Gillette Children’s has recently implemented BoneMRI, a groundbreaking imaging technology that combines bone and soft tissue imaging in one MRI scan, eliminating the need for traditional CT scans.
Tenner Guillaume, MD, Pediatric Spine Surgeon and Chair of Gillette Children’s Spine Institute, says the advantages of BoneMRI are clear. “CT scans are often essential to a comprehensive understanding of our patients’ spines, and this is particularly true in the setting of congenital scoliosis, spondylolysis, or for preoperative planning for spine surgery. However, traditional CT scans are associated with very high radiation exposures for our young, developing patients, and this has the potential to increase their lifetime likelihood of developing a neoplasm.”
With BoneMRI, Gillette surgeons can obtain a CT image utilizing an MRI scanner, eliminating radiation exposure. Dr. Guillaume continues, "This technology appears to be a game-changer in maintaining the radiologic principle of ‘As Low As Reasonably Acceptable.’” Gillette is the first hospital in the United States to use this technology routinely in clinical care of pediatric patients.
Transforming Traditional MRI Imaging
BoneMRI produces three-dimensional, high-resolution CT-like images of bone in a single imaging exam using conventional MRI scanners — which, up until now, have mainly been used to analyze soft tissue. The BoneMRI software seamlessly integrates with the normal MRI imaging process. Protected Health Information is removed, aside from indirect identifiers required for processing the data. Within minutes, the result is an MRI-derived, CT-like image with sub-millimeter resolution.
The technology uses an algorithm based on deep learning, an artificial intelligence method inspired by the human brain. The algorithm is trained and extensively validated using real patient data.
Safer, More Convenient Care and Improved Results
Radiation from traditional imaging methods, like CT scans, can pose a health concern — especially for patients with complex conditions who require multiple scans over time. BoneMRI eliminates this risk by offering a radiation-free alternative. Visualizing bone and soft tissue in a single scan can also reduce the number of imaging sessions, minimizing stress, time, and cost for patients and their families.
In addition, the precise and detailed images provided by BoneMRI offer better diagnostic information. Two aligned images are optimal for diagnoses, treatment planning, and surgical navigation. “To be at the vanguard of innovation in the pediatric spine community, we are heavy utilizers of customized 3D models of our patients’ spines. These models allow for detailed preoperative planning and increase intraoperative safety and accuracy in our complex spine surgeries. Historically, a CT scan has been required to create a high-resolution model of the spines upon which we will be operating,” notes Dr. Guillaume.
“But now we can get these high-resolution models without any radiation whatsoever. BoneMRI is a an obvious investment for the Gillette Children’s Spine Institute as we strive to maximize our patients’ safety by leveraging technology.”
Ongoing Innovation in Imaging Technology
BoneMRI is the most recent example of leading-edge imaging technology at Gillette focused on minimizing patient risk and improving care. Gillette was one of the first in the nation to install an EOS Imaging System, which provides weight-bearing, low-dose images. EOS offers a lower radiation dose, and the head-to-toe images help providers get a more accurate picture of a child’s natural weight-bearing stance and alignment.
“As part of the Image Gently Alliance, Gillette is dedicated to providing safe, high-quality pediatric imaging. Putting patient safety, health, and welfare first by optimizing image quality while maintaining the lowest possible radiation dose to our patients is a top priority,” says Marty McLean, Manager of Imaging Services.
“A large part of improving on this initiative is to constantly find and implement new technology. New technologies such as EOS and BoneMRI have helped reduce and eliminate the need for the level of radiation that was once necessary for obtaining high-quality imaging for our patients and providers.”
Solutions like BoneMRI and the EOS reduce the risks associated with radiation exposure and streamline the imaging process, providing comprehensive and precise diagnostic information. As Gillette continues implementing new technologies, the goal remains clear: to enhance outcomes and deliver exceptional, patient-centered care.
