Liu Lian, Zhang Peng, Xia Hong-Ping, Wang Bin, Ma Xue-Ling, Cheng Guo-Qiang, Shi Yuan
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.
Zhongguo Dang Dai Er Ke Za Zhi. 2020 Dec;22(12):1251-1255. doi: 10.7499/j.issn.1008-8830.2007081.
To study the safety and efficacy of magnetic resonance imaging (MRI)-compatible incubator in cranial MRI examination for neonates.
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).
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).
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.
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。
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)。
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)。
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。