Magnetic Resonance Imaging in Preterm Infant: A Systematic Review on Clinical Procedure Safety.

Autor:	Falsaperla R; Pediatric and Pediatric Emergency Department, University Hospital 'Rodolico- San Marco,' PO 'San Marco', Catania, Italy.; Unit of Intensive Care and Neonatology, University Hospital 'Rodolico- San Marco,' PO 'San Marco', Catania, Italy., Marino S; Pediatric and Pediatric Emergency Department, University Hospital 'Rodolico- San Marco,' PO 'San Marco', Catania, Italy., Ganci N; Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, University Hospital 'Rodolico- San Marco', PO 'Rodolico', Catania, Italy., Leone G; Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, University Hospital 'Rodolico- San Marco', PO 'Rodolico', Catania, Italy., Romano C; Pediatric and Pediatric Emergency Department, University Hospital 'Rodolico- San Marco,' PO 'San Marco', Catania, Italy., Tropea A; Unit of Radiology, University Hospital 'Rodolico- San Marco,' PO 'San Marco', Catania, Italy., Romeo P; Unit of Radiology, University Hospital 'Rodolico- San Marco,' PO 'San Marco', Catania, Italy., Mailo J; Division of Pediatric Neurology, University of Alberta, Edmonton, Alberta, Canada;and., Ruggieri M; Unit of Rare Diseases of the Nervous System in Childhood, Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, University of Catania, Catania, Italy.
Jazyk:	angličtina
Zdroj:	Topics in magnetic resonance imaging : TMRI [Top Magn Reson Imaging] 2024 Jan 31; Vol. 33 (1), pp. e0310. Date of Electronic Publication: 2024 Jan 31 (Print Publication: 2024).
DOI:	10.1097/RMR.0000000000000310
Abstrakt:	Background: Currently, there is no evidence that MRI produces harmful effects on premature newborns, as well as short-term and long-term safety issues regarding radiofrequency fields and loud acoustic environment, while the examination that is being performed has not been clearly investigated. MRI of the brain conducted on preterm infants should be part of the diagnostic workup, when necessary. This article is intended to evaluate the short-term safety of MRI performed in preterm infants, when required, by analyzing all vital parameters available before, during, and after the MRI procedures. Methods: We conducted a systematic review of the literature on electronic medical databases (PubMed and ClinicalTrials.gov) following the Preferred Reported Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We included all preterm infants who underwent MRI whose clinical, hemodynamic, and respiratory parameters were reported. The quality of the included articles was assessed using QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies) tool. Results: Six studies were included with a total of 311 preterm infants. No severe adverse event, such as death, occurred during MRI procedures. Vital signs remained stable in about two-thirds of all patients. Conclusions: Given the general clinical safety of MRI, we suggest it as a tool to be used in preterm infants in Neonatal Intensive Care Units, when necessary. We further suggest the development of standard protocols to guide the use of MRI in preterm infants to maximize the clinical safety of the procedure. Competing Interests: The authors declare no conflict of interest (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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