Evidence map›Paper›PMID 38136068›Full record

ArticleChildren (Basel, Switzerland)2023

Testing a Home Solution for Preparing Young Children for an Awake MRI: A Promising Smartphone Application.

Sam Geuens, Jurgen Lemiere, Jessica Nijs, Marlies Treunen, Michael Aertsen, Jaan Toelen, Greet Pauwels, Kate Sauer, Marlies Potoms, Sofie Van Cauter and 7 more

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Society for Cardiovascular Magnetic Resonance recommendations toward environmentally sustainable cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Guideline
  2. Article
  3. Article
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

17 authors at 6 institutions in 3 countries.

Sam GeuensUniversity Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-4527-9319
Jurgen LemiereUniversity Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-1575-0889
Jessica NijsUniversity Hospitals Leuven, 3000 Leuven, Belgium.
Marlies TreunenUniversity Hospitals Leuven, 3000 Leuven, Belgium.
Michael AertsenUniversity Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-1994-5365
Jaan ToelenUniversity Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0001-9339-5408
Greet PauwelsAZ Sint-Jan, 8000 Brugge, Belgium.ORCID 0000-0002-8667-4369
Kate SauerAZ Sint-Jan, 8000 Brugge, Belgium.ORCID 0000-0002-4523-7832
Marlies PotomsJessa Ziekenhuis, 3500 Hasselt, Belgium.
Sofie Van CauterDepartment Medical Imaging, Ziekenhuis Oost-Limburg, 3600 Genk, Belgium.ORCID 0000-0002-9537-3795
Leen WoutersCentre for Translational Psychological Research TRACE, Ziekenhuis Oost-Limburg, 3600 Genk, Belgium.
Kathrin HohlbaumRWTH Aachen University, 52062 Aachen, Germany.ORCID 0009-0003-5868-0731
Marie SjölinderResearch Institutes of Sweden (RISE), 103 33 Stockholm, Sweden.ORCID 0000-0002-0968-5785
Olov StåhlResearch Institutes of Sweden (RISE), 103 33 Stockholm, Sweden.ORCID 0000-0002-2558-9830
Gunnar BuyseUniversity Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-1594-3194
Philippe DemaerelUniversity Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-6678-0519
Barbara WeynESAT-PSI, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-4162-2490
KU Leuven · BEAZ Sint-Jan · BERISE Research Institutes of Sweden · SEZiekenhuis Oost-Limburg · BEJessa Hospital · BERWTH Aachen University · DE

Funding

EIT Health NAEuropean Union NA
6 · The paper itself

Abstract

Thanks to its non-invasive nature and high-resolution imaging capabilities, magnetic resonance imaging (MRI) is a valuable diagnostic tool for pediatric patients. However, the fear and anxiety experienced by young children during MRI scans often result in suboptimal image quality and the need for sedation/anesthesia. This study aimed to evaluate the effect of a smartphone application called COSMO@home to prepare children for MRI scans to reduce the need for sedation or general anesthesia. The COSMO@home app was developed incorporating mini-games and an engaging storyline to prepare children for learning goals related to the MRI procedure. A multicenter study was conducted involving four hospitals in Belgium. Eligible children aged 4-10 years were prepared with the COSMO@home app at home. Baseline, pre-scan, and post-scan questionnaires measured anxiety evolution in two age groups (4-6 years and 7-10 years). Eighty-two children participated in the study, with 95% obtaining high-quality MRI images. The app was well-received by children and parents, with minimal technical difficulties reported. In the 4-6-year-old group (N = 33), there was a significant difference between baseline and pre-scan parent-reported anxiety scores, indicating an increase in anxiety levels prior to the scan. In the 7-10-year-old group (N = 49), no significant differences were observed between baseline and pre-scan parent-reported anxiety scores. Overall, the COSMO@home app proved to be useful in preparing children for MRI scans, with high satisfaction rates and successful image outcomes across different hospitals. The app, combined with minimal face-to-face guidance on the day of the scan, showed the potential to replace or assist traditional face-to-face training methods. This innovative approach has the potential to reduce the need for sedation or general anesthesia during pediatric MRI scans and its associated risks and improve patient experience.

Indexed as

digital healthMRIpediatric medical imaging

Identifiers

PMID38136068
PMCPMC10742285
OpenAlexW4389083329

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.