Rapid MRI for acute pediatric MSK infections: survey of current utilization and procedural practices.

IF 2.1 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2025-03-12 DOI:10.1007/s00247-025-06206-5

M Alejandra Bedoya, Jade Iwasaka-Neder, Nancy A Chauvin, Jonathan D Samet, Arthur B Meyers, Patricia T Acharya, Cara E Morin, Michael Aquino, J Christopher Davis, Anna Thomas

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引用次数: 0

Abstract

Background: Some institutions have implemented rapid MRI protocols for acute musculoskeletal (MSK) infections as an attempt to improve early diagnosis.

Objective: To assess current utilization of pediatric rapid MSK MRI protocols (abbreviated protocol, no IV (intravenous) contrast, and no sedation) using a survey.

Materials and methods: A 10-question survey was sent to members of the Society for Pediatric Radiology (SPR) and the Society of Skeletal Radiology, which differed depending on whether a rapid protocol was used or not. The survey was conducted by the SPR MSK and MRI committees.

Results: A total of 134 surveys (representing 99 institutions) were completed. Twenty-two percent (22/99) of institutions used a rapid protocol. Pediatric institutions were more likely to perform it when compared to adult institutions (P-value<0.01, 37% (14/38) vs. 13% (8/61)). Comparing institutions that use rapid protocol with institutions that do not, the availability of on-call MRI technologists did not differ (P-value=0.33), and pediatric radiologists were more likely to interpret these studies (73% (16/22) vs. 36% (28/77), P-value=0.02). Reported rapid MRI completion times took less than 15 min in 64% (14/22) of the institutions. Seventy-three percent (16/22) of institutions performing rapid protocols have radiologists check images to evaluate the need for additional sequences or contrast. Sixty-eight percent (25/37) reported being very satisfied with rapid protocols. Seventy-seven of 99 institutions do not use a rapid protocol due to a lack of a consensus protocol and concerns about missing findings. Of these institutions, 62% (48/77) administer IV contrast routinely.

Conclusion: There is limited and variable utilization of rapid MRI protocols for acute pediatric MSK infection. Lack of accepted consensus protocol is the most common reason for non-implementation, highlighting the need for consensus-driven rapid protocols.

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来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.