Motion-corrected cardiac MRI is associated with decreased anesthesia exposure in children.
Background: The benefits of cardiac magnetic resonance imaging (MRI) in the pediatric population must be balanced with the risk and cost of anesthesia. Segmented imaging using multiple averages attempts to avoid breath-holds requiring general anesthesia; however, cardiorespiratory artifacts and prol...
| Publicado en: | Pediatric Radiology Vol. 50; no. 12; pp. 1709 - 1717 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Nov2020
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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=146753893&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146753893 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03010449 O03 jtl: Pediatric Radiology issn: 03010449 maglogo: N pubinfo: dt: Nov2020 vid: 50 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 146753893 144701439 146753893 NLM32696111 10.1007/s00247-020-04766-2 NLM32696111 146753893 ppf: 1709 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Motion-corrected cardiac MRI is associated with decreased anesthesia exposure in children. aug: au: Christopher, Adam B. Quinn, Rachel E. Zoulfagharian, Sara Matisoff, Andrew J. Cross, Russell R. Xue, Hui Campbell-Washburn, Adrienne Olivieri, Laura J. affil: Division of Cardiology, Children's National Health System, 111 Michigan Avenue NW, 20010, Washington, DC, USA sug: subj: Anesthesia Statistics and Numerical Data Magnetic Resonance Imaging Methods Image Enhancement Methods Elements Contrast Media Heart Diseases Prospective Studies Child Respiration Time Male Female Retrospective Design Heart Scales Ferrans and Powers Quality of Life Index Questionnaires Child: 6-12 years Male Female ab: Background: The benefits of cardiac magnetic resonance imaging (MRI) in the pediatric population must be balanced with the risk and cost of anesthesia. Segmented imaging using multiple averages attempts to avoid breath-holds requiring general anesthesia; however, cardiorespiratory artifacts and prolonged scan times limit its use. Thus, breath-held imaging with general anesthesia is used in many pediatric centers. The advent of free-breathing, motion-corrected (MOCO) cines by real-time re-binned reconstruction offers reduced anesthesia exposure without compromising image quality.Objective: This study evaluates sedation utilization in our pediatric cardiac MR practice before and after clinical introduction of free-breathing MOCO imaging for cine and late gadolinium enhancement.Materials and Methods: In a retrospective study, patients referred for a clinical cardiac MR who would typically be offered sedation for their scan (n=295) were identified and divided into two eras, those scanned before the introduction of MOCO cine and late gadolinium enhancement sequences and those scanned following their introduction. Anesthesia use was compared across eras and disease-specific cohorts.Results: The incidence of non-sedation studies performed in children nearly tripled following the introduction of MOCO imaging (25% [pre-MOCO] to 69% [post-MOCO], P<0.01), with the greatest effect in patients with simple congenital heart disease. Eleven percent of the post-MOCO cohort comprised infants younger than 3 months of age who could forgo sedation with the combination of MOCO imaging and a "feed-and-bundle" positioning technique.Conclusion: Implementation of cardiac MR with MOCO cine and late gadolinium enhancement imaging in a pediatric population is associated with significantly decreased sedation utilization. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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