Magnetic resonance imaging in traumatic brain injury: a survey of clinical practitioners' experiences and views on current practice and obstacles.

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-03-01 Epub Date: 2025-01-29 DOI:10.1080/02699052.2024.2443001

Karen Caeyenberghs, Mervyn Singh, Annalee L Cobden, Elizabeth G Ellis, Liam G Graeme, Priscilla Gates, Alex Burmester, Jade Guarnera, Jake Burnett, Evelyn M Deutscher, Lyndon Firman-Sadler, Bec Joyce, Jacqueline P Notarianni, Christian Pardo de Figueroa Flores, Juan F Domínguez D

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引用次数: 0

Abstract

Introduction: Magnetic resonance imaging (MRI) has revolutionized our capacity to examine brain alterations in traumatic brain injury (TBI). However, little is known about the level of implementation of MRI techniques in clinical practice in TBI and associated obstacles.

Methods: A diverse set of health professionals completed 19 multiple choice and free text survey questions.

Results: Of the 81 respondents, 73.4% reported that they acquire/order MRI scans in TBI patients, and 66% indicated they would prefer MRI be more often used with this cohort. The greatest impediment for MRI usage was scanner availability (57.1%). Less than half of respondents (42.1%) indicated that they perform advanced MRI analysis. Factors such as dedicated experts within the team (44.4%) and user-friendly MRI analysis tools (40.7%), were listed as potentially helpful to implement advanced MRI analyses in clinical practice.

Conclusion: Results suggest a wide variability in the purpose, timing, and composition of the scanning protocol of clinical MRI after TBI. Three recommendations are described to broaden implementation of MRI in clinical practice in TBI: 1) development of a standardized multimodal MRI protocol; 2) future directions for the use of advanced MRI analyses; 3) use of low-field MRI to overcome technical/practical issues with high-field MRI.

查看原文本刊更多论文

外伤性脑损伤的磁共振成像：临床医生的经验和对当前实践和障碍的看法的调查。

导读：磁共振成像（MRI）已经彻底改变了我们在外伤性脑损伤（TBI）中检查大脑变化的能力。然而，MRI技术在TBI和相关障碍的临床实践中的应用水平尚不清楚。方法：一组不同的卫生专业人员完成了19个选择题和自由文本调查问题。结果：在81名受访者中，73.4%的人表示他们在TBI患者中获得/订购MRI扫描，66%的人表示他们更倾向于MRI更经常地用于该队列。MRI使用的最大障碍是扫描仪可用性（57.1%）。不到一半的受访者（42.1%）表示他们进行了高级MRI分析。诸如团队中敬业的专家（44.4%）和用户友好的MRI分析工具（40.7%）等因素被列为在临床实践中实施高级MRI分析的潜在帮助。结论：结果表明，TBI后临床MRI扫描方案的目的、时间和组成存在很大差异。本文提出了三项建议，以扩大MRI在TBI临床实践中的应用：1)制定标准化的多模态MRI方案；2)高级MRI分析的未来应用方向；3)利用低场MRI克服高场MRI的技术/实际问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.