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Motivation: Performing dynamic contrast-enhanced MR lymphangiogram (DCMRL) in children require general anesthesia. In a non-hybrid environment, the nodal puncture for DCMRL is often performed in the angiography suite. Transporting a pediatric patient under general anesthesia with needles to an MRI environment presents unique challenges.
Goal(s): Develop a safe and effective workflow for DCMRL in non-hybrid setting.
Approach: Meticulous planning and collaborations between radiology and anesthesiology teams ensure safe execution of DCMRL. Using contrast-enhanced ultrasound (CEUS) also improve the logistic of intranodal DCMRL by minimizing patient transfer.
Results: Careful coordination between Radiology and Anesthetic team results in successful and safe intranodal and intrahepatic DCMRL. .
Impact: The ability to perform DCMRL in non-hybrid environment has significant implications for accurate diagnosis of lymphatic diseases, enabling improved treatment planning and better patient outcomes.
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