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Feed and Wrap MRI Technique in Infants.

Nina K Antonov1, Carrie B Ruzal-Shapiro1, Kimberly D Morel1

  • 11 Columbia University, New York, NY, USA.

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The feed and wrap technique successfully induces sleep for infant MRI scans, avoiding sedation. However, success may be limited in preterm infants and for spine imaging.

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Area of Science:

  • Pediatric imaging
  • Neonatal care

Background:

  • Sedation and anesthesia in infants for MRI pose risks.
  • The feed and wrap technique offers a non-pharmacological alternative for infant sleep induction.

Purpose of the Study:

  • To evaluate the efficacy of the feed and wrap technique for infant magnetic resonance imaging (MRI) scans.
  • To identify factors associated with scan success or failure.

Main Methods:

  • Retrospective review of 279 feed and wrap MRI scans in infants 3 months or younger.
  • Analysis of scan outcomes and patient history, including preterm birth and MRI type.

Main Results:

  • 79% of scans successfully addressed the clinical question.
  • Preterm birth history (OR=2.368) and spine MRI (OR=2.821) were linked to less successful outcomes.
  • Only 1% of scans were technically inadequate.

Conclusions:

  • The feed and wrap technique is effective for infant MRI, potentially avoiding sedation.
  • Careful consideration is needed for preterm infants and those requiring spine MRI.
  • Standardized techniques by experienced staff can maximize success.