Emergency department implementation of abbreviated magnetic resonance imaging for pediatric traumatic brain injury.
Angela Lumba BrownMoon O LeeIan BrownJordan CornwellBernard DannenbergAndrea FangMarjan Ghazi-AskarGerald GrantDaniel ImlerKajal KhannaJason LoweEwen WangMax WintermarkPublished in: Journal of the American College of Emergency Physicians open (2020)
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.
Keyphrases
- emergency department
- contrast enhanced
- magnetic resonance imaging
- traumatic brain injury
- computed tomography
- dual energy
- diffusion weighted imaging
- optic nerve
- magnetic resonance
- positron emission tomography
- healthcare
- resting state
- primary care
- image quality
- white matter
- case report
- young adults
- systematic review
- public health
- randomized controlled trial
- functional connectivity
- cerebral ischemia
- severe traumatic brain injury
- high resolution
- pet ct
- subarachnoid hemorrhage
- optical coherence tomography
- adverse drug
- electronic health record
- brain injury
- mass spectrometry