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  1. Home
  2. Fast Mri For Pediatric Traumatic Brain Injury: What Findings Are Missed Compared With Routine Mri?
  1. Home
  2. Fast Mri For Pediatric Traumatic Brain Injury: What Findings Are Missed Compared With Routine Mri?

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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

Fast MRI for Pediatric Traumatic Brain Injury: What Findings Are Missed Compared with Routine MRI?

William K Canty1, Daniel M Lindberg2, Ilana Neuberger2

  • 1From the University of Colorado School of Medicine, Aurora (W.K.C.), CO, USA; Kempe Center for the Prevention and Treatment of Child Abuse & Neglect (D.M.L.), Department of Emergency Medicine (D.M.L.), Radiology (I.N., J.M., C.W., L.F., M.N.-M., S.M., D.M.M., N.V.S.), University of Colorado School of Medicine, Aurora, CO, USA and Children's Hospital Colorado (I.N., J.M., C.W., L.F., M.N.-M., S.M., D.M.M., N.V.S.), Aurora, CO, USA. william.2.canty@cuanschutz.edu.

AJNR. American Journal of Neuroradiology
|June 23, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Fast MRI is a reliable tool for detecting traumatic brain injury (TBI) in children, though routine MRI may reveal subtle findings like subarachnoid hemorrhage. Fast MRI can be a useful initial screening for pediatric TBI.

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Whole-body PET/MRI of Pediatric Patients: The Details That Matter
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Whole-body PET/MRI of Pediatric Patients: The Details That Matter

Published on: December 19, 2017

Area of Science:

  • Pediatric Radiology
  • Neuroimaging
  • Traumatic Brain Injury

Background:

  • Traumatic brain injury (TBI) is common in young children, necessitating neuroimaging.
  • Head CT uses ionizing radiation, while routine MRI is time-consuming and often requires sedation.
  • Fast MRI offers a radiation-free alternative to CT but its ability to detect all findings compared to routine MRI is unclear.

Purpose of the Study:

  • To evaluate the diagnostic performance of fast MRI compared to routine MRI in detecting intracranial findings in pediatric TBI.
  • To assess the potential for missed diagnoses with fast MRI in young children with head trauma.

Main Methods:

  • Retrospective study of children aged 6 years or younger with TBI who underwent both fast and routine brain MRI within 7 days.
  • Analysis of neuroimaging reports for traumatic intracranial findings.
  • Evaluation of children with initial negative fast MRI for subsequent emergency department visits or hospitalizations within 1 year to identify missed injuries.
  • Main Results:

    • In a paired cohort, fast MRI detected traumatic abnormalities in all cases positive on routine MRI.
    • Fast MRI showed lower sensitivity for subarachnoid hemorrhage (SAH) (75%) and parenchymal injury (64.5%) compared to routine MRI.
    • Among 2471 children with negative fast MRI, only 4 had follow-up neuroimaging findings, attributed to new trauma.

    Conclusions:

    • Fast MRI consistently detects TBI in children but may miss certain findings visible on routine MRI.
    • Fast MRI can serve as an initial screening tool for hemodynamically stable children with TBI, especially when skull fracture detection or detailed forensic assessment is not critical.