1 00:00:00,625 --> 00:00:03,628 Getting an MRI of the spine can take a long time. 2 00:00:03,712 --> 00:00:07,007 Are there any options to make it shorter? 3 00:00:07,090 --> 00:00:08,717 That's an interesting question. 4 00:00:08,717 --> 00:00:12,429 As a neurosurgeon and researcher here at CHEO, we wanted to see 5 00:00:12,429 --> 00:00:17,392 if there was a more efficient, and just as effective way for us to get 6 00:00:17,475 --> 00:00:21,730 an MRI scan of a patient's spine without having to take as many images 7 00:00:21,855 --> 00:00:25,442 which often require us to sedate patients for long periods of time. 8 00:00:25,525 --> 00:00:29,029 I designed a study that reviewed MRI scans done here at CHEO 9 00:00:29,070 --> 00:00:32,741 between 2017 and 2020. 10 00:00:32,782 --> 00:00:36,828 I wanted to see if taking fewer images could provide 11 00:00:36,911 --> 00:00:40,957 similar information about a number of common clinical conditions 12 00:00:41,041 --> 00:00:45,045 compared to traditional MRI scans, which are much more lengthy. 13 00:00:45,128 --> 00:00:48,214 We had two blinded Neuroradiologists review 14 00:00:48,214 --> 00:00:51,217 the limited protocol MRI scan, 15 00:00:51,259 --> 00:00:56,097 and then compared the results to the conventional MRI scan. 16 00:00:56,431 --> 00:01:00,143 A total of 105 studies were evaluated, 17 00:01:00,226 --> 00:01:03,521 and what we found was that compared to traditional MRI 18 00:01:03,521 --> 00:01:06,524 scans, which take upwards of 35 minutes, 19 00:01:06,775 --> 00:01:10,403 the shortened MRI protocol only took 15 minutes. 20 00:01:10,487 --> 00:01:13,239 We also found that the percent agreement 21 00:01:13,239 --> 00:01:16,951 between using the shortened MRI protocol compared to traditional 22 00:01:16,951 --> 00:01:22,332 MRI scan was 95% or more for the majority of conditions. 23 00:01:22,332 --> 00:01:26,961 This study demonstrates that using fewer specific images of the spine 24 00:01:27,045 --> 00:01:32,467 still provides accurate diagnosis of a number of common clinical conditions. 25 00:01:32,509 --> 00:01:37,097 A shortened imaging protocol has a lot of potential as a screening test 26 00:01:37,180 --> 00:01:42,143 and reduces the need for a much longer MRI scan requiring general anesthetic. 27 00:01:42,227 --> 00:01:44,687 This in turn reduces resources and time 28 00:01:44,687 --> 00:01:48,900 required in the hospital and also reduces stress for kids.