress patient motion, which can otherwise compromise image quality and diagnostic efficacy. However, evidence is emerging that use of sedation and GA in children might have long-term neurocognitive side effects, in addition to the short-term procedure-related risks. These concerns make risk-benefit assessment of sedation and GA more challenging. Therefore, reducing or eliminating the need for sedation and GA is an important goal of imaging innovation and research in pediatric MRI. In this review, the authors focus on technical and clinical approaches to reducing and eliminating the use of sedation in the pediatric population based on image acquisition acceleration and imaging protocols abbreviation. This paper covers important physiological and technical considerations for pediatric body MR imaging and discusses MRI techniques that offer the potential of recovering diagnostic-quality images from accelerated scans. In this review, the authors also introduce the concept of reporting elements for important indications for pediatric body MRI and use this as a basis for abbreviating the MR protocols. By employing appropriate accelerated and abbreviated approaches based on an understanding of the imaging needs and reporting elements for a given clinical indication, it is possible to reduce sedation and GA for pediatric chest, cardiovascular and abdominal MRI. pubtype: Academic Journal doctype: diagnostic images review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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