Catherine Limperopoulos, PhD, is the Director of the Developing Brain Research Laboratory at The Children’s Research Institute in Washington, DC. She’s a
member of the Center for Neuroscience Research, which focuses on childhood neurological disorders, and is an Associate Professor of Neurology and Associate
Professor of Pediatrics at The George Washington University School of Medicine.
Monika Bekiesi;ska-Figatowska, MD, is the Head of Diagnostic Imaging at the Institute of Mother and Child in Warsaw, Poland. She’s a member of the
European Society of Radiology, the European Society of Neuroradiology, the Polish Medical Radiological Society, the Polish-German Radiologic Society, and
the Polish Medical Society of Magnetic Resonance.
“After the introduction of our nomag IC
in our clinical practice, our team helped
publish new standards for the care of
newborns in Poland,” Dr. Bekiesi;ska-Figatowska says. 5 “These standards
clearly place MR in the diagnostic
1. The nomag IC is compatible with the following GE Healthcare
MR Systems: 1.5T - MR 450/450w (sw DV 24/25), MR 360 (s w
SV25); 3.0T - MR 750/750w (sw DV 24/25).
2. Neil JJ, Inder TE. Imaging perinatal brain injury in premature
infants. Semin Perinatol 2004;28:433-43.
3. Bekiesi;ska-Figatowska M, Szkudlínska-Pawlak S,
Romaniuk-Doroszewska A, Duczkowski M, Iwanowska B,
Duczkowska A, Madzik J, Bragoszewska H. First experience
with neonatal examinations with the use of MR-compatible
incubator. Pol J Radiol 2014;79:268-74.
4. Bekiesi;ska-Figatowska M, Helwich E, Rutkowska M,
Stankiewicz J, Terczynska I. Magnetic resonance imaging of
the neonates in the MR compatible incubator. Arch Med Sci
2016, Oct 1; 12( 5):1064-1070.
5. Helwich E, Bekiesi;ska-Figatowska M, Bokiniec R. Standard
of diagnostic imaging of the neonatal central nervous system.
In: Standards for medical care of newborns in Poland.
Recommendations of the Polish Society of Neonatology.
Media-Press, Warsaw 2015, 150-7.
Another case involved an infant born
preterm after the death of a twin
intrauterine who underwent MR
after an unclear sonographic picture
of di;use hyperechogenicity of the
left cerebral hemisphere. The MR
demonstrated a stroke in the region
supplied by the left middle cerebral
artery and a smaller one in the right
hemisphere, accompanied by pre-Wallerian degeneration involving the
corpus callosum and the corticospinal
tracts on the left side.
MR is also utilized for body imaging in
infants with the Neonatal Body Array
Coil from LMT. So far, over 380 MR
examinations have been performed
with the nomag IC, with 18% involving
the neck, thorax, abdomen, and pelvis.
“We found that not only standard
sequences but also more sophisticated
ones, such as Cube/3D, DWI or
MR-hydrography, are feasible and
provide signi;cant information,”
Dr. Bekiesi;ska-Figatowska explains.
“One example is a neonate with a
sacrococcygeal teratoma who was
operated on and required early control
due to an unclear sonographic picture.
On MR we found the abscess in the
pelvis, which was treated and regressed
on the subsequent MR.”
The literature concerning neonatal
MR using nomag IC is limited, Dr.
Bekiesi;ska-Figatowska says, with
20 articles in a PubMed search
on the topic. In 2014, she and her
colleagues reported in their initial
experience that the incubator with
integrated;neonatal;coils provided the
information they needed for better
visualization of abnormalities than
when using adult coils. 3 More recently,
they published a study demonstrating
the feasibility of MR imaging in preterm
newborns with low or extremely low
birth weight. 4
“After the introduction of our nomag IC in our clinical practice, our team helped publish new standards for the care of
newborns in Poland. These standards clearly place MR in
the diagnostic algorithm. „