Novel RF Coils and k-t Space Imaging for Neonatal Chest MRI within NICUs

描述（由申请人提供）：拟议的项目回应公共卫生关注：在美国，早产的发生率不断上升。在过去三十年中，早产率增加了30%。如今，每年有50多万新生儿早产，每年造成的损失至少为260亿美元。随着早产儿的公共卫生和经济负担的稳步增加，在新生儿重症监护病房（NICU）的新生儿患者中常规使用低成本和高性能的诊断成像系统的需求非常强烈/迫切。磁共振成像（MRI）已被认为是一种安全而有力的新生儿成像工具。然而，MRI系统通常放置在远离新生儿重症监护病房的放射科，早产儿在新生儿重症监护病房和MRI设备之间的运输使婴儿面临重大的医疗风险。此外，新生儿的图像质量是次优的

DESCRIPTION (provided by applicant): The proposed project responds to a public health concern: the growing incidence of premature births, in the United States. Over the last three decades, the rate of premature delivery has increased by 30%. Today, prematurity accounts for more than 500,000 births per year and results in an annual cost of at least $26 billion. With the steadily increasing public health and economic burden of premature births, there is a strong/compelling need for the routine use of low-cost and high-performance diagnostic imaging systems in neonatal patients within the Neonatal Intensive Care Unit (NICU). Magnetic resonance imaging (MRI) has been recognized as a safe and powerful tool for neonatal imaging. However, MRI systems are typically placed in Radiology departments far from the NICU and the transportation of a premature infant between the NICU and the MRI facility places the infant at significant medical risk. Furthermore, the image quality for neonates is sub- optimal since existing MRI techniques have been optimized for adult patients. At Cincinnati Children's Hospital Medical Center (CCHMC), we are addressing both the logistical and technical challenges of neonatal MRI. Two low-cost, small-bore (28 cm) 1.5 Tesla MRI scanners have been installed: One is placed in a biosafety level 2 laboratory for preclinical development. The other is within the NICU and dedicated for neonatal imaging. The work proposed here is part of a larger effort to bring high-performance MRI into the NICU using the platform provided by these two small-footprint MRI scanners. In this project, our effort will be focused on MRI of the pulmonary and cardiovascular systems of premature babies. The preclinical scanner will be used to develop specialized radiofrequency (RF) coils and k-t space imaging techniques for neonatal chest MRI. By integrating the new technology into the NICU MRI system, we will create a new clinical standard for imaging neonatal chest within the NICU. This will lay a strong foundation for clinical MRI studies directed towards the diagnosis and management of pulmonary and cardiovascular complications that have been leading causes of morbidity and mortality of premature babies. As such, this project promises to improve clinical care of neonatal patients, advance MRI for the neonatal population, and provide new research tools for investigating early human development. The technological innovation in this project, although targeted at neonatal imaging, may be used to improve the clinical utility of MRI in general.