A viewpoint proposing a surveillance imaging framework for pediatric traumatic brain injury (TBI), recommending rapid MRI in place of repeat CT after an index CT establishes the diagnosis.
The authors call for using rapid MRI—rather than repeat CT—for ongoing surveillance of pediatric TBI, aiming to reduce ionizing radiation exposure in children without sacrificing diagnostic quality.
This is an expert opinion/viewpoint with no original clinical data, patient cohort, or comparative outcomes reported; recommendations are not validated by a prospective trial.
When a child's head trauma is first diagnosed by CT, consider switching to rapid MRI for any follow-up imaging to avoid repeat radiation exposure. Institutions should develop protocols to make rapid MRI accessible in the acute pediatric TBI setting.
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