Whole-body MRI in children: Would a 3D STIR sequence alone be sufficient for investigating common paediatric conditions? A comparative study

Merlini, Laura; Carpentier, Marc; Ferrey, Solène; Anooshiravani, Mehrak; Poletti, Pierre–Alexandre; Hanquinet, Sylviane

doi:10.1016/j.ejrad.2017.01.014

Cited by 25 publications

(18 citation statements)

References 32 publications

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“…In six papers, the indications for the study participants to undergo whole-body MRI differed, and were consequently registered as multiple indications (Table 1). One paper, for example, included cases of suspected child abuse, chronic nonbacterial osteomyelitis, lymphoma, osteosarcoma, neuroblastoma and Langerhans cell histiocytosis [59].…”

Section: Indicationsmentioning

confidence: 99%

“…The [36,54,59,64], and four studies used only STIR and DWI [52,53,69,70]. In one study, whole-body MRI was performed on equipment from different vendors with different protocols; the use of STIR was mentioned, but no information about the use of T1-W or DWI was given [73].…”

Section: Protocolmentioning

confidence: 99%

“…Ten of the studies (18.5%) performed repeatability tests, of which 2 studies assessed inter-and intra-observer agreement [32,56] and 8 examined for interobserver agreement only [5,38,47,52,54,59,61,67]. Their results varied depending on what was assessed from the whole-body MRI.…”

Section: Reliability and Validation Of Findingsmentioning

confidence: 99%

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Whole-body magnetic resonance imaging in children – how and why? A systematic review

et al. 2020

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Whole-body magnetic resonance imaging (MRI) is increasingly being used for a number of indications. Our aim was to review and describe indications and scan protocols for diagnostic value of whole-body MRI for multifocal disease in children and adolescents, we conducted a systematic search in Medline, Embase and Cochrane for all published papers until November 2018. Relevant subject headings and free text words were used for the following concepts: 1) whole-body, 2) magnetic resonance imaging and 3) child and/or adolescent. Included were papers in English with a relevant study design that reported on the use and/ or findings from whole-body MRI examinations in children and adolescents. This review includes 54 of 1,609 papers identified from literature searches. Chronic nonbacterial osteomyelitis, lymphoma and metastasis were the most frequent indications for performing a whole-body MRI. The typical protocol included a coronal STIR (short tau inversion recovery) sequence with or without a coronal T1-weighted sequence. Numerous studies lacked sufficient data for calculating images resolution and only a few studies reported the acquired voxel volume, making it impossible for others to reproduce the protocol/images. Only a minority of the included papers assessed reliability tests and none of the studies documented whether the use of whole-body MRI affected mortality and/or morbidity. Our systematic review confirms significant variability of technique and the lack of proven validity of MRI findings. The information could potentially be used to boost attempts towards standardization of technique, reporting and guidelines development.

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Section: Indicationsmentioning

confidence: 99%

Section: Protocolmentioning

confidence: 99%

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Whole-body magnetic resonance imaging in children – how and why? A systematic review

et al. 2020

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“…A protocol consisting of coronal body slices in addition to sagittal imaging of the spine may have a low sensitivity regarding some anatomical structures such as the ribs and sternum 1 . This can probably be overcome by acquiring a 3-D STIR sequence with axial reconstructions 17 or performing an axial WB sequence 18 . In accordance with that practice, axial STIR or T2 fat-saturated sequence was obtained in over half of pediatric patients in North America, whereas coronal T1 was performed in about half of the patients 15 .…”

Section: Quantification Of Disease Activity In Chronic Nonbacterial Omentioning

confidence: 99%

Quantification of Disease Activity in Chronic Nonbacterial Osteomyelitis by Whole-body Magnetic Resonance Imaging

Jurik

2020

J Rheumatol

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“…While brain MRI is the most sensitive method to evaluate bleeding, ischemia, and axonal damage caused by non-accidental trauma, whole-body MRI currently cannot be recommended as the sole standard imaging method in battered child syndrome. The major advantage of being able to perform comprehensive diagnostic imaging in a single examination [82] is offset by the insufficient sensitivity of whole-body MRI with only coronal STIR sequences with respect to the typical skeletal findings, particularly in infants [83]. (AWMF Guidelines 064 -014 imaging in the case of suspicion of child abuse).…”

Section: Battered Child Syndromementioning

confidence: 99%

Whole-Body MRI in Children and Adolescents – S1 Guideline

Schaefer

Berthold

Hahn³

et al. 2019

Fortschr Röntgenstr

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Whole-body MRI in children: Would a 3D STIR sequence alone be sufficient for investigating common paediatric conditions? A comparative study

Cited by 25 publications

References 32 publications

Whole-body magnetic resonance imaging in children – how and why? A systematic review

Whole-body magnetic resonance imaging in children – how and why? A systematic review

Quantification of Disease Activity in Chronic Nonbacterial Osteomyelitis by Whole-body Magnetic Resonance Imaging

Whole-Body MRI in Children and Adolescents – S1 Guideline

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