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In this pilot study, the authors assess the feasibility of a 5-minute high-resolution 3D golden-angle (GA) stack-of-stars radial volumetric interpolated breath-hold examination (VIBE) MRI sequence (GA-VIBE) to obtain clinically acceptable cranial bone images and identify cranial vault fractures compared to CT.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Patients younger than 18 years of age presenting after head trauma were eligible for the study. Three clinicians reviewed and assessed 1) slice-by-slice volumetric CT and inverted MR images, and 2) 3D reconstructions obtained from inverted MR images and the gold standard (CT). For each image set, reviewers noted on 5-point Likert scales whether they recommended that a repeat scan be performed and the presence or absence of cranial vault fractures.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Thirty-one patients completed MRI after a clinical head CT scan was performed. Based on CT imaging, 8 of 31 patients had cranial fractures. Two of 31 patients were sedated as part of their clinical MRI scan. In 30 (97%) of 31 MRI reviews, clinicians agreed (or strongly agreed) that the image quality was acceptable for clinical diagnosis. Overall, comparing MRI to acceptable gold-standard CT, sensitivity and specificity of fracture detection were 100%. Furthermore, there were no discrepancies between CT and MRI in classification of fracture type or location.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>When compared with the gold standard (CT), the volumetric and 3D reconstructed images using the GA-VIBE sequence were able to produce clinically acceptable cranial images with excellent ability to detect cranial vault fractures.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2022.2.peds2224","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T08:25:29Z","timestamp":1650615929000},"page":"113-118","source":"Crossref","is-referenced-by-count":3,"title":["Cranial vault imaging for pediatric head trauma using a radial VIBE MRI sequence"],"prefix":"10.3171","volume":"30","author":[{"given":"Kamlesh B.","family":"Patel","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cihat","family":"Eldeniz","sequence":"additional","affiliation":[{"name":"Mallinckrodt Institute of Radiology, Washington University in St. Louis, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary B.","family":"Skolnick","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul K.","family":"Commean","sequence":"additional","affiliation":[{"name":"Mallinckrodt Institute of Radiology, Washington University in St. Louis, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parna","family":"Eshraghi Boroojeni","sequence":"additional","affiliation":[{"name":"Mallinckrodt Institute of Radiology, Washington University in St. Louis, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Udayabhanu","family":"Jammalamadaka","sequence":"additional","affiliation":[{"name":"Mallinckrodt Institute of Radiology, Washington University in St. Louis, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Merrill","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew D.","family":"Smyth","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins All Children\u2019s Hospital, St. Petersburg, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manu S.","family":"Goyal","sequence":"additional","affiliation":[{"name":"Mallinckrodt Institute of Radiology, Washington University in St. Louis, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongyu","family":"An","sequence":"additional","affiliation":[{"name":"Mallinckrodt Institute of Radiology, Washington University in St. Louis, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"e20190419","DOI":"10.1542\/peds.2019-0419","article-title":"Feasibility and accuracy of fast MRI versus CT for traumatic brain injury in young children","volume":"144","author":"Lindberg DM","year":"2019","unstructured":"Lindberg DM, Stence NV, Grubenhoff JA,  Feasibility and accuracy of fast MRI versus CT for traumatic brain injury in young children. 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