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Abdominal MR imaging in children: motion compensation, sequence optimization, and protocol organization
Govind B Chavhan1, Paul S Babyn, Shreyas S Vasanawala
1Department of Diagnostic Imaging, Hospital for Sick Children and University of Toronto, 555 University Ave, Toronto, ON, Canada M5G 1X8. drgovindchavhan@yahoo.com
Abstract:
Familiarity with basic sequence properties and their trade-offs is necessary for radiologists performing abdominal magnetic resonance (MR) imaging. Acquiring diagnostic-quality MR images in the pediatric abdomen is challenging due to motion, inability to breath hold, varying patient size, and artifacts. Motion-compensation techniques (eg, respiratory gating, signal averaging, suppression of signal from moving tissue, swapping phase- and frequency-encoding directions, use of faster sequences with breath holding, parallel imaging, and radial k-space filling) can improve image quality. Each of these techniques is more suitable for use with certain sequences and acquisition planes and in specific situations and age groups. Different T1- and T2-weighted sequences work better in different age groups and with differing acquisition planes and have specific advantages and disadvantages. Dynamic imaging should be performed differently in younger children than in older children. In younger children, the sequence and the timing of dynamic phases need to be adjusted. Different sequences work better in smaller children and in older children because of differing breath-holding ability, breathing patterns, field of view, and use of sedation. Hence, specific protocols should be maintained for younger children and older children. Combining longer-higher-resolution sequences and faster-lower-resolution sequences helps acquire diagnostic-quality images in a reasonable time.
Insights
Pediatric abdominal MRI requires understanding sequence properties for diagnostic quality. Motion compensation techniques and age-specific protocols are crucial for optimizing magnetic resonance imaging in children.
Area of Science:
- Radiology
- Medical Imaging
- Pediatric Imaging
Background:
- Pediatric abdominal magnetic resonance (MR) imaging presents unique challenges.
- Factors include patient motion, inability to breath-hold, varying patient size, and artifacts.
- These challenges impact diagnostic image quality.
Purpose of the Study:
- To review essential sequence properties and trade-offs for abdominal MR imaging in pediatric patients.
- To discuss motion-compensation techniques and their applicability.
- To highlight age-specific considerations for optimizing pediatric abdominal MR protocols.
Main Methods:
- Review of motion-compensation techniques such as respiratory gating, signal averaging, and parallel imaging.
- Analysis of different T1- and T2-weighted sequences for pediatric abdominal MR.
- Evaluation of age-specific adjustments for dynamic imaging and sequence selection based on breath-holding ability and sedation.
Main Results:
- Motion-compensation techniques can significantly improve image quality in pediatric abdominal MR.
- Sequence selection and timing of dynamic phases must be tailored to younger children.
- Different sequences are optimal for younger versus older children due to variations in breath-holding, breathing patterns, and field of view.
Conclusions:
- Familiarity with sequence properties and motion-compensation is vital for radiologists.
- Age-specific protocols are necessary for optimizing pediatric abdominal MR imaging.
- Combining sequences of varying resolution and speed aids in achieving diagnostic quality efficiently.
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