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Open Access 30-05-2023 | Ultrasound | REVIEW

Real-time MRI: a new tool of radiologic imaging in small children

Authors: Franz Wolfgang Hirsch, Jens Frahm, Ina Sorge, Dirk Klee, Freerk Prenzel, Matthias Krause, Martin Lacher, Dirk Voit, Daniel Gräfe

Published in: European Journal of Pediatrics | Issue 8/2023

Abstract

Real-time MRI (rt-MRI) in children is a new imaging technique that combines the advantages of US — at frame rates of up to 50 images per second — with the quality and features of MRI. Although still subject of research, it has become a standard tool in the diagnostic portfolio of two pediatric radiology departments in Germany. Based on ultrashort acquisition times, any detrimental effects of macroscopic movements of the child and the physiological movements of the organs are negligible. Especially in pediatric brain imaging, rt-MRI has already proven its value. With suitable indications, rt-MRI can reduce anesthesia and sedation examinations in children below 6 years of age by 40% due to its very short examination time and its robustness to motion. There is a high level of acceptance among parents and referrers when diagnostic possibilities and limitations are communicated correctly.

Conclusion: Completely new diagnostic possibilities arise in the imaging of the moving lung, the beating heart, joint movements, and speaking and swallowing, as demonstrated in this video-backed review.

What is known: • MRI in moving children has been burdened with severe artifacts. • Gross motion usually has to be handled by sedation and periodic motion of the heart and lungs has to be compensated with time-consuming techniques until now.
What is new: • Real-time MRI allows image acquisition with up to 50 frames per second similar to ultrasound frame rate. • Real-time MRI proofs to be very promising for imaging children, reducing examination time and sedation rate drastically.

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Title: Real-time MRI: a new tool of radiologic imaging in small children
Authors: Franz Wolfgang Hirsch
Jens Frahm
Ina Sorge
Dirk Klee
Freerk Prenzel
Matthias Krause
Martin Lacher
Dirk Voit
Daniel Gräfe
Publication date: 30-05-2023
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Ultrasound
Published in: European Journal of Pediatrics / Issue 8/2023
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-023-04996-0

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Springer Medicine

Real-time MRI: a new tool of radiologic imaging in small children

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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