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Open Access 01-05-2020 | Magnetic Resonance Imaging | Pictorial Essay

The current status and further prospects for lung magnetic resonance imaging in pediatric radiology

Authors: Franz Wolfgang Hirsch, Ina Sorge, Jens Vogel-Claussen, Christian Roth, Daniel Gräfe, Anne Päts, Andreas Voskrebenzev, Rebecca Marie Anders

Published in: Pediatric Radiology | Issue 5/2020

Abstract

Lung MRI makes it possible to replace up to 90% of CT examinations with radiation-free magnetic resonance diagnostics of the lungs without suffering any diagnostic loss. The individual radiation exposure can thus be relevantly reduced. This applies in particular to children who repeatedly require sectional imaging of the lung, e.g., in tumor surveillance or in chronic lung diseases such as cystic fibrosis. In this paper we discuss various factors that favor the establishment of lung MRI in the clinical setting. Among the many sequences proposed for lung imaging, respiration-triggered T2-W turbo spin-echo (TSE) sequences have been established as a good standard for children. Additional sequences are mostly dispensable. The most important pulmonary findings are demonstrated here in the form of a detailed pictorial essay. T1-weighted gradient echo sequences with ultrashort echo time are a new option. These sequences anticipate signal loss in the lung and deliver CT-like images with high spatial resolution. When using self-gated T1-W ultrashort echo time 3-D sequences that acquire iso-voxel geometry in the sub-millimeter range, secondary reconstructions are possible.

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Title: The current status and further prospects for lung magnetic resonance imaging in pediatric radiology
Authors: Franz Wolfgang Hirsch
Ina Sorge
Jens Vogel-Claussen
Christian Roth
Daniel Gräfe
Anne Päts
Andreas Voskrebenzev
Rebecca Marie Anders
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Magnetic Resonance Imaging
Magnetic Resonance Imaging
Cystic Fibrosis
Cystic Fibrosis
Pediatric Radiology
Pediatric Radiology
Published in: Pediatric Radiology / Issue 5/2020
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-019-04594-z

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The current status and further prospects for lung magnetic resonance imaging in pediatric radiology

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