Preparing children with a mock scanner training protocol results in high quality structural and functional MRI scans.

Preparing children with a mock scanner training protocol results in high quality structural and functional MRI scans.
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DOI:
10.1007/s00431-010-1181-z
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发表时间:
2010-09
影响因子:
3.6
通讯作者:
Delemarre-Van de Waal, Henriette A.
Delemarre-Van de Waal, Henriette A.
中科院分区:
医学3区
文献类型:
--
作者:
de Bie, Henrica M. A.;Boersma, Maria;Wattjes, Mike P.;Adriaanse, Sofie;Vermeulen, R. Jeroen;Oostrom, Kim J.;Huisman, Jaap;Veltman, Dick J.;Delemarre-Van de Waal, Henriette A.

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我们评估了使用模拟扫描仪训练方案作为镇静和为幼儿准备(功能性)磁共振成像(MRI)的替代方案。患有严重精神障碍或发育障碍的儿童被排除在外。 90 名儿童(中位年龄 6.5 岁,范围 3.65-14.5 岁)参与了这项研究。孩子们只有在通过培训后才会被转介进行实际的 MRI 检查。我们评估了模拟扫描仪培训课程的通过率。此外,结构和功能 MRI (fMRI) 扫描的质量均按半定量标准进行评级。模拟扫描仪培训课程的总体通过率为 85/90。 81/90 名儿童获得了具有诊断质量的结构扫描,30/43 名儿童获得了具有足够质量以供进一步分析的功能磁共振成像扫描。即使对于通常服用镇静剂的 7 岁以下儿童,具有诊断质量的结构扫描的成功率为 53/60。在这个较年轻的年龄组中,23/36 的儿童获得了足够质量的 FMRI 扫描。年龄和具有足够质量的功能磁共振成像扫描的儿童比例之间的关联不具有统计学意义。我们的结论是,模拟 MRI 扫描仪培训方案有助于儿童为诊断性 MRI 扫描做好准备。它可能会减少接受 MRI 的幼儿对镇静剂的需求。我们的方案对于让幼儿做好参与功能磁共振成像研究的准备也很有效。
We evaluated the use of a mock scanner training protocol as an alternative for sedation and for preparing young children for (functional) magnetic resonance imaging (MRI). Children with severe mental retardation or developmental disorders were excluded. A group of 90 children (median age 6.5 years, range 3.65–14.5 years) participated in this study. Children were referred to the actual MRI investigation only when they passed the training. We assessed the pass rate of the mock scanner training sessions. In addition, the quality of both structural and functional MRI (fMRI) scans was rated on a semi-quantitative scale. The overall pass rate of the mock scanner training sessions was 85/90. Structural scans of diagnostic quality were obtained in 81/90 children, and fMRI scans with sufficient quality for further analysis were obtained in 30/43 of the children. Even in children under 7 years of age, who are generally sedated, the success rate of structural scans with diagnostic quality was 53/60. FMRI scans with sufficient quality were obtained in 23/36 of the children in this younger age group. The association between age and proportion of children with fMRI scans of sufficient quality was not statistically significant. We conclude that a mock MRI scanner training protocol can be useful to prepare children for a diagnostic MRI scan. It may reduce the need for sedation in young children undergoing MRI. Our protocol is also effective in preparing young children to participate in fMRI investigations.
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