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Kitten Scanner reduces the use of sedation in pediatric MRI
Eleonora Cavarocchi1, Ilde Pieroni2, Antonio Serio1
11 Department of Radiology, Villa Serena Hospital, Pescara, Italy.
Insights
A toy scanner training protocol significantly reduced the need for sedation in children undergoing brain MRI scans, decreasing it by 30%. This training also eliminated gender disparities in sedation use for pediatric MRI.
Area of Science:
- Pediatric Radiology
- Medical Education
Background:
- Sedation is frequently used for pediatric MRI scans to mitigate motion artifacts and anxiety.
- However, sedation carries inherent risks and drawbacks.
- Alternative strategies to reduce sedation are needed.
Purpose of the Study:
- To evaluate the effectiveness of an educational training protocol using a toy scanner (Kitten Scanner) in reducing sedation for pediatric brain MRI.
- To assess the impact of this training on children's age and gender.
Main Methods:
- Retrospective analysis of 1461 children (aged 4-14) undergoing brain MRI.
- Comparison of sedation rates before and after implementation of the Kitten Scanner training protocol.
- Exclusion of 158 children with autism spectrum disorder or ADHD from analysis.
Main Results:
- The Kitten Scanner training protocol led to a 30% decrease in sedation use for pediatric brain MRI.
- The reduction in sedation was particularly notable in children younger than 10 years.
- Pre-training, females were less likely to require sedation than males; this gender difference disappeared post-training.
Conclusions:
- The toy scanner training protocol is an effective method for reducing sedation requirements in pediatric MRI.
- This educational intervention improves patient management and addresses gender-related disparities in care.
- The findings support the integration of simulation-based training in pediatric radiology practices.
Abstract:
The use of sedation before a magnetic resonance imaging (MRI) scan is a common practice to overcome motion artifacts and anxiety in children. However, this technique has its drawbacks. We retrospectively compared the number of children undergoing a brain MRI scan with or without sedation before and after the introduction of an educational training protocol using a toy scanner (the Philips Kitten Scanner) and we investigated the effectiveness of this training in relation to children's age and gender. We considered 1461 children between 4 years and 14 years. Of them, 158 had a diagnosis of autism spectrum disorder or attention-deficit hyperactivity disorder and were excluded from further analysis. After the introduction of the Kitten Scanner training protocol, the sedation need decreased by 30% in the total sample group and in children younger than 10 years in particular. Before the training, females were more likely to undergo the MRI examination without sedation as compared to males, while after its introduction this gender difference was no more visible.
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