The Society for Pediatric Radiology Magnetic Resonance Imaging and Emergency and Trauma Imaging Committees' consensus protocol recommendation for rapid MRI for evaluating suspected appendicitis in children

Cara E Morin; Pinar Karakas; Gregory Vorona; Gayathri Sreedher; James M Brian; Govind B Chavhan; Taylor Chung; Lindsay M Griffin; Summer L Kaplan; Michael Moore; Kathleen Schenker; Subramanian Subramanian; Michael Aquino

doi:10.1007/s00247-023-05819-y

The Society for Pediatric Radiology Magnetic Resonance Imaging and Emergency and Trauma Imaging Committees' consensus protocol recommendation for rapid MRI for evaluating suspected appendicitis in children

Pediatr Radiol. 2024 Jan;54(1):12-19. doi: 10.1007/s00247-023-05819-y. Epub 2023 Dec 4.

Authors

Affiliations

¹ Department of Radiology, Cincinnati Children's Hospital and University of Cincinnati College of Medicine, 3333 Burnet Ave, Cincinnati, OH, 45229, USA. cara.morin@cchmc.org.
² Nicklaus Children's Hospital, Miami, FL, USA.
³ Department of Radiology, The Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, USA.
⁴ Department of Radiology, Akron Children's Hospital, Akron, USA.
⁵ Department of Radiology, Penn State Children's Hospital, Penn State Health, Penn State College of Medicine, Hershey, USA.
⁶ Diagnostic Imaging Department, The Hospital for Sick Children and Department of Medical Imaging, University of Toronto, Toronto, Canada.
⁷ UCSF Benioff Children's Hospital Oakland, Oakland, USA.
⁸ Ann & Robert Lurie Children's Hospital of Chicago, Chicago, USA.
⁹ Department of Radiology Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA.
¹⁰ Department of Radiology, Nemours Children's Health, Wilmington, DE, USA.
¹¹ Department of Radiology, Nemours Children's Hospital, Wilmington, DE, USA.
¹² UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
¹³ Section of Pediatric Imaging, Cleveland Clinic Imaging Institute and Cleveland Clinic Lerner College of Medicine of Case Western University, Cleveland, USA.

PMID: 38049531
DOI: 10.1007/s00247-023-05819-y

Abstract

The imaging evaluation of acute abdominal pain in children with suspected appendicitis has evolved to include rapid abdominopelvic MRI (rMRI) over recent years. Through a collaborative effort between the Magnetic Resonance Imaging (MRI) and Emergency and Trauma Imaging Committees of the Society for Pediatric Radiology (SPR), we conducted a survey on the utilization of rMRI to assess practice specifics and protocols. Subsequently, we present a proposed consensus rMRI protocol derived from the survey results, literature review, and discussion and consensus between committee members.

Keywords: Appendicitis; Consensus; MRI; Rapid.

Publication types

Review

MeSH terms

Abdominal Pain
Appendicitis* / diagnostic imaging
Child
Consensus
Humans
Magnetic Resonance Imaging / methods
Surveys and Questionnaires