Author of 1 Presentation
SS 9.9 - Role of fast abdominal MRI protocol in emergency settings and new scanning techniques
Abstract
Purpose
Abdominal emergencies sometimes are a diagnostic challenge. CT is the imaging modality of choice in patients with uncertain US scan. Public awareness of ionizing radiation exposure has increased in recent years. The purpose of this study is to assess the role of a fast MRI protocol (about 10 minutes) using new technologies, as the first-line imaging method in abdominal emergencies and to show the radiological findings that allow the characterization of various pathologies seen in the emergency setting, particularly among a select patient population.
Material and methods
6008 patients (mean age 26.8±13.2y) with acute abdomen (2068 pregnant patients) underwent fast protocol MRI (Philips 1.5T with multichannel coil: T2w FS cor, T2w ax, T1wFS GRE ax and steady-state free precession GRE cor, DWI) as first-line imaging modality, at our imaging department between March 2014 and November 2019. The final diagnosis was established by surgical findings in 4088 cases. The remaining patients underwent follow-up.
Results
MRI allowed correct therapeutic management in 6008 cases (68 acute pancreatitis, 46 choledocholithiasis with or without cholecystitis, 3002 acute appendicitis, 2880 bowel obstruction, 2 ectopic pregnancy, 10 deep endometriosis) in young, pregnant patients, and patients with Crohn’s disease.
Conclusion
Our study demonstrated that fast MRI can play a role in providing accurate diagnosis in emergency settings, in selected patients with acute abdomen and pelvic pain, particularly among select patient populations, specifically paediatric and pregnant patients as well as patients with Crohn’s disease, who are at risk of receiving repeated imaging examinations and large cumulative radiation doses over their lifetimes.
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Author of 1 Presentation
SS 9.9 - Role of fast abdominal MRI protocol in emergency settings and new scanning techniques (ID 1035)
Abstract
Purpose
Abdominal emergencies sometimes are a diagnostic challenge. CT is the imaging modality of choice in patients with uncertain US scan. Public awareness of ionizing radiation exposure has increased in recent years. The purpose of this study is to assess the role of a fast MRI protocol (about 10 minutes) using new technologies, as the first-line imaging method in abdominal emergencies and to show the radiological findings that allow the characterization of various pathologies seen in the emergency setting, particularly among a select patient population.
Material and methods
6008 patients (mean age 26.8±13.2y) with acute abdomen (2068 pregnant patients) underwent fast protocol MRI (Philips 1.5T with multichannel coil: T2w FS cor, T2w ax, T1wFS GRE ax and steady-state free precession GRE cor, DWI) as first-line imaging modality, at our imaging department between March 2014 and November 2019. The final diagnosis was established by surgical findings in 4088 cases. The remaining patients underwent follow-up.
Results
MRI allowed correct therapeutic management in 6008 cases (68 acute pancreatitis, 46 choledocholithiasis with or without cholecystitis, 3002 acute appendicitis, 2880 bowel obstruction, 2 ectopic pregnancy, 10 deep endometriosis) in young, pregnant patients, and patients with Crohn’s disease.
Conclusion
Our study demonstrated that fast MRI can play a role in providing accurate diagnosis in emergency settings, in selected patients with acute abdomen and pelvic pain, particularly among select patient populations, specifically paediatric and pregnant patients as well as patients with Crohn’s disease, who are at risk of receiving repeated imaging examinations and large cumulative radiation doses over their lifetimes.