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Contrast-Enhanced Magnetic Resonance Imaging in Pediatric Patients: Review and Recommendations for Current Practice

Authors
 Ravi Bhargava ; Gabriele Hahn ; Elida Vazquez ; Fabio Triulzi ; Eira Stokland ; Øystein E. Olsen ; Hans-Joachim Mentzel ; Myung-Joon Kim ; Wolfgang Hirsch 
Citation
 Magnetic Resonance Insights, Vol.6 : 95~111, 2013 
Journal Title
 Magnetic Resonance Insights 
ISSN
 1178-623X 
Issue Date
2013
Abstract
Magnetic resonance imaging (MRI), frequently with contrast enhancement, is the preferred imaging modality for many indications in children. Practice varies widely between centers, reflecting the rapid pace of change and the need for further research. Guideline changes, for example on contrast-medium choice, require continued practice reappraisal. This article reviews recent developments in pediatric contrast-enhanced MRI and offers recommendations on current best practice. Nine leading pediatric radiologists from internationally recognized radiology centers convened at a consensus meeting in Bordeaux, France, to discuss applications of contrast-enhanced MRI across a range of indications in children. Review of the literature indicated that few published data provide guidance on best practice in pediatric MRI. Discussion among the experts concluded that MRI is preferred over ionizing-radiation modalities for many indications, with advantages in safety and efficacy. Awareness of age-specific adaptations in MRI technique can optimize image quality. Gadolinium-based contrast media are recommended for enhancing imaging quality. The choice of most appropriate contrast medium should be based on criteria of safety, tolerability, and efficacy, characterized in age-specific clinical trials and personal experience.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/88267
DOI
10.4137/MRi.s12561
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Radiology
Yonsei Authors
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