Low-field MRI: Clinical promise and challenges.

MRI accessibility clinical low-field MRI healthcare cost low-field MRI point-of-care MRI portable MRI

Journal

Journal of magnetic resonance imaging : JMRI
ISSN: 1522-2586
Titre abrégé: J Magn Reson Imaging
Pays: United States
ID NLM: 9105850

Informations de publication

Date de publication:
01 2023
Historique:
revised: 11 08 2022
received: 05 06 2022
accepted: 12 08 2022
pubmed: 20 9 2022
medline: 15 12 2022
entrez: 19 9 2022
Statut: ppublish

Résumé

Modern MRI scanners have trended toward higher field strengths to maximize signal and resolution while minimizing scan time. However, high-field devices remain expensive to install and operate, making them scarce outside of high-income countries and major population centers. Low-field strength scanners have drawn renewed academic, industry, and philanthropic interest due to advantages that could dramatically increase imaging access, including lower cost and portability. Nevertheless, low-field MRI still faces inherent limitations in image quality that come with decreased signal. In this article, we review advantages and disadvantages of low-field MRI scanners, describe hardware and software innovations that accentuate advantages and mitigate disadvantages, and consider clinical applications for a new generation of low-field devices. In our review, we explore how these devices are being or could be used for high acuity brain imaging, outpatient neuroimaging, MRI-guided procedures, pediatric imaging, and musculoskeletal imaging. Challenges for their successful clinical translation include selecting and validating appropriate use cases, integrating with standards of care in high resource settings, expanding options with actionable information in low resource settings, and facilitating health care providers and clinical practice in new ways. By embracing both the promise and challenges of low-field MRI, clinicians and researchers have an opportunity to transform medical care for patients around the world. LEVEL OF EVIDENCE: 5 TECHNICAL EFFICACY: Stage 6.

Identifiants

pubmed: 36120962
doi: 10.1002/jmri.28408
pmc: PMC9771987
mid: NIHMS1832503
doi:

Types de publication

Journal Article Review Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

25-44

Subventions

Organisme : NINDS NIH HHS
ID : DP1 NS122038
Pays : United States
Organisme : NINDS NIH HHS
ID : T32 NS091006
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS099348
Pays : United States
Organisme : NINDS NIH HHS
ID : T32-NS091006
Pays : United States
Organisme : Howard Hughes Medical Institute
Pays : United States
Organisme : NIBIB NIH HHS
ID : 5T32EB009384
Pays : United States
Organisme : NINDS NIH HHS
ID : R56 NS099348
Pays : United States
Organisme : NIBIB NIH HHS
ID : T32 EB009384
Pays : United States
Organisme : NINDS NIH HHS
ID : R56-NS099348
Pays : United States
Organisme : NINDS NIH HHS
ID : DP1-NS122038
Pays : United States

Informations de copyright

© 2022 The Authors. Journal of Magnetic Resonance Imaging published by Wiley Periodicals LLC on behalf of International Society for Magnetic Resonance in Medicine.

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Auteurs

Thomas Campbell Arnold (TC)

Department of Bioengineering, School of Engineering & Applied Science, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Colbey W Freeman (CW)

Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Brian Litt (B)

Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Joel M Stein (JM)

Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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