Benefits of Silent DWI MRI in Success Rate, Image Quality, and the Need for Secondary Sedation During Brain Imaging of Children of 3-36 Months of Age.
Silent T1W and T2W magnetic resonance imaging (MRI) can be used to study myelination in children, but the success rate of silent diffusion-weighted imaging is unknown. This study aimed to evaluate the success rate and image quality of silent MRI for the brain of children. This was a retrospective study of 3-36-month children who underwent silent or conventional brain MRI at the People's Hospital of Northern Jiangsu from 01/2015 to 02/2018. The success rates were compared. The acoustic noise of each sequence was measured using a decibel meter. The signal-to-noise ratio and contrast-to-noise ratio of the diffusion-weighted imaging, T2W, and T1W sequences were analyzed. Subjective image quality (lesion delineation, visibility, gray-white differentiation, and overall diagnostic usefulness) was determined. The success rate of silent MRI (n = 443) was higher than that of conventional MRI (n = 391) (97.7% vs. 88.2%, p < 0.001). The acoustic noise of all silent sequences was lower than that of the conventional sequence (all p < 0.05). Silent sequences showed decreased signal-to-noise ratio vs. conventional sequences but increased contrast-to-noise ratio (all p < 0.05). Lesion delineation was not significantly different. Lesion visibility and gray-white differentiation of all silent sequences were higher (all p < 0.05). The overall diagnostic usefulness of the silent group was higher (p < 0.001). Silent MRI can effectively improve the success rate of MRI in children of 3-36 months. Noise is reduced, and the overall diagnostic usefulness is higher than that of conventional MRI. Silent MRI is more suitable for children's brain scan than conventional MRI.