ArticleEuropean radiology2024
"Feed-and-wrap" technique versus deep sedation for neonatal magnetic resonance imaging: a retrospective comparative study.
Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Reply to the Letter to the Editor: As quiet as a baby… feasibility in protocols for MRI management.European radiology · 2026Article
- Letter to the Editor: As quiet as a baby… Feasibility in protocols for MRI management.European radiology · 2026Article
- Neurodevelopmental Outcome in Very Low Birth Weight Preterm Infants: An Exploratory Multivariable Analysis Including Sonographic Brain Volume Trajectories-Data from the NeoNEVS Project.Children (Basel, Switzerland) · 2026Article
- Current State and Future Directions of Diagnostic Imaging and Interpretation in Pediatric Radiology.Diagnostics (Basel, Switzerland) · 2026Article
- Photon-Counting CT Enables Higher Image Quality at a Lower Radiation Dose Compared with a 256-Slice Energy-Integrating Detector CT in Pediatric Patients with Congenital Heart Disease.Diagnostics (Basel, Switzerland) · 2026Article
- Sonographic Brain Volume Growth Trajectories in VLBW and Clinical Determinants-Data from the NeoNEVS Project.Children (Basel, Switzerland) · 2026Article
- Deep learning-enhanced zero echo time silent brain magnetic resonance imaging in infants without sedation.Pediatric radiology · 2026Article
- Optimizing infant magnetic resonance imaging efficiency: Deep learning-assisted feed-and-wrap technique versus general anesthesia using an infant magnetic resonance imaging stabilizer in infants under 4 months.Pediatric radiology · 2026Article
- Deep sedation in lateral position for preterm infants during cerebral magnetic resonance imaging: a pilot study.Journal of anesthesia, analgesia and critical care · 2024Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesNeonatal MRI is usually performed under deep sedation, which is challenging-especially in low-weight premature patients. In addition, long-term side effects, such as neurotoxicity, are of concern. An alternative to sedation is to induce natural sleep by feeding and immobilising the child, the "feed-and-wrap" technique (FWT). The objective of this study was to evaluate differences in image quality between neonates examined under sedation and by using the FWT during the first four months of life. MATERIALS AND
methodsWe retrospectively assessed image quality (based on a 4-point semiquantitative scale) of all MRI examinations in neonates performed at our institution between July 2009 and August 2022. Differences in image quality between examinations under sedation versus FWT were evaluated.
resultsWe included 432 consecutive patients, 243 (56%) using sedation and 189 (44%) using the FWT. Corrected age and body weight (mean ± SD: 3.7 ± 1.1 versus 4.5 ± 1.3 kg, p < 0.001) were significantly lower in the FWT group. The overall success rate in the FWT group was 95%. Image quality was slightly lower when using the FWT (mean ± SD: 3.7 ± 0.43 versus 3.96 ± 0.11, p < 0.001). Multivariate analysis showed a higher risk of acquiring sequences with diagnostic limitations in the FWT group (p < 0.001), increasing with corrected age (p = 0.048).
conclusionThe FWT is a highly successful method to perform MRI scans in term and preterm neonates. Overall image quality is only slightly lower than under sedation. Especially in immature low-weight preterm patients, the FWT is a reliable option to perform MRI studies without exposing the child to risks associated with sedation. CLINICAL RELEVANCE STATEMENT: The "feed-and-wrap" technique enables high-quality MRI examinations in neonates, including low-weight premature patients. Deep sedation for diagnostic MRI procedures in this age group, which has the risk of short- and long-term complications, can often be avoided. KEY POINTS: Deeply sedating neonates for MR examinations comes with risks. Image quality is only slightly lower when using the "feed-and-wrap" technique. The "feed-and-wrap" technique is feasible even in low-weight premature infants.
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