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Pediatric musculoskeletal MRI: basic principles to optimize success

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Abstract

The purpose of this general review is to suggest practical strategies to optimize musculoskeletal MR imaging in children. The changes related to ossification and marrow transformation affect the MRI appearance during development. This review summarizes the normal appearance of the growing skeleton on various pulse sequences, as well as ways to optimize the imaging parameters. Appropriate patient positioning, choice of field of view and imaging coils are essential. There are various tools including intravenous contrast agent administration, fat suppression and parallel imaging that can enhance the depiction of abnormalities, increase speed of imaging, and improve overall quality of the study. Finally, special considerations for imaging at 3 T are also reviewed.

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References

  1. Chapman VM, Nimkin K, Jaramillo D (2004) The pre-ossification center: normal CT and MRI findings in the trochlea. Skeletal Radiol 33:725–727

    Article  PubMed  Google Scholar 

  2. Varich LJ, Laor T, Jaramillo D (2000) Normal maturation of the distal femoral epiphyseal cartilage: age-related changes at MR imaging. Radiology 214:705–709

    PubMed  CAS  Google Scholar 

  3. Jaramillo D, Shapiro F (1998) Growth cartilage: normal appearance, variants and abnormalities. Magn Reson Imaging Clin N Am 6:455–471

    PubMed  CAS  Google Scholar 

  4. Oeppen RS, Jaramillo D (2003) Sports injuries in the young athlete. Top Magn Reson Imaging 14:199–208

    Article  PubMed  Google Scholar 

  5. Anupindi S, Jaramillo D (2002) Pediatric magnetic resonance imaging techniques. Magn Reson Imaging Clin N Am 10:189–207

    Article  PubMed  Google Scholar 

  6. Sebag GH, Dubois J, Tabet M et al (1993) Pediatric spinal bone marrow: assessment of normal age-related changes in the MRI appearance. Pediatr Radiol 23:515–518

    Article  PubMed  CAS  Google Scholar 

  7. Helms CA (2002) The meniscus: recent advances in MR imaging of the knee. AJR 179:1115–1122

    PubMed  Google Scholar 

  8. Rubin DA, Kneeland JB, Listerud J et al (1994) MR diagnosis of meniscal tears of the knee: value of fast spin-echo vs conventional spin-echo pulse sequences. AJR 162:1131–1135

    PubMed  CAS  Google Scholar 

  9. Oeppen RS, Connolly SA, Bencardino JT et al (2004) Acute injury of the articular cartilage and subchondral bone: a common but unrecognized lesion in the immature knee. AJR 182:111–117

    PubMed  Google Scholar 

  10. Hoffer FA, Nikanorov AY, Reddick WE et al (2000) Accuracy of MR imaging for detecting epiphyseal extension of osteosarcoma. Pediatr Radiol 30:289–298

    Article  PubMed  CAS  Google Scholar 

  11. Craig JG, Cody DD, Van Holsbeeck M (2004) The distal femoral and proximal tibial growth plates: MR imaging, three-dimensional modeling and estimation of area and volume. Skeletal Radiol 33:337–344

    Article  PubMed  Google Scholar 

  12. Dillon JE, Connolly SA, Connolly LP et al (2005) MR imaging of congenital/developmental and acquired disorders of the pediatric hip and pelvis. Magn Reson Imaging Clin N Am 13:783–797

    Article  PubMed  Google Scholar 

  13. Barnewolt CE, Chung T (1998) Techniques, coils, pulse sequences, and contrast enhancement in pediatric musculoskeletal MR imaging. Magn Reson Imaging Clin N Am 6:441–453

    PubMed  CAS  Google Scholar 

  14. American Academy of Pediatrics Child Life Council and Committee on Hospital Care, Wilson JM (2006) Child life services. Pediatrics 118:1757–1763

    Article  PubMed  Google Scholar 

  15. McGee K (2003) The role of a child life specialist in a pediatric radiology department. Pediatr Radiol 33:467–474

    Article  PubMed  Google Scholar 

  16. Laor T, Chun GF, Dardzinski BJ et al (2002) Posterior distal femoral and proximal tibial metaphyseal stripes at MR imaging in children and young adults. Radiology 224:669–674

    Article  PubMed  Google Scholar 

  17. Brisse H, Ollivier L, Edeline V et al (2004) Imaging of malignant tumours of the long bones in children: monitoring response to neoadjuvant chemotherapy and preoperative assessment. Pediatr Radiol 34:595–605

    Article  PubMed  Google Scholar 

  18. Buchmann RF, Jaramillo D (2004) Imaging of articular disorders in children. Radiol Clin North Am 42:151–168, vii

    Article  PubMed  Google Scholar 

  19. Babyn P, Doria AS (2005) Radiologic investigation of rheumatic diseases. Pediatr Clin North Am 52:373–411, vi

    Article  PubMed  Google Scholar 

  20. Meyer JS, Hoffer FA, Barnes PD et al (1991) Biological classification of soft-tissue vascular anomalies: MR correlation. AJR 157:559–564

    PubMed  CAS  Google Scholar 

  21. Burrows PE, Laor T, Paltiel H et al (1998) Diagnostic imaging in the evaluation of vascular birthmarks. Dermatol Clin 16:455–488

    Article  PubMed  CAS  Google Scholar 

  22. Kellenberger CJ, Epelman M, Miller SF et al (2004) Fast STIR whole-body MR imaging in children. Radiographics 24:1317–1330

    Article  PubMed  Google Scholar 

  23. Gold GE, Suh B, Sawyer-Glover A et al (2004) Musculoskeletal MRI at 3.0 T: initial clinical experience. AJR 183:1479–1486

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Children’s Hospital of Philadelphia, 34th Street and Civic Center Blvd., Philadelphia, PA, 19104, USA

    Diego Jaramillo

  2. Department of Radiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Tal Laor

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  1. Diego Jaramillo
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  2. Tal Laor
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Correspondence to Diego Jaramillo.

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“Experience is the name everyone gives to their mistakes.” Oscar Wilde, Lady Windermere’s Fan.

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Jaramillo, D., Laor, T. Pediatric musculoskeletal MRI: basic principles to optimize success. Pediatr Radiol 38, 379–391 (2008). https://doi.org/10.1007/s00247-007-0645-4

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  • DOI: https://doi.org/10.1007/s00247-007-0645-4

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