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Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
MR imaging of the gastro-intestinal tract in children
1Medical University of Vienna/General Hospital, Department of General and Paediatric Radiology, Währingergürtel 18-20, A-1090 Vienna, Austria. marcus.hoermann@meduniwien.ac.at
Insights
Magnetic resonance imaging (MRI) is a valuable tool for pediatric gastrointestinal evaluations, offering a radiation-free alternative to conventional imaging. This review highlights its established and emerging applications in children, emphasizing its potential to reduce radiation exposure.
Area of Science:
- Medical Imaging
- Pediatric Gastroenterology
- Radiology
Background:
- Magnetic resonance imaging (MRI) is widely used for adult inflammatory bowel disease and acute abdominal pain in pregnancy.
- Despite its suitability for children, MRI is not yet a standard diagnostic tool in pediatric gastrointestinal evaluations.
- The benefits of MRI in pediatric conditions like Crohn's disease, ulcerative colitis, appendicitis, and intestinal abnormalities are documented.
Purpose of the Study:
- To review the current and potential applications of MRI in the pediatric gastrointestinal tract.
- To emphasize the advantages of MRI, particularly its non-ionizing nature, for pediatric patients.
- To discuss considerations for implementing MRI in pediatric imaging, including technical advancements and radiation dose reduction.
Main Methods:
- Review of existing literature on MRI applications in pediatric gastrointestinal conditions.
- Discussion of technical advancements in MRI sequences and hardware.
- Analysis of the benefits of MRI compared to ionizing radiation techniques.
Main Results:
- MRI has demonstrated value in diagnosing pediatric Crohn's disease, ulcerative colitis, appendicitis, tumors, and malformations.
- Advancements in imaging technology are expanding the indications for pediatric MRI.
- MRI offers a crucial alternative to reduce radiation burden in children, especially for chronic conditions requiring follow-up.
Conclusions:
- MRI is a safe and effective imaging modality for the pediatric gastrointestinal tract.
- Increased adoption of MRI in pediatric care can significantly decrease radiation exposure.
- Future developments will likely broaden the use of MRI in pediatric diagnostic imaging.
Abstract:
MR imaging (MRI) is an established method for the evaluation of particularly inflammatory bowel disease in adults, as well as for acute abdominal pain in pregnant women. Despite the fact that MRI is ideally suited for the evaluation of children the method is still not established in these patients. The value of MRI in Crohn's disease, ulcerative colitis and appendicitis as well as intestinal tumors and malformations has been documented in children. There will be more indications in the future depending on the development of new imaging techniques, faster sequences, stronger gradients and increasing availability. Furthermore, the radiologist's attention must be drawn to decrease the radiation burden in children and to replace ionizing techniques especially in chronic disease with the need for repeated follow-up studies and in younger children. This review will discuss some general considerations for the use of MRI in evaluating the paediatric gastro-intestinal tract.
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