Clinical pediatric positron emission tomography/magnetic resonance program: a guide to successful implementation

Area of Science:

• Pediatric Oncology
• Medical Imaging
• Nuclear Medicine

Background:

• Children with cancer require frequent imaging for diagnosis, staging, and treatment assessment.
• Simultaneous PET/MR imaging reduces radiation exposure and combines functional and anatomical imaging.
• PET/MR availability is currently limited compared to PET/CT.

Purpose of the Study:

• To provide a guide for establishing a clinical pediatric PET/MR program.
• To share practical insights based on extensive clinical experience.
• To highlight challenges and solutions for PET/MR implementation in pediatric oncology.

Main Methods:

• Review of clinical experience in implementing a pediatric PET/MR program.
• Development of workflow improvements and acquisition protocols.
• Identification of challenges related to scanner affordability and patient throughput.

Main Results:

• Successful implementation strategies for a pediatric PET/MR program were established.
• Workflow optimization and robust protocols were key to efficient scanning.
• Addressing cost and scan time are crucial for wider PET/MR adoption.

Conclusions:

• PET/MR imaging is a valuable tool for pediatric oncology, offering reduced radiation.
• Improvements in workflow and protocols enhance the utility of PET/MR.
• Increased accessibility and efficiency will expand the role of PET/MR in pediatric cancer care.