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Neonatal body magnetic resonance imaging: preparation, performance and optimization
Jonathan R Dillman1,2, Jean A Tkach3,4
1Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229, USA. Jonathan.dillman@cchmc.org.
Pediatric Radiology
|June 22, 2021
Summary
Optimizing magnetic resonance imaging (MRI) for neonates and infants requires special protocols. High-quality diagnostic images are achievable with proper preparation, aiding diagnosis and management in this young population.
Area of Science:
- Medical Imaging
- Pediatric Radiology
- Neonatal Care
Background:
- Neonatal and infant body MRI presents unique challenges due to patient size and the need to minimize sedation.
- Standard MRI protocols may not be suitable for this vulnerable demographic, necessitating specialized approaches.
Purpose of the Study:
- To provide an updated review on performing and optimizing body MRI in neonates and infants.
- To discuss specific considerations, common indications, and contrast agent use in this patient group.
Main Methods:
- Review of current literature and established practices for neonatal and infant body MRI.
- Discussion of protocol optimization strategies to overcome challenges like patient motion and size.
Main Results:
- High-quality diagnostic MRI of the chest, abdomen, and pelvis is feasible in neonates and infants with appropriate preparation and optimized protocols.
- Special considerations are crucial for this population compared to older pediatric patients.
Conclusions:
- Optimized MRI protocols enable successful imaging of neonates and infants, significantly aiding in diagnosis and patient management.
- Careful consideration of indications and the use of intravenous gadolinium-based contrast agents is essential for this vulnerable group.
