Adequacy of an In-Neonatal Intensive Care Unit 1T Magnetic Resonance Imaging Compared With 3T Magnetic Resonance Imaging for Clinical Management.

Brain HIE IVH Magnetic resonance imaging Neonatal Preterm Term equivalent WMI

Journal

Pediatric neurology
ISSN: 1873-5150
Titre abrégé: Pediatr Neurol
Pays: United States
ID NLM: 8508183

Informations de publication

Date de publication:
16 Aug 2024
Historique:
received: 26 03 2024
revised: 31 07 2024
accepted: 09 08 2024
medline: 10 9 2024
pubmed: 10 9 2024
entrez: 10 9 2024
Statut: aheadofprint

Résumé

This retrospective study aims to assess the added diagnostic utility and clinical value of a 3-Tesla neonatal brain magnetic resonance imaging after obtaining a 1-Tesla magnetic resonance imaging within the neonatal intensive care unit. A cohort of 34 infants had an initial 1-Tesla magnetic resonance imaging and repeat imaging within 14 days in a 3-Tesla scanner. All infants were admitted to the level III neonatal intensive care unit at Brigham and Women's Hospital, and all images were interpreted by pediatric neuroradiologists. For 31 infants (91%), the 3-Tesla magnetic resonance imaging showed similar or expected evolution of known findings found on 1 Tesla. For infants with change between the 1-Tesla and 3-Tesla imaging results, there was no clinical impact. Images from 1-Tesla magnetic resonance imaging were sufficient for characterizing a wide range of neonatal brain injuries and abnormalities and repeated 3-Tesla magnetic resonance imaging did not yield further clinical benefit.

Sections du résumé

BACKGROUND BACKGROUND
This retrospective study aims to assess the added diagnostic utility and clinical value of a 3-Tesla neonatal brain magnetic resonance imaging after obtaining a 1-Tesla magnetic resonance imaging within the neonatal intensive care unit.
METHODS METHODS
A cohort of 34 infants had an initial 1-Tesla magnetic resonance imaging and repeat imaging within 14 days in a 3-Tesla scanner. All infants were admitted to the level III neonatal intensive care unit at Brigham and Women's Hospital, and all images were interpreted by pediatric neuroradiologists.
RESULTS RESULTS
For 31 infants (91%), the 3-Tesla magnetic resonance imaging showed similar or expected evolution of known findings found on 1 Tesla. For infants with change between the 1-Tesla and 3-Tesla imaging results, there was no clinical impact.
CONCLUSION CONCLUSIONS
Images from 1-Tesla magnetic resonance imaging were sufficient for characterizing a wide range of neonatal brain injuries and abnormalities and repeated 3-Tesla magnetic resonance imaging did not yield further clinical benefit.

Identifiants

pubmed: 39255540
pii: S0887-8994(24)00288-1
doi: 10.1016/j.pediatrneurol.2024.08.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

34-39

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest Dr. Inder and Dr. Grant are both scientific advisors for Aspect Imaging.

Auteurs

Danielle Sharon (D)

Division of Newborn Medicine, Department of Pediatrics, Brigham and Women's Hospital, Boston, Massachusetts.

Elizabeth Singh (E)

Division of Newborn Medicine, Department of Pediatrics, Brigham and Women's Hospital, Boston, Massachusetts.

Camilo Jaimes (C)

Harvard Medical School, Boston, Massachusetts; Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.

Ellen Grant (E)

Harvard Medical School, Boston, Massachusetts; Department of Pediatrics and Radiology, Boston Children's Hospital, Boston, Massachusetts.

Terrie Inder (T)

Division of Neonatology, Children's Hospital of Orange County and University of California Irvine, Irvine, California.

Mohamed El-Dib (M)

Division of Newborn Medicine, Department of Pediatrics, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: mel-dib@bwh.harvard.edu.

Classifications MeSH