Outpacing movement - ultrafast volume coverage in neuropediatric magnetic resonance imaging.

Abstract:

BACKGROUND:Conventional MRI sequences are often affected in neuropediatric imaging by unavoidable movements. Therefore, children younger than 6 years usually have to be examined under sedation/anesthesia. A new real-time MRI technique with automatic slice advancement allows for motion-robust T2-weighted volume coverage of the whole brain within a few seconds in adults. OBJECTIVE:To evaluate to which extent the new volume coverage method can be used to visualize cerebrospinal fluid and reduce the need for anesthesia in children. MATERIALS AND METHODS:We assessed 30 children ages 6 years and younger with suspected or proven hydrocephalus, hygroma or macrocephalus using volume coverage sequences with 20 slices per second in three planes. If necessary, a parent was placed in the bore together with the child for calming and gentle immobilization. We compared visualization of cerebrospinal fluid spaces and course of the shunt catheter in volume coverage sequences vs. fast spin-echo sequences. RESULTS:The clinical issue could be sufficiently assessed in all children with use of volume coverage sequences, whereas conventional fast spin-echo sequences performed moderately to poorly. Visualization of the tip of a shunt failed in 16% of volume coverage scans and 27% of turbo spin-echo scans. A subsequent examination under anesthesia was never necessary. None of the examinations had to be stopped prematurely. CONCLUSION:The motion-robust volume coverage sequences with T2-type contrast can be used to avoid sedation of children in the evaluation of cerebrospinal fluid spaces, even in the presence of vigorous motion. For other indications and contrasts, the technique must still be evaluated.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Gräfe D,Roth C,Weisser M,Krause M,Frahm J,Voit D,Hirsch FW

doi

10.1007/s00247-020-04771-5

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

1751-1756

issue

12

eissn

0301-0449

issn

1432-1998

pii

10.1007/s00247-020-04771-5

journal_volume

50

pub_type

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