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"养和包裹"技术与新生儿磁共振成像深度镇静相比:一个回顾性比较研究

André Lollert¹, Kim Sophie Frey², Christian Hoffmann²

¹Department of Diagnostic and Interventional Radiology, Section of Pediatric Radiology, Medical Center of the Johannes Gutenberg-University, Mainz, Germany. andre.lollert@unimedizin-mainz.de.

European radiology

|May 7, 2024

概括

料和包装技术 (FWT) 成功使新生儿,包括早产婴儿的MRI扫描,与镇静相比,图像质量仅略有下降. 这种方法可以避免婴儿的镇静风险.

科学领域:

新生儿成像学新生儿成像学
儿科放射学儿科放射学
医学物理医学物理

背景情况:

新生儿MRI通常需要深度镇静,带来挑战和风险,如神经毒性,特别是在早产婴儿.
料和包装技术 (FWT) 提供了一个替代方案,通过食和固定来诱导自然睡眠.

研究的目的:

在镇静下进行的新生儿MRI与FWT之间的图像质量进行比较.
评估新生儿在生命的前四个月的FWT的有效性和安全性.

主要方法:

2009年7月至2022年8月新生儿MRI检查的回顾性评估.
图像质量使用4点半定量尺度进行评估.
镇静和FWT组之间的图像质量指标的比较.

主要成果:

包括432名新生儿;243人 (56%) 接受镇静,189人 (44%) 接受FWT.
FWT组的修正年龄和体重较低,但成功率为95%.
在FWT组,图像质量略低 (3.7±0.43对3.96±0.11,p<0.001),诊断限制的风险更高 (p<0.001).

结论:

FWT是一种非常成功和可靠的新生儿MRI方法,即使在体重较低的早产婴儿中也是如此.
虽然图像质量略有降低,但FWT避免了与深度镇静相关的风险.
在新生儿中,FWT是MRI的可行的替代方案,最大限度地减少了与镇静有关的并发症的暴露.

关键词:

婴儿婴儿婴儿婴儿婴儿婴儿磁共振成像技术磁共振成像技术新生儿新生儿新生儿镇静镇静镇静镇静料和包装料和包装

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