Role of Anesthesia in Reducing Artifacts in Claustrophobic and Infant Patients undergoing MRI

Hassan Khan Jadoon; Rizwan  Bilal; Khuwaja Muhammed  Baqir Hassan; Hafsa  Aquil; Zainab  Shehzadi; Junaid  Khan

doi:10.51253/pafmj.v76iSUPPL-7.11877

Authors

Hassan Khan Jadoon Department of Diagnostic Radiology, Armed Forces Institute of Radiology and Imaging/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Rizwan Bilal Department of Diagnostic Radiology, Armed Forces Institute of Radiology and Imaging/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Khuwaja Muhammed Baqir Hassan Department of Diagnostic Radiology, Armed Forces Institute of Radiology and Imaging/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Hafsa Aquil Department of Diagnostic Radiology, Armed Forces Institute of Radiology and Imaging/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Zainab Shehzadi Department of Diagnostic Radiology, Armed Forces Institute of Radiology and Imaging/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Junaid Khan Department of Diagnostic Radiology, Armed Forces Institute of Radiology and Imaging/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-7.11877

Keywords:

Anesthesia, Artifacts, Claustrophobic, Infant Patients

Abstract

Objectives: To determine the role of anesthesia in reducing artifacts in claustrophobic and infant patients undergoing MRI.

Study Design: Cross-sectional study.

Place and Duration of Study: Armed Forces Institute of Radiology and Imaging, Rawalpindi Pakistan, from Apr 2023 to Sep 2023.

Methodology: Study included 385 claustrophobic and infant patients undergoing MRI. In collaboration with Anesthesia department, claustrophobic and infant patients were given anesthesia. For infant patients, General Anesthesia was given, induction of anesthesia was given by Propofol, and maintenance of anesthesia was through Sevoflurane. Adults 18 years or above, cooperative patients and only history of claustrophobia were administered anesthesia through sedatives e.g Dormicum (Midazolam). Artifacts if present were calculated. SPSS version 26.0 was used to record, enter, and analyze the data.

Results: out of 385 patients, 195(50.6%) were male and 190(49.4%) were female. MRI results showed that 369(95.8%) of the scan had no artifacts, while 16(4.1%) of the patients had artifacts in their MRI scan. In term of complications only 4(1.03%) had mild complications like allergic responses, vomiting, and nausea.

Conclusion: The study here concluded that anesthesia have positive role in reducing artifacts in claustrophobic and infant patients undergoing MRI.

Downloads

Download data is not yet available.

References

1. Bruno F, Arrigoni F, Mariani S, Splendiani A, Di Cesare E, Masciocchi C, Barile A. Advanced magnetic resonance imaging (MRI) of soft tissue tumors: techniques and applications. La Radiol Medica 2019; 124: 243-252.

https://doi.org/10.1097/00000658-198705000-00005

2. Dong SZ, Zhu M, Bulas D. Techniques for minimizing sedation in pediatric MRI. J Magnetic Resonance Imag 2019; 50(4): 1047-1054. https://doi.org/10.1002/jmri.26703

3. Siddiqui Z, Singh P, Kushwaha S, Srivastava R. MRI and fear of confined space: A cause and effect relationship. Int J Contemp Med Surg Radiol 2017; 2(1): 19-24.

https://doi.org/10.1016/B978-0-12-805299-0.00031-2

4. Al Shanbari NM, Alobaidi SF, Alhasawi R, Alzahrani AS, Laswad BM, Alzahrani AA, et al. Assessment of Anxiety Associated With MRI Examination Among the General Population in the Western Region of Saudi Arabia. Cureus 2023; 15(2): 2911670.

https://doi.org/10.1148/RADIOLOGY.170.2.2911670

5. Xiao A, Feng Y, Yu S, Xu C, Chen J, Wang T, Xiao W. General anesthesia in children and long-term neurodevelopmental deficits: A systematic review. Front Molecul Neurosci 2022; 15: 972025. https://doi.org/10.1371/journal.pone.0085760

6. Flick RP, Katusic SK, Colligan RC, Wilder RT, Voigt RG, Olson MD, Sprung J, Weaver AL, Schroeder DR, Warner DO. Cognitive and behavioral outcomes after early exposure to anesthesia and surgery. Pediatrics 2011; 128(5): e1053-1061.

https://doi.org/10.1001/jamapediatrics.2016.3470

7. Clausen NG, Kähler S, Hansen TG. Systematic review of the neurocognitive outcomes used in studies of paediatric anaesthesia neurotoxicity. Br J Anaesth 2018; 120(6): 1255-1273.

https://doi.org/10.1016/j.bja.2020.10.022

8. McCann ME, De Graaff JC, Dorris L, Disma N, Withington D, Bell G, et al. Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial. Lancet 2019; 393(10172): 664-677.

https://doi.org/10.1016/S0140-6736(18)32485-1

9. Beach ML, Cohen DM, Gallagher SM, Cravero JP. Major adverse events and relationship to nil per os status in pediatric sedation/anesthesia outside the operating room: a report of the Pediatric Sedation Research Consortium. Anesthesiology 2016; 124(1): 80-88.

https://doi.org/10.1016/S0196-0644(99)80050-X

10. Tiwana AR, Hafiz A, Gulrez A, Majeed K, Adnan A, Maqsood S. Assessment of Safety and Efficacy of Anesthesia using Sevoflurane with Supraglottic Airway Device In Pediatric Patients Undergoing Magnetic Resonance Imaging. Pak Armed Forces Med J 2022; 72(4): 1266-1269.

https://doi.org/10.51253/pafmj.v72i4.3777

11. Dhande K, Kshirsagar J, Dhande A, Patil N, Parvati Jr V. Hemodynamic stability, patient acceptance and cost of intravenous propofol and inhalational sevoflurane for induction of anaesthesia: A prospective, randomized comparative study. Cureus 2020; 12(4): 541.

https://doi.org/10.1093/BJA/85.4.541

12. Choi YJ, Yang SW, Kwack WG, Lee JK, Lee TH, Jang JY,e al. Comparative safety profiles of sedatives commonly used in clinical practice: A 10-year nationwide pharmacovigilance study in Korea. Pharmaceuticals 2021; 14(8): 783.

https://doi.org/10.4266/acc.2020.00164

13. Thakkar K, El-Serag HB, Mattek N, Gilger MA. Complications of pediatric EGD: a 4-year experience in PEDS-CORI. Gastrointestinal Endoscopy 2007; 65(2): 213-221.

https://doi.org/10.1016/j.gie.2006.03.015

14. Uludağ Ö, Kaya R, Tutak A, Doğukan M, Çelik M, Dumlupınar E. Effect of anesthesia applied for magnetic resonance imaging on the body temperature of pediatric patients. Cureus 2019; 11(9): 14450. https://doi.org/10.1111/pan.14450

15. Pritchett MA, Lau K, Skibo S, Phillips KA, Bhadra K. Anesthesia considerations to reduce motion and atelectasis during advanced guided bronchoscopy. BMC Pulmon Med 2021; 21: 565. https://doi.org/10.1016/j.chest.2020.05.565

16. Kool NP, van Waes JA, Bijker JB, Peelen LM, van Wolfswinkel L, de Graaff JC, van Klei WA. Artifacts in research data obtained from an anesthesia information and management system. Can J Anaesth 2012; 59(9): 833.

https://doi.org/10.1108/JKM-05-2016-0199

17. Testa B, Biggi M, Byrne CA, Bell A. Assessment of Magnetic Resonance Imaging Artefacts Caused by Equine Anaesthesia Equipment: A Cadaver Study. J Equine Vet Sci 2023; 126: 104492.

https://doi.org/10.1111/j.2042-3306.2012.00649.x

18. Hudson DM, Heales C, Vine SJ. Radiographer Perspectives on current occurrence and management of claustrophobia in MRI. Radiography 2022; 28(1): 154-161.

https://doi.org/10.3109/10976640009148683