Pediatric 3D MRCP imaging: strategies for enhancing exam quality

MRCP is essential for noninvasive evaluation of the biliary and pancreatic ductal systems in children but can suffer from suboptimal image quality due to inconsistent protocols and technical factors. We performed a quality improvement project focused on enhancing the image quality of 3D MRCP at a tertiary children's hospital. The project identified key contributors to poor image quality, including the inconsistent use of respiratory-triggered techniques and the absence of standardized protocols across multiple MRI units. Interventions were implemented, including updating protocols, technologist education, and improving communication between radiologists and technologists. We set a goal of achieving 90% of MRCP exams with acceptable image quality by September 2024. Our efforts increased the success rate from 68 to 77%. Although the target was not fully reached by the end of the set project timeline, the effort highlights the importance of multidisciplinary collaboration, continuous education, and ongoing auditing in driving improvements in imaging quality.