• Colette Lemaire, Gerald R Moran, and Hans Swan.
• Department of Magnetic Resonance Imaging, Hamilton Health Sciences, McMaster Children's Hospital, Hamilton, Ontario, Canada. lemairec@hhsc.ca
• J Magn Reson Imaging. 2009 Sep 1; 30 (3): 649-55.

PurposeTo evaluate the use of an audio/visual (A/V) system in pediatric patients as an alternative to sedation in magnetic resonance imaging (MRI) in terms of wait times, image quality, and patient experience.Materials And MethodsPediatric MRI examinations from April 8 to August 11, 2008 were compared to those 1 year prior to the installation of the A/V system. Data collected included age, requisition receive date, scan date, and whether sedation was used. A posttest questionnaire was used to evaluate patient experience. Image quality was assessed by two radiologists.ResultsOver the 4 months in 2008 there was an increase of 7.2% (115; P < 0.05) of pediatric patients scanned and a decrease of 15.4%, (67; P = 0.32) requiring sedation. The average sedation wait time decreased by 33% (5.8 months) (P < 0.05). Overall, the most positively affected group was the 4-10 years. The questionnaire resulted in 84% of participants expressing a positive reaction to the A/V system. Radiological evaluation revealed no changes in image quality between A/V users and sedates.ConclusionThe A/V system was a successful method to reduce patient motion and obtain a quality diagnostic MRI without the use of sedation in pediatric patients. It provided a safer option, a positive experience, and decreased wait times.

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