ISSN / eISSN: 0033-8362 / 1826-6983

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ISSN / eISSN: 0033-8362 / 1826-6983

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Whole-Body MRI for Oncologic Surveillance in Pediatric Patients: Comparison with PET/CT

Dr. Ingrid Müller¹, Dr. Chen Li², Dr. Rajesh Kapoor³

1 – Department of Pediatric Radiology, University Hospital Zurich, Switzerland
2 – Department of Radiology, Shanghai Children’s Medical Center, China
3 – Department of Radiodiagnosis, PGIMER Chandigarh, India

Abstract

Purpose: To compare the diagnostic accuracy and clinical utility of whole-body MRI (WB-MRI) with PET/CT for oncologic surveillance in pediatric malignancies.

Methods: In 45 pediatric patients undergoing follow-up for lymphoma or sarcoma, WB-MRI and PET/CT findings were compared with histopathology or clinical follow-up.

Results: WB-MRI demonstrated sensitivity and specificity of 91% and 88%, respectively, compared with PET/CT (94% and 90%). WB-MRI avoided ionizing radiation and detected additional marrow lesions in 12% of cases.

Conclusion: WB-MRI provides a reliable, radiation-free alternative to PET/CT for pediatric oncology surveillance, supporting its integration into long-term follow-up protocols.

Keywords: Whole-body MRI, PET/CT, pediatric oncology, radiation-free imaging

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