Purpose or Case Report: The purpose of this educational exhibit is to present a systematic 4-sequence hanging protocol and search pattern as an effective method to initially review a pediatric MR enterography (MRE) study prior to thorough interpretation. By analyzing frequently referenced sequences in MRE reports with positive inflammatory bowel disease findings, we identified novel 4-sequence hanging protocol: coronal T2-weighted HASTE (for anatomic orientation), axial fat-saturated fluid-sensitive sequence (for bowel wall thickening/edema), axial diffusion-weighted high b-value sequences (for bowel inflammation and complications), and coronal gradient-recall echo T1-weighted post-contrast (for enhancement). This structured 4-sequence hanging protocol highlights the most pertinent findings and allows for rapid first-pass evaluation to orient novice readers. The exhibit provides an efficient framework for radiology trainees to streamline review of pediatric MREs before proceeding to full detailed interpretation.
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