Detection of Acute Brain Injury in Intensive Care Unit Patients on ECMO Support Using Ultra-Low-Field Portable MRI: A Retrospective Analysis Compared to Head CT.

التفاصيل البيبلوغرافية
العنوان:	Detection of Acute Brain Injury in Intensive Care Unit Patients on ECMO Support Using Ultra-Low-Field Portable MRI: A Retrospective Analysis Compared to Head CT.
المؤلفون:	Cho SM; Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.; Division of Neuroscience Critical Care, Departments of Neurosurgery, Anesthesiology, Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA., Khanduja S; Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA., Kim J; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA., Kang JK; Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA., Briscoe J; Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA., Arlinghaus LR; Hyperfine, Inc., Guilford, CT 06437, USA., Dinh K; Divisions of Pulmonary, Critical Care and Sleep Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA.; Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Kim BS; Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.; Division of Pulmonary and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, MD 21205, USA., Sair HI; Division of Neuroradiology, The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.; The Malone Center for Engineering in Healthcare, The Whiting School of Engineering, Johns Hopkins University, Baltimore, MD 21218, USA., Wandji AN; Division of Neurocritical Care, Department of Neurosurgery, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Moreno E; Division of Neurocritical Care, Department of Neurosurgery, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Torres G; Division of Neurocritical Care, Department of Neurosurgery, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Gavito-Higuera J; Department of Diagnostic and Interventional Imaging, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Choi HA; Division of Neurocritical Care, Department of Neurosurgery, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Pitts J; Hyperfine, Inc., Guilford, CT 06437, USA., Gusdon AM; Division of Neurocritical Care, Department of Neurosurgery, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Whitman GJ; Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
المصدر:	Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2024 Mar 13; Vol. 14 (6). Date of Electronic Publication: 2024 Mar 13.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101658402 Publication Model: Electronic Cited Medium: Print ISSN: 2075-4418 (Print) Linking ISSN: 20754418 NLM ISO Abbreviation: Diagnostics (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Original Publication: Basel, Switzerland : MDPI AG, [2011]-
مستخلص:	Early detection of acute brain injury (ABI) is critical to intensive care unit (ICU) patient management and intervention to decrease major complications. Head CT (HCT) is the standard of care for the assessment of ABI in ICU patients; however, it has limited sensitivity compared to MRI. We retrospectively compared the ability of ultra-low-field portable MR (ULF-pMR) and head HCT, acquired within 24 h of each other, to detect ABI in ICU patients supported on extracorporeal membrane oxygenation (ECMO). A total of 17 adult patients (median age 55 years; 47% male) were included in the analysis. Of the 17 patients assessed, ABI was not observed on either ULF-pMR or HCT in eight patients (47%). ABI was observed in the remaining nine patients with a total of 10 events (8 ischemic, 2 hemorrhagic). Of the eight ischemic events, ULF-pMR observed all eight, while HCT only observed four events. Regarding hemorrhagic stroke, ULF-pMR observed only one of them, while HCT observed both. ULF-pMR outperformed HCT for the detection of ABI, especially ischemic injury, and may offer diagnostic advantages for ICU patients. The lack of sensitivity to hemorrhage may improve with modification of the imaging acquisition program.
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معلومات مُعتمدة:	L30 NS119233 United States NS NINDS NIH HHS; 1K23HL157610 United States NH NIH HHS; K23NS121628 United States NS NINDS NIH HHS; K23 NS121628 United States NS NINDS NIH HHS; K23 HL157610 United States HL NHLBI NIH HHS; L30 HL165486 United States HL NHLBI NIH HHS
فهرسة مساهمة:	Keywords: acute brain injury; critical care; extracorporeal membrane oxygenation; neuroimaging; portable MR
تواريخ الأحداث:	Date Created: 20240327 Latest Revision: 20240904
رمز التحديث:	20240904
مُعرف محوري في PubMed:	PMC10968816
DOI:	10.3390/diagnostics14060606
PMID:	38535027
قاعدة البيانات:	MEDLINE

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تدمد:	2075-4418
DOI:	10.3390/diagnostics14060606