Meeting Banner
Abstract #2961

Efficacy and Safety of Pediatric MR-Guided Musculoskeletal Interventions: A Multicenter Analysis of 200 Cases

Jan Fritz1, 2, Roberto B. Sequeiros3, Serban Mateiescu4, John A. Carrino1, Risto Ojala3, Dietrich Grnemeyer4, Philippe L. Pereira, 25

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University, Baltimore, MD, United States; 2Diagnostic and Interventional Radiology, Eberhard-Karls University Tbingen, Tbingen, Germany; 3Department of Radiology, Oulu University Hospital, Oulu, Finland; 4Department of Radiology and Microtherapy, University of Witten/Herdecke, Bochum, Germany; 5Deptartment of Radiology, SLK-Kliniken Heilbronn, Germany

Musculoskeletal pediatric interventions are frequently performed under X-ray fluoroscopy and computed tomography guidance, but the procedure-related exposure to ionizing radiation raises health concerns. Because of the absence of ionizing radiation, interventional magnetic resonance (MR) imaging superbly complies with the ALARA practice mandate, however very little data exist about the efficacy and safety of pediatric MR-guided musculoskeletal procedures. Our data show that a wide variety of pediatric MR imaging-guided percutaneous musculoskeletal diagnostic and therapeutic procedures can be efficaciously performed and are safe for use in clinical practice mandating more vigilant implementation of the ALARA practice mandate in selected pediatric musculoskeletal interventions.

Abstract PDF

Keywords

ablation abscess absence academic according achievable achieved acquisition adequate adolescents analyzed anesthesia antibiotics around assisted atrophy background benefit bingen biopsies bone boys bridge catheter children clinical codes college complications complies computed concerns condition conditions confirmed conscious consisted criteria defined delivery derived descriptor determined diagnosis diagnostic drainage drill drilling drug efficaciously efficacy epidural evaluated exist exposure field fluoroscopic focal frequently fritz general girls growing guidance guided guidelines health hospital implementation included infection injection intervention interventions ionizing john johns joint length little local lumbar major mandate mandating marking materials median micro minor nerve nerves occurred oral osseous pathologic pediatric percutaneous post practice preoperative procedural procedure procedures radiation radiological radiology raises reasonable related removal represents resection retrospective sacroiliac safe safety sample science search searching sedation selected shoulder soft space spinal steroid subcutaneous subjects success successful superbly sympathetic systems targeted technical therapeutic therapy tissue tomography treatment tremendous tumor type urges variety vigilant wide years younger