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3T脑磁共振成像在新生儿中的临床安全性

Clinical safety of 3-T brain magnetic resonance imaging in newborns.

作者信息

Fumagalli Monica, Cinnante Claudia Maria, Calloni Sonia Francesca, Sorrentino Gabriele, Gorla Ilaria, Plevani Laura, Pesenti Nicola, Sirgiovanni Ida, Mosca Fabio, Triulzi Fabio

机构信息

NICU, Department of Clinical Sciences & Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.

Neuroradiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

出版信息

Pediatr Radiol. 2018 Jul;48(7):992-998. doi: 10.1007/s00247-018-4105-0. Epub 2018 Mar 29.

DOI:10.1007/s00247-018-4105-0
PMID:29594440
Abstract

BACKGROUND

The effects and potential hazards of brain magnetic resonance imaging (MRI) at 3 T in newborns are debated.

OBJECTIVE

Assess the impact of 3-T MRI in newborns on body temperature and physiological parameters.

MATERIAL AND METHODS

Forty-nine newborns, born preterm and at term, underwent 3-T brain MRI at term-corrected age. Rectal and skin temperature, oxygen saturation and heart rate were recorded before, during and after the scan.

RESULTS

A statistically significant increase in skin temperature of 0.6 °C was observed at the end of the MRI scan (P<0.01). There was no significant changes in rectal temperature, heart rate or oxygen saturation.

CONCLUSION

Core temperature, heart rate and oxygen saturation in newborns were not affected by 3-T brain MR scanning.

摘要

背景

关于3T磁共振成像(MRI)对新生儿的影响及潜在危害存在争议。

目的

评估3T MRI对新生儿体温和生理参数的影响。

材料与方法

49例早产和足月出生的新生儿在矫正胎龄时接受了3T脑部MRI检查。在扫描前、扫描期间和扫描后记录直肠温度、皮肤温度、血氧饱和度和心率。

结果

MRI扫描结束时,皮肤温度有统计学意义地升高了0.6°C(P<0.01)。直肠温度、心率或血氧饱和度无显著变化。

结论

3T脑部MR扫描未影响新生儿的核心体温、心率和血氧饱和度。

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本文引用的文献

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J Pediatr. 2016 Aug;175:228-230.e1. doi: 10.1016/j.jpeds.2016.05.014. Epub 2016 Jun 15.
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Perioperative thermoregulation and heat balance.围手术期体温调节与热量平衡。
Lancet. 2016 Jun 25;387(10038):2655-2664. doi: 10.1016/S0140-6736(15)00981-2. Epub 2016 Jan 8.
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Comparison of neonatal skin sensor temperatures with axillary temperature: does skin sensor placement really matter?
新生儿皮肤传感器温度与腋窝温度的比较:皮肤传感器的放置位置真的重要吗?
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The challenges of neonatal magnetic resonance imaging.新生儿磁共振成像的挑战。
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Safety of routine early MRI in preterm infants.早产儿常规早期 MRI 的安全性。
Pediatr Radiol. 2012 Oct;42(10):1205-11. doi: 10.1007/s00247-012-2426-y. Epub 2012 Aug 9.
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Effect of MRI strength and propofol sedation on pediatric core temperature change.MRI 强度和异丙酚镇静对小儿核心体温变化的影响。
J Magn Reson Imaging. 2011 Apr;33(4):950-6. doi: 10.1002/jmri.22486.
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Safety of magnetic resonance imaging in preterm infants.早产儿磁共振成像安全性研究。
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MR imaging at 3.0 T in children: technical differences, safety issues, and initial experience.儿童3.0T磁共振成像:技术差异、安全问题及初步经验
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