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Revised 2024 (Resolution 3)

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ACR–ASNR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING (MRI) OF THE PEDIATRIC SPINE

PREAMBLE

I. INTRODUCTION

II. INDICATIONS

A. Indications for pediatric spine MRI include, but are not limited to, the evaluation of:

II. INDICATIONS

B. Safety Guidelines and Possible Contraindications

III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

IV. APPLICATIONS OF MRI

A. Congenital spine lesions

IV. APPLICATIONS OF MRI

B. Demyelinating, autoimmune, and inflammatory diseases

IV. APPLICATIONS OF MRI

C. Infection

IV. APPLICATIONS OF MRI

D. Vascular Disorders

IV. APPLICATIONS OF MRI

E. Trauma

IV. APPLICATIONS OF MRI

F. Neoplasms and neoplastic-like abnormalities

IV. APPLICATIONS OF MRI

G. Miscellaneous

V. SPECIFICATIONS OF THE EXAMINATION

V. SPECIFICATIONS OF THE EXAMINATION

A. Patient Selection

V. SPECIFICATIONS OF THE EXAMINATION

B. Facility Requirements

V. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

1. General Principles (highlighting pediatric imaging challenges, including the need for sedation)

V. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

2. Pulse Sequences

V. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

3. Slice thickness and coil selection

V. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

4. Area of coverage

V. SPECIFICATIONS OF THE EXAMINATION

D. Special Techniques

V. SPECIFICATIONS OF THE EXAMINATION

E. Other Techniques

VI. DOCUMENTATION

VII. EQUIPMENT SPECIFICATIONS

VIII. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR
Goldman-Yassen, Adam MD, Chair
Betz, Bradford W MD
Lai, Hollie A MD
Pruthi, Sumit MBBS, MD
Zarnow, Deborah M MD

ASNR
Ali, Saad MD

SPR
Hayes, Laura L MD
Ryan, Maura E MD

Committee on Practice Parameters – Pediatric Imaging

(ACR Committee responsible for sponsoring the draft through the process)

Levin, Terry L MD, Chair	Alizai, Hamza MD	Amodio, John B MD	Betz, Bradford W MD
Blumfield, Einat MD	Collard, Michael MD	Goldman-Yassen, Adam MD	Lai, Hollie A MD
Lala, Shailee V MD	Lasiecka, Zofia M MD, PhD	Laufer, Adina MD	Li, Arleen MD
Maloney, John A MD	Noda, Sakura MD	Shah, Summit MD	Trout, Andrew T MD
Vatsky, Seth DO

Committee on Practice Parameters and Technical Standards

(ACR Committee responsible for sponsoring the draft through the process)

Newell, Mary S MD, Chair

Caplin, Drew M MD

Committee on Practice Parameters – Neuroradiology

(ACR Committee responsible for sponsoring the draft through the process)

Shah, Lubdha M MD, Chair	Aiken, Ashley H MD	Amrhein, Timothy J MD	Austin, Matthew J MD
Becker, Jennifer L MD	Chaudhry, Umar S MD	Chiang, Gloria C MD	Hutchins, Troy A MD
Isikbay, Masis BS, MD	Ormsby, Jacob MBA, MD	Riley, Kalen MD	Sio, Terence Tai-Weng MD, MS

Barth, Richard MD, Chair, Commission on Pediatric Radiology

Jordan, John E MD, Chair, Commission on Neuroradiology

Larson, David B MBA, MD, Chair, Commission on Quality and Safety

Comments Reconciliation Committee

Kagetsu, Nolan MD - CSC, Chair	Mihal, David MD - CSC, Co-Chair	Ali, Saad MD	Amodio, John B MD
Barth, Richard MD	Betz, Bradford W MD	Caplin, Drew M MD	Crummy, Timothy MD, MHA - CSC
Goldman-Yassen, Adam MD	Hayes, Laura L MD	Jordan, John E MD	Lai, Hollie A MD
Larson, David B MBA, MD	Levin, Terry L MD	Newell, Mary S MD	Pruthi, Sumit MBBS, MD
Ryan, Maura E MD	Schoppe, Kurt MD - CSC	Shah, Lubdha M MD	Zarnow, Deborah M MD

REFERENCES