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MRI Techniques to Decrease Imaging Times in Children
Benjamin M Kozak1, Camilo Jaimes1, John Kirsch1
1From the Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Founders 210, Boston, MA 02114 (B.M.K., J.K., M.S.G.); Department of Radiology, Harvard Medical School, Boston, Mass (B.M.K., C.J., J.K., M.S.G.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (C.J.).
Abstract:
Long acquisition times can limit the use of MRI in pediatric patients, and the use of sedation or general anesthesia is frequently necessary to facilitate diagnostic examinations. The use of sedation or anesthesia has disadvantages including increased cost and imaging time and potential risks to the patient. Reductions in imaging time may decrease or eliminate the need for sedation or general anesthesia. Over the past decade, a number of imaging techniques that can decrease imaging time have become commercially available. These products have been used increasingly in clinical practice and include parallel imaging, simultaneous multisection imaging, radial k-space acquisition, compressed sensing MRI reconstruction, and automated protocol selection software. The underlying concepts, supporting data, current clinical applications, and available products for each of these strategies are reviewed in this article. In addition, emerging techniques that are still under investigation may provide further reductions in imaging time, including artificial intelligence-based reconstruction, gradient-controlled aliasing sampling and reconstruction, three-dimensional MR spectroscopy, and prospective motion correction. The preliminary results for these techniques are also discussed. ©RSNA, 2020 See discussion on this article by Greer and Vasanawala.
Insights
Reducing MRI scan times in pediatric patients may decrease or eliminate the need for sedation or anesthesia. Several advanced imaging techniques are available and emerging to shorten magnetic resonance imaging (MRI) acquisition duration.
Area of Science:
- Radiology
- Medical Imaging
- Pediatric Imaging
Background:
- Long MRI acquisition times pose challenges for pediatric imaging.
- Sedation or general anesthesia is often required, increasing costs and risks.
- Reducing scan times can improve patient comfort and reduce the need for anesthesia.
Purpose of the Study:
- To review current and emerging techniques for reducing MRI scan times in pediatric patients.
- To discuss the concepts, data, applications, and products associated with these time-saving strategies.
- To explore the potential of new technologies to further decrease imaging duration.
Main Methods:
- Review of commercially available imaging techniques: parallel imaging, simultaneous multisection imaging, radial k-space acquisition, compressed sensing MRI reconstruction, and automated protocol selection.
- Discussion of emerging techniques: AI-based reconstruction, gradient-controlled aliasing sampling and reconstruction, 3D MR spectroscopy, and prospective motion correction.
Main Results:
- Several techniques are commercially available and increasingly used to shorten MRI scan times.
- Emerging technologies show promise for further significant reductions in imaging duration.
- These advancements aim to mitigate the need for sedation or anesthesia in pediatric MRI.
Conclusions:
- Advanced MRI techniques are crucial for efficient pediatric imaging.
- Ongoing research into novel methods promises to further optimize scan times.
- Reducing MRI acquisition duration enhances patient safety and diagnostic accessibility.
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