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Best practices for pediatric liver MRI: guidelines from members of the Society for Pediatric Radiology Magnetic
Cara E Morin1,2, Joseph Y Cao3, Lindsay M Griffin4
1Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, 45229, United States. cara.morin@cchmc.org.
Insights
These guidelines offer recommendations for high-quality pediatric liver MRI. They address challenges in imaging children to ensure safe, efficient, and accurate diagnoses for liver disease.
Area of Science:
- Radiology
- Medical Imaging
- Pediatric Gastroenterology
Background:
- Magnetic resonance imaging (MRI) is crucial for diagnosing pediatric liver disease.
- Children present unique challenges in MRI due to physiological, anatomical, and behavioral factors.
- Standardized imaging strategies are needed for effective pediatric liver MRI.
Purpose of the Study:
- To provide comprehensive guidelines for performing high-quality liver MRI in children.
- To address the specific challenges encountered in pediatric MRI.
- To standardize and improve the quality of pediatric liver MRI.
Main Methods:
- Development of guidelines by the Society for Pediatric Radiology (SPR) Magnetic Resonance and Abdominal Imaging Committees.
- Incorporation of multidisciplinary expertise from pediatric radiologists, MRI physicists, and technologists.
- Focus on key technical considerations for pediatric liver MRI.
Main Results:
- The guidelines cover essential technical aspects like field strength, motion mitigation, and contrast agent use.
- Recommendations include age-specific protocol optimization for pediatric patients.
- The document provides practical, evidence-informed strategies for diverse clinical scenarios.
Conclusions:
- These guidelines aim to standardize and elevate the quality of pediatric liver MRI.
- They offer practical recommendations for safe, efficient, and diagnostically robust imaging in children.
- The guidelines support improved evaluation of pediatric liver disease through tailored MRI approaches.
Abstract:
Magnetic resonance imaging (MRI) has become an essential tool in the evaluation of pediatric liver disease. However, the unique physiological, anatomical, and behavioral characteristics of pediatric patients present distinct challenges that necessitate tailored imaging strategies. These guidelines, developed by members of the Society for Pediatric Radiology (SPR) Magnetic Resonance and Abdominal Imaging Committees, provide comprehensive recommendations for performing high-quality liver MRI in children. Drawing on multidisciplinary expertise from pediatric radiologists, MRI physicists, and technologists across diverse institutions, the document addresses key technical considerations, including field strength selection, motion mitigation, contrast agent use, and age-specific protocol optimization. These guidelines aim to standardize and elevate the quality of pediatric liver MRI, offering practical, evidence-informed recommendations to support safe, efficient, and diagnostically robust imaging across a wide range of clinical scenarios.
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