Rapid MRI Protocol for Pediatric MSK Infections: Can We Safely Remove Contrast and Sedation?

Motivation: Magnetic resonance imaging (MRI) is the gold standard for diagnosis of acute pediatric musculoskeletal infection. However, there are several barriers in the pediatric population, namely poor efficiency of image acquisition. Goal(s): The present study evaluates physician perspectives on a novel rapid MRI protocol for capturing rapid, non-contrast, limited sequence protocol that has been shown to greatly decrease sedation, scan time, hospital length of stay, and charges without missing actionable diagnoses. Approach: We administered a series of traditional and rapid protocol cases and associated quiz to six providers. Results: We found similar success rates of diagnoses and physician confidence between rapid and traditional sequences. Impact: Our study shows that rapid MRI protocols can be adopted without impeding diagnostic accuracy or reducing the confidence of readers.