6533b834fe1ef96bd129ce5f
RESEARCH PRODUCT
Is MRI imaging in pediatric age totally safe? A critical reprisal.
Davide CurioneMarco TrapeneseVittorio CannatàAndrea MagistrelliMaria Camilla Rossi EspagnetSergio SalernoClaudio GranataPaolo Tomàsubject
medicine.medical_specialtySedationContrast MediaRisk Assessment030218 nuclear medicine & medical imaging03 medical and health sciencesPatient safety0302 clinical medicineElectromagnetic FieldsRisk FactorsMedicineHumansRadiology Nuclear Medicine and imagingGeneral anaesthesiaNeuroradiologyPaediatric populationmedicine.diagnostic_testbusiness.industryRisk FactorInfant NewbornInfantMagnetic resonance imagingInterventional radiologyGeneral MedicineMRForeign BodiesForeign BodieMagnetic Resonance ImagingElectromagnetic FieldRadiological weaponRadiologyPatient SafetySafetymedicine.symptombusinessRisk assessmentNoise030217 neurology & neurosurgeryHumandescription
Current radiological literature is strongly focussed on radiation imaging risks. Indeed, given there is a small but actual augment in cancer risk from exposure to ionizing radiation in children, it is important to understand what the risk of alternative techniques could be. We retrospectively review literature data concerning possible MR imaging risks, focussing on the biological effects of MR, sedation and gadolinium compound risks when dealing with infant patients. The main concerns can be summarized in: (1) Biological effects of non-ionizing electromagnetic fields (EMF) employed—whose mechanisms of interaction with human tissues are polarization, induced current, and thermal heating, respectively. (2) Risks associated with noises produced during MRI examinations. (3) Hazards from ferromagnetic external and/or implanted devices—whose risk of being unintentionally brought inside MR room is higher in children than in adults. (4) Risks associated with sedation or general anaesthesia, essential problem in performing MR in very young patients, due to the exam long-lasting. (5) Risks related to gadolinium-based contrast agents, especially considering the newly reported brain deposition.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-10-20 | La Radiologia medica |