Acoustic noise in a small-format 3.0-T neonatal MRI system.

BACKGROUND: Today, magnetic resonance imaging (MRI) is rarely used in managing the care of premature neonates. This is in large part due to the medical and logistical challenges associated with moving neonates from the neonatal intensive care unit (NICU) to the radiology department. Furthermore, acoustic noise associated with MR scanning poses safety concerns for both practitioners and neonatal patients. A small-format 3.0-T neonatal scanner was recently developed and placed within the NICU to address these logistical and acoustic challenges. OBJECTIVE: To compare acoustic noise measurements of a small-format 3.0-T neonatal MRI scanner with conventional adult-sized 1.5-T and 3.0-T MRI scanners using identical neonatal head imaging protocols. MATERIALS AND METHODS: Sound pressure level (SPL) measurements of a standard imaging protocol were made in a small-format neonatal 3.0-T MRI scanner as well as in adult-sized 1.5-T and 3.0-T scanners. SPL measurements were made with a Brüel & Kjær sound level meter model 2250. The statistical significance of the differences in SPL between scanners was determined using one-way ANOVA. RESULTS: Average sound pressure level values were measured in unweighted decibels (dB) and A-weighted decibels (dBA) for all imaging sequences in the protocol. The average A-weighted SPLs for the NICU from 1.5-T and 3.0-T MRI scanners were 81.02 ± 0.28 dBA, 87.00 ± 0.85 dBA, and 94.91 ± 0.65 dBA, respectively. SPLs at the isocenter of the NICU MRI scanner were 5.98 dBA quieter than in the 1.5-T scanner (P=0.007), and 13.89 dBA quieter than in the 3.0-T scanner (P<0.001). For staff standing next to the scanner, the NICU scanner was 20.24 dBA quieter than the 1.5-T scanner (P<0.001) and 19.28 dBA quieter than the 3.0-T scanner (P<0.001). CONCLUSION: The NICU 3.0-T MRI system is significantly quieter than conventional adult-sized MRI systems, improving safety for neonatal patients. Significant reductions in SPL were also noted inside the screen room where clinicians may be present during scanning.

MRI in the neonatal ICU: initial experience using a small-footprint 1.5-T system.

OBJECTIVE: The objective of our study was to develop a small 1.5-T MRI system for neonatal imaging that can be installed in the neonatal ICU (NICU) and to evaluate its performance in 15 neonates. SUBJECTS AND METHODS: A 1.5-T MR system designed for orthopedic use was adapted for neonatal imaging. Modifications included raising and leveling the magnet, construction of a patient table, and integration of imaging electronics from a high-performance adult-sized scanner. The system was used to perform MR examinations of the brain, abdomen, and chest in 15 medically stable neonates using standard clinical protocols. The scanning time was limited to 60 minutes. The MR examinations were performed without administering sedation to the patients. ECG, heart rate, oxygen saturation, and temperature were monitored continuously throughout the examination. The images were evaluated by two pediatric radiologists for overall study quality, motion artifact, spatial resolution, signal-to-noise ratio, and contrast. RESULTS: All 15 neonates were successfully imaged without sedation. No adverse MRI-related events were noted. In total, 19 brain and seven abdominal examinations were performed. Six chest and two cardiac examinations were also obtained. Gross (versus physiologic) subject motion proved to be the most influential factor in determining overall study and image quality. High-quality diagnostic images were obtained at each anatomic location. CONCLUSION: The customized neonatal MRI system provides state-of-the-art MRI capabilities in the NICU.

A Weighted Head Accelerator Mechanism (WHAM) for visualizing brain rheology using magnetic resonance imaging.

BACKGROUND: A device for moving the head during MR imaging, called a Weighted Head Accelerator Mechanism (WHAM), rotates the head of a supine subject within programmable rotation limits and acceleration profiles. The WHAM can be used with custom MRI sequences to visualize the deformation and recoil of in vivo brain parenchyma with high temporal resolution, allowing element-wise calculation of strain and shear forces in the brain. Unlike previous devices, the WHAM can be configured to provide a wide range of motion and acceleration profiles. NEW METHOD: The WHAM was calibrated using a high-speed camera on a laboratory bench and in 1.5 Tesla and 3.0 Tesla MRI scanners using gel phantoms and human subjects. The MR imaging studies employed a spatial spin-saturation tagging sub-sequence, followed by serial image acquisition. In these studies, 256 images were acquired with a temporal resolution of 2.56 ms. Deformation of the brain was quantified by following the spatial tags in the images. RESULTS: MR imaging showed that the WHAM drove quantifiable brain motions using g forces less than those typically observed in day-to-day activities, with peak accelerations of ∼250 rad/sec2. COMPARISON WITH EXISTING METHODS: The peak pre-contact accelerations and velocities achieved by the WHAM device in this study are both higher than devices used in previous studies, while also allowing for modification of these factors. CONCLUSIONS: MR imaging performed with the WHAM provides a direct method to visualize and quantify "brain slosh" in response to rotational acceleration. Consequently, this approach might find utility in evaluating strategies to protect the brain from mild traumatic brain injury (mTBI).