Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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Advances in Clinical and Experimental Medicine

2019, vol. 28, nr 7, July, p. 945–954

doi: 10.17219/acem/94155

Publication type: original article

Language: English

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Neonatal brain and body imaging in the MR-compatible incubator

Monika Bekiesińska-Figatowska1,A,B,C,D,E,F, Magdalena Rutkowska2,B,D, Joanna Stankiewicz3,B,D, Katarzyna Krupa1,B,C,D, Beata Iwanowska1,B,C, Anna Romaniuk-Doroszewska1,B,C, Sylwia Szkudlińska-Pawlak1,B,C, Agnieszka Duczkowska1,B,C, Marek Duczkowski1,B,C, Hanna Brągoszewska1,B,C, Jarosław Mądzik1,B,C, Piotr Kwaśniewicz1,B,C, Astra Cabaj1,B,C, Ewa Helwich2,E,F

1 Department of Diagnostic Imaging, Institute of Mother and Child, Warszawa, Poland

2 Clinic of Neonatology and Neonatal Intensive Care, Institute of Mother and Child, Warszawa, Poland

3 Clinic of Anesthesiology and Intensive Care, Institute of Mother and Child, Warszawa, Poland

Abstract

Background. The use of a specialized MR-compatible incubator (INC) is very poorly described in the literature and only with regard to brain imaging.
Objectives. To present our own experience with brain and body magnetic resonance imaging (MRI) in the INC in a large cohort of neonates.
Material and Methods. A total of 555 examinations were performed in 530 newborns with the use of a 1.5T system and Nomag IC 1.5 incubator, equipped with head and body coils.
Results. More than half of neonates (54%) were prematurely born at 22 + 6–36 + 6 gestational weeks. They were examined from the first to 153 days of life (median: 18.5, mean: 37.7) with body weights 600–5000 g (mean: 3051 g), 23% of less than 2500 g. The proportion of brain MRIs to other body regions was 533:85 = 86%:14%. In 36.6% of cases, MRI showed more abnormalities than ultrasound (USG), in a further 21.8%, MRI diagnosis was completely different, in 4.7%, a pathology described on a USG was ruled out on MRI. The superiority of MRI over USG was 63.1%.
Conclusion. MR-compatible incubator significantly increased the availability of MRI to newborns, especially to premature and unstable newborns. The integration of body coils into the INC increased the spectrum of examinations and made possible the scanning not only of the brain but also the body. Dedicated neonatal coils improved image quality and allowed more accurate diagnosis than the previously used adult coils. Immobilization of the babies in the INC by means of Velcro belts and head fixation inserts is better than in adult coils. The closed space of the INC isolates newborns to a greater extent from the negative influence of noise in the MR environment.

Key words

body imaging, brain imaging, magnetic resonance imaging, MR-compatible incubator, neonates

References (21)

  1. Bekiesińska-Figatowska M, Szkudlińska-Pawlak S, Romaniuk-Doroszewska A, et al. First experience with neonatal examinations with the use of MR-compatible incubator. Pol J Radiol. 2014;79:268–274.
  2. Bekiesińska-Figatowska M, Romaniuk-Doroszewska A, Duczkowska A, Duczkowski M, Iwanowska B, Szkudlińska-Pawlak S. Fetal MRI versus postnatal imaging in the MR-compatible incubator. Radiol Med. 2016;121(9):719–728.
  3. Bekiesińska-Figatowska M, Helwich E, Rutkowska M, Stankiewicz J, Terczyńska I. Magnetic resonance imaging of neonates in the magnetic resonance compatible incubator. Arch Med Sci. 2016;12(5):1064–1070.
  4. Erberich SG, Friedlich P, Seri I, Nelson MD Jr, Blüml S. Functional MRI in neonates using neonatal head coil and MR compatible incubator. Neuroimage. 2003;20(2):683–692.
  5. O’Regan K, Filan P, Pandit N, Maher M, Fanning N. Image quality associated with the use of an MR-compatible incubator in neonatal neuroimaging. Br J Radiol. 2012;85(1012):363–367.
  6. Blüml S, Friedlich P, Erberich S, Wood JC, Seri I, Nelson MD Jr. MR imaging of newborns by using an MR-compatible incubator with integrated radiofrequency coils: Initial experience. Radiology. 2004;231(2):594–601.
  7. Rona Z, Klebermass K, Cardona F, et al. Comparison of neonatal MRI examinations with and without an MR-compatible incubator: Advantages in examination feasibility and clinical decision-making. Eur J Paediatr Neurol. 2010;14(5):410–417.
  8. Helwich E, Bekiesińska-Figatowska M, Bokiniec R. Standard badań obrazowych oun noworodka. In: Standardy opieki medycznej nad noworodkiem w Polsce. Zalecenia Polskiego Towarzystwa Neonatologicznego. Wydawnictwo Media-Press Sp. z o.o., Warszawa 2015, 150–157.
  9. Fetal and Neonatal Brain Magnetic Resonance Imaging: Clinical Indications, Acquisitions and Reporting. A Framework for Practice. British Association of Perinatal Medicine (BAPM), February 2016. www.bapm.org
  10. Cho HH, Kim IO, Cheon JE, Choi YH, Lee SM, Kim WS. Changes in brain magnetic resonance imaging patterns for preterm infants after introduction of a magnetic resonance-compatible incubator coil system: 5-year experience at a single institution. Eur J Radiol. 2016;85(9):1564–1568.
  11. Loepke AW, McGowan FX Jr, Soriano SG. CON: The toxic effects of anesthetics in the developing brain: The clinical perspective. Anesth Analg. 2008;106(6):1664–1669.
  12. Jevtovic-Todorovic V. Developing brain and general anesthesia – is there a cause for concern? F1000 Med Rep. 2010;8(2):68.
  13. Wilder RT. Is there any relationship between long-term behavior disturbance and early exposure to anesthesia? Curr Opin Anaesthesiol. 2010;23(3):332–336.
  14. Neil JJ, Inder TE. Imaging perinatal brain injury in premature infants. Semin Perinatol. 2004;28(6):433–443.
  15. Zupan-Simunek V, Rutkowska M, Bekiesińska-Figatowska M. Predictive value of magnetic resonance imaging (MRI) in cases of acquired brain injury in neonates. Med Wieku Rozwoj. 2011;15(3 Pt 2):385–393.
  16. Biran V, Bodiou AM, Zana E, et al. Cerebellar injury in premature infants less than 30 weeks of gestation. Arch Pediatr 2011;18(3):261–266.
  17. Bekiesińska-Figatowska M, Jurkiewicz E, Szkudlińska-Pawlak S, Malczyk K, Nowak K. Rhombencephalosynapsis – isolated anomaly or complex malformation? Pol J Radiol. 2012;77(3):35–38.
  18. Steggerda SJ, de Bruïne FT, Smits-Wintjens VE, Verbon P, Walther FJ, van Wezel-Meijler G. Posterior fossa abnormalities in high-risk term infants: Comparison of ultrasound and MRI. Eur Radiol 2015;25(9):2575–2583.
  19. Bekiesińska-Figatowska M, Duczkowski M, Madzik J, Uliasz M, ­Zawadka A, Baszczeska J. Diffusion-weighted imaging of the early phase of wallerian degeneration. A report of two pediatric cases and literature review. Neuroradiol J. 2012;25(6):657–664.
  20. Bekiesińska-Figatowska M, Duczkowska A, Szkudlińska-Pawlak S, et al. Diffusion restriction in the corticospinal tracts and the corpus callosum in neonates after cerebral insult. Brain Dev. 2017;39(3):203–210.
  21. Broström L, Bolk J, Padilla N, et al. Clinical implications of diffuse excessive high signal intensity (DEHSI) on neonatal MRI in school age children born extremely preterm. PLoS One. 2016;11(2):e0149578.
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