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Emergency department implementation of abbreviated magnetic resonance imaging for pediatric traumatic brain injury

2020; Wiley; Volume: 1; Issue: 5 Linguagem: Inglês

10.1002/emp2.12055

2688-1152

Angela Lumba‐Brown, Moon O. Lee, Ian Brown, Jordan Cornwell, Bernard Dannenberg, Andrea Fang, Marjan Ghazi‐Askar, Gerald A. Grant, Daniel Imler, Kajal Khanna, Jason Lowe, Ewen Wang, Max Wintermark,

Autopsy Techniques and Outcomes

Abstract Pediatric head injury is a common presenting complaint in the emergency department (ED), often requiring neuroimaging or ED observation for diagnosis. However, the traditional diagnostic neuroimaging modality, head computed tomography (CT), is associated with radiation exposure while prolonged ED observation impacts patient flow and resource utilization. Recent scientific literature supports abbreviated, or focused and shorter, brain magnetic resonance imaging (MRI) as a feasible and accurate diagnostic alternative to CT for traumatic brain injury. However, this is a relatively new application and its use is not widespread. The aims of this review are to describe the science and applications of abbreviated brain MRI and report a model protocol's development and ED implementation in the evaluation of children with head injury for replication in other institutions.