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A Rapid MRI Protocol for the Evaluation of Acute Pediatric Musculoskeletal Infections: Eliminating Contrast and Decreasing Anesthesia, Scan Time, and Hospital Length of Stay and Charges by Kyle S. Chan; Daniel McBride; Jacob Wild; Soyang Kwon; Jonathan Samet; Romie F. Gibly is a Medicine article available to read on EtoBox.
What is A Rapid MRI Protocol for the Evaluation of Acute Pediatric Musculoskeletal Infections: Eliminating Contrast and Decreasing Anesthesia, Scan Time, and Hospital Length of Stay and Charges about?
## Background: Acute musculoskeletal infection affects >1 in 6,000 children in the United States annually. Magnetic resonance imaging (MRI) is the gold standard for the diagnosis of musculoskeletal infection, but it traditionally requires contrast and anesthesia for children, delaying management. A rapid MRI protocol involves MRI without anesthesia and with limited non-contrast sequences optimized for fluid detection and diffusion-weighted images to identify abscesses. We hypothesized that a rapid MRI protocol would improve imaging and treatment efficiency for pediatric patients undergoing musculoskeletal infection evaluation without substantially affecting accuracy. ## Methods: This was a single-center, retrospective study of patients undergoing evaluation for musculoskeletal infection before (60 patients in the traditional cohort [TC]) and after (68 patients in the rapid cohort [RC]) implementation of the rapid MRI protocol. Sociodemographic and clinical variables were extracted from electronic health records, and statistical comparisons were performed. ## Results: The anesthesia rates were 53% for the TC and 4% for the RC, and the contrast administration rates were 88% for the T
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- Author
- Kyle S. Chan; Daniel McBride; Jacob Wild; Soyang Kwon; Jonathan Samet; Romie F. Gibly
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2024
- Language
- EN
- Field
- Medicine (Health Sciences)