Point of care magnetic resonance neonatal neuroimaging applications and early imaging in infants under active therapeutic hypothermia: a perspective

Sriya Roychaudhuri; Yasemin Ersen; Mohamed El-Dib; Terrie Inder

doi:10.1038/s41372-024-02033-y

Point of care magnetic resonance neonatal neuroimaging applications and early imaging in infants under active therapeutic hypothermia: a perspective

J Perinatol. 2024 Aug;44(8):1228-1232. doi: 10.1038/s41372-024-02033-y. Epub 2024 Jun 24.

Authors

Sriya Roychaudhuri^{1

2}, Yasemin Ersen³, Mohamed El-Dib^{3

4}, Terrie Inder^{3

4

5}

Affiliations

¹ Division of Newborn Medicine, Department of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA. [email protected].
² Division of Neonatal-Perinatal Medicine, University of British Columbia, Vancouver, BC, Canada. [email protected].
³ Division of Newborn Medicine, Department of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA.
⁴ Harvard Medical School, Boston, MA, USA.
⁵ Division of Neonatology, Children's Hospital of Orange County and University of California, Irvine, Irvine, CA, USA.

PMID: 38914749
DOI: 10.1038/s41372-024-02033-y

Abstract

As care of the most vulnerable infants in the neonatal intensive care unit (NICU) evolves, improved and real-time understanding of brain health becomes key. The availability of an in-NICU magnetic resonance imaging (MRI) scanner provides unique options to bedside care providers and researchers. We present our perspective on the 1-Tesla MRI unit in our NICU and its utilities and applications both in the clinical and research fields. We also discuss our experience with early and serial MRI in a cohort of infants with hypoxic-ischemic encephalopathy while undergoing therapeutic hypothermia, using a compatible cooling blanket and monitoring apparatus with special insight into the planning and organization between providers, and parental perspectives around early, detailed imaging.

Publication types

Review

MeSH terms

Brain / diagnostic imaging
Humans
Hypothermia, Induced* / methods
Hypoxia-Ischemia, Brain* / diagnostic imaging
Hypoxia-Ischemia, Brain* / therapy
Infant, Newborn
Intensive Care Units, Neonatal*
Magnetic Resonance Imaging* / methods
Neuroimaging* / methods
Point-of-Care Systems