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Comparison of image quality in brain MRI with and without MR compatible incubator and predictive value of brain MRI at expected delivery date in preterm babies.对比有创与无创磁共振兼容保温箱的早产儿脑 MRI 图像质量及预测胎龄足月时脑 MRI 表现的价值。
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2
Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants.早产或极低出生体重儿新生儿重症监护病房的降噪管理
Cochrane Database Syst Rev. 2020 Jan 27;1(1):CD010333. doi: 10.1002/14651858.CD010333.pub3.
3
White matter injury predicts disrupted functional connectivity and microstructure in very preterm born neonates.脑白质损伤可预测极早产儿神经功能连接和微观结构的紊乱。
Neuroimage Clin. 2019;21:101596. doi: 10.1016/j.nicl.2018.11.006. Epub 2018 Nov 13.
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Neonatal brain injury and aberrant connectivity.新生儿脑损伤与异常连接。
Neuroimage. 2019 Jan 15;185:609-623. doi: 10.1016/j.neuroimage.2018.07.057. Epub 2018 Jul 27.
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Preterm Neuroimaging and School-Age Cognitive Outcomes.早产儿神经影像学与学龄期认知结局。
Pediatrics. 2018 Jul;142(1). doi: 10.1542/peds.2017-4058.
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7
Magnetic resonance imaging of neonates in the magnetic resonance compatible incubator.在磁共振兼容培养箱中对新生儿进行磁共振成像。
Arch Med Sci. 2016 Oct 1;12(5):1064-1070. doi: 10.5114/aoms.2016.61913. Epub 2016 Aug 24.
8
Fifty years of brain imaging in neonatal encephalopathy following perinatal asphyxia.围产期窒息后新生儿脑病的五十年脑成像研究
Pediatr Res. 2017 Jan;81(1-2):150-155. doi: 10.1038/pr.2016.195. Epub 2016 Sep 27.
9
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.引入磁共振兼容培养箱线圈系统后早产儿脑磁共振成像模式的变化:单一机构的5年经验
Eur J Radiol. 2016 Sep;85(9):1564-8. doi: 10.1016/j.ejrad.2016.06.007. Epub 2016 Jun 7.
10
MRI evaluation and safety in the developing brain.发育中大脑的磁共振成像评估与安全性
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磁共振成像兼容培养箱在新生儿头颅磁共振成像中的应用:一项多中心前瞻性随机临床试验

[Application of magnetic resonance imaging-compatible incubator in cranial magnetic resonance imaging for neonates: a multicenter prospective randomized clinical trial].

作者信息

Liu Lian, Zhang Peng, Xia Hong-Ping, Wang Bin, Ma Xue-Ling, Cheng Guo-Qiang, Shi Yuan

机构信息

Department of Neonatology, Children's Hospital of Chongqing Medical University/National Clinical Research Center for Child Health and Disorders/Ministry of Education Key Laboratory of Child Development and Disorders/Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2020 Dec;22(12):1251-1255. doi: 10.7499/j.issn.1008-8830.2007081.

DOI:10.7499/j.issn.1008-8830.2007081
PMID:33327993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7735921/
Abstract

OBJECTIVE

To study the safety and efficacy of magnetic resonance imaging (MRI)-compatible incubator in cranial MRI examination for neonates.

METHODS

A total of 120 neonates who were hospitalized in three hospitals and needed to undergo MRI examination were randomly divided into a control group and an experimental group, with 60 neonates in each group. The neonates in the experimental group were transferred with MRI-compatible incubator and underwent cranial MRI examination inside the MRI-compatible incubator, and those in the control group were transferred using a conventional neonatal transfer incubator and then underwent MRI examination outside the incubator. The two groups were compared in terms of the primary efficacy index (total examination time), secondary efficacy indices (times of examination, MRI completion rate on the first day of use), and safety indices (incidence rate of adverse events and vital signs).

RESULTS

There were no significant differences in total examination time, times of examination, and MRI completion rate on the first day of use between the two groups ( > 0.05). There were also no significant differences between the two groups in the incidence rate of adverse events and vital signs such as respiratory rate, heart rate, blood pressure, and blood oxygen saturation rate at different time points before and after examination ( > 0.05).

CONCLUSIONS

The use of MRI-compatible incubator does not significantly shorten the examination time of cranial MRI, but it does provide a relatively stable environment for examination with acceptable safety. There is a need for further studies with a larger population.

摘要

目的

研究磁共振成像(MRI)兼容型保温箱在新生儿颅脑MRI检查中的安全性和有效性。

方法

选取三家医院住院且需行MRI检查的120例新生儿,随机分为对照组和试验组,每组60例。试验组新生儿使用MRI兼容型保温箱转运,并在MRI兼容型保温箱内进行颅脑MRI检查;对照组使用传统新生儿转运保温箱转运,然后在保温箱外进行MRI检查。比较两组的主要疗效指标(总检查时间)、次要疗效指标(检查次数、使用首日MRI完成率)和安全性指标(不良事件发生率及生命体征)。

结果

两组在总检查时间、检查次数及使用首日MRI完成率方面差异无统计学意义(>0.05)。两组在检查前后不同时间点的不良事件发生率及呼吸频率、心率、血压、血氧饱和度等生命体征方面差异也无统计学意义(>0.05)。

结论

使用MRI兼容型保温箱并未显著缩短新生儿颅脑MRI的检查时间,但可为检查提供相对稳定的环境,且安全性可接受。需要进行更大样本量的进一步研究。