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OBJECTIVE CT reduction in favor of rapid sequence MRI to decrease pediatric radiation exposure has varied across institutions. We aim to understand national trends in CT and rapid sequence MRI usage, as well as identify variables affecting imaging practices and obstacles to CT reduction. METHODS Retrospective review of deidentified discharge data for children with hydrocephalus and TBI in the Healthcare Cost and Utilization Project's Kid's Inpatient Database (KID) in 2000, 2003, 2006, 2009, 2012, and 2016. MRI without contrast and CT u
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