MAGNETOM World

Pediatric protocols

Children are not small adults – they suffer from different types of disease than adults, they demonstrate a different physiology as well as behaviour. This has a direct impact on the way we image them. To support the care of your youngest patients1 renowned experts in pediatric MR imaging share their optimized protocols.


Using Dot Engines/myExam Assists, strategies for different patient sizes (infant1, child and teenage) are provided.
For brain imaging, strategies for the following clinical indications are provided: 

  • brain routine
  • seizure
  • sella
  • tumor

Patient size as well as the changes in tissue relaxation times that happen during early brain development are accounted for.
Coils used:
Child and teens at 3T: Head/Neck 64
Child and teens at 1.5T: Head/Neck 20
Infant/neonate1 at 1.5T and 3T: Pediatric 16

For spine imaging, protocols for the C-, T- and L-spine as well as the whole spine are provided for the different patient sizes (infant, child and teenage).

Please note that the following licenses are required: 
SWI, Inline Diffusion/DTI, Inline Perfusion, 3D pCASL, TWIST

Acknowledgement 
Imaging protocols courtesy of 
Thierry A. Huisman, M.D., P.D. 
Radiologist-in-Chief and Edward B. Singleton Chair of Radiology 
(Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, USA)

Stephen F. Kralik, M.D. 
Associate Professor of Radiology 
(Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, USA) 

Nilesh K. Desai, M.D
Division Chief, Neuroradiology 
Vice Chair, Quality & Safety 
(Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, USA)


Using Dot Engines/myExam Assists, strategies for different patient sizes (infant1, child and teenage) and different coils are provided.
Strategies include routine and arthogram programs for different patient sizes for: 

  • knee
  • foot/ankle
  • hand/wrist
  • elbow
  • shoulder
  • pelvis

Additional strategies include tumor and infection programs for various coils such as dedicated MSK coils, UltraFlex 18 Small and Large, Body 18 and Body 30.

Acknowledgement 
Imaging protocols courtesy of 
Thierry A. Huisman, M.D., P.D.
Radiologist-in-Chief and Edward B. Singleton Chair of Radiology 
(Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, USA) 

J. Herman Kan, M.D. 
Section Chief, Musculoskeletal Radiology 
(Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, USA)


To aid standardization of CMR, the Society for Cardiovascular Magnetic Resonance (SCMR) released CMR exam protocol recommendations for the most frequent CMR procedures. Based on the Cardiac Dot Engine we have prepared clinically optimized exam protocols for the Siemens MAGNETOM family of MRI scanners, including 3T MAGNETOM Vida and MAGNETOM Skyra, as well as 1.5T MAGNETOM Sola and MAGNETOM Aera.
Please use the appropriate protocols optimized for your particular scanner type. For ease of use, the protocols are organized by age groups (infant, child, teen/adult), disease-specific indications and strategically sub-organized by the patient’s cooperative abilities (breath-hold or free breathing).


Brain protocols developed by Abraham Padua and Aaron Flammang in collaboration with:
• Cook Children’s Healthcare System (Fort Worth, TX, USA)
• Seattle Children’s Hospital (Seattle, WA, USA)
• Children’s Hospital of Philadelphia (Philadelphia, PA, USA)
• Boston Children Hospital (Boston, MA, USA)
• St. Jude Children’s Research Hospital (Chicago, IL, USA)
• Loma Linda University Children’s Hospital (Loma Linda, CA, USA)
• Mayo Clinic (Rochester, MN, USA)
• University Children’s Hospital Basel (Basel, Switzerland)
 

Here are protocols for the MAGNETOM Skyra optimized for different pediatric age groups. Optimized Pediatric protocols1 are provided for the age groups (1) term to 8 months, (2) 9 months to 12 months and (3) 13 to 24 months and beyond. In addition, a pediatric clinical library including pediatric protocols for 2D and 3D imaging, spectroscopy, TOF and more are included. 

Cardiac protocols developed by Gary McNeal in collaboration with Ann & Robert H. Lurie Children's Hospital (Chicago, IL, USA).

Cardiac protocols are provided for the age groups (1) Infant, (2) Child and (3) Teen, optimized for different breathing conditions.


Brain protocols optimized for the Pediatric 16 developed by Abraham Padua in collaboration with Ann & Robert H. Lurie Children’s Hospital (Chicago, IL, USA)

Here are optimized Pediatric 16 head protocols for MAGNETOM Aera and MAGNETOM Skyra. Routine sequences as well as sequences for more advanced applications are included. In addition, there are also sequences optimized for sound reduction.


Protocols courtesy of Professor Günther Schneider, M.D., Ph.D. (Saarland University Hospital, Homburg, Germany)


1