Evidence map›Paper›PMID 37249681›Full record

ReviewEuropean journal of pediatrics2023

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

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

Abstract readVideo-Audio MediaReview
In one paragraph

Review in European journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Franz Wolfgang HirschDepartment of Pediatric Radiology, University Hospital, Leipzig, Germany. franzwolfgang.hirsch@medizin.uni-leipzig.de.
Jens FrahmBiomedical NMR, Max Planck Institute for Multidisciplinary Sciences, Gottingen, Germany.
Ina SorgeDepartment of Pediatric Radiology, University Hospital, Leipzig, Germany.
Dirk KleeDepartment of Radiology, University Hospital, Dusseldorf, Germany.
Freerk PrenzelDepartment of Pediatrics, University Hospital, Leipzig, Germany.
Matthias KrauseDepartment of Neurosurgery, University Hospital, Leipzig, Germany.
Martin LacherDepartment of Pediatrics Surgery, University Hospital, Leipzig, Germany.
Dirk VoitBiomedical NMR, Max Planck Institute for Multidisciplinary Sciences, Gottingen, Germany.
Daniel GräfeDepartment of Pediatric Radiology, University Hospital, Leipzig, Germany.

Funding

European Society of Paediatric Radiology Guy Sebag Grant 2019
6 · The paper itself

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.

conclusionCompletely 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.

Indexed as

Magnetic Resonance ImagingRadiologyChildHumansMotionMovementNeuroimagingAnesthesiologistsMagnetic resonance imagingPediatric radiologyRadiologyWorkflow

Identifiers

PMID37249681
PMCPMC10460313

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.