NICU MRINCT03476343
Clinical Use of a Neonatal MRI System
A study testing GE OPTIMA MR430s with HDx/GE Electronics in people with NICU MRI, run by Children's Hospital Medical Center, Cincinnati at 1 site in United States.
Trial summary
The purpose of the present study is to continue clinical scanning on the NICU MRI with improved administrative processes and procedures, thereby making medically indicated, state of the art/high end MRI exams available to all infants treated at CCHMC. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- NICU MRI
- What is being tested?
- GE OPTIMA MR430s with HDx/GE Electronics
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 386 participants
- Where
- 1 siteUnited States
- Study dates
- 11 Feb 2018to 9 Sep 2022
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Any infant admitted to CCHMC
- Have a medical condition for which an MRI exam is indicated, as determined by the attending neonatologist
Who cannot join
- Infants too large to fit in the customized NICU MRI system comfortably (generally infants > 6 kg)
- Standard MRI exclusion criteria as set forth by the CCHMC Division of Radiology
Trial locations and contacts
1 site in 1 country.
United States1 site
NICU, Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229
About this study
The purpose of the present study is to continue clinical scanning on the NICU MRI with improved administrative processes and procedures, thereby making medically indicated, state of the art/high end MRI exams available to all infants treated at CCHMC.
Read the detailed description
There are significant safety and image quality issues associated with transferring neonates from the Neonatal Intensive Care Unit (NICU) to the main Radiology Department for imaging in an adult-sized magnetic resonance imaging (MRI) scanner. For these reasons, the smallest and/or sickest neonates are typically precluded from receiving an MRI exam. The goal of our research effort is to bring high-performance MRI into the NICU so that all neonates can benefit from the same quality of diagnostic imaging as adults. To accomplish this, we have converted a commercial small-bore 1.5 Tesla (T) MRI scanner designed for orthopedic use into a neonatal MRI system optimized for whole body imaging of neonates (NICU MRI). To expand the imaging capabilities of the NICU MRI system, the measurement control electronics and operating system software of the FDA cleared OPTIMA platform have been augmented with state of the art HDX electronics and software currently used on a conventional commercially available adult sized whole body MRI scanner. The clinical safety of the integrated HDX/OPTIMA NICU MRI system and its ability to produce diagnostic image quality has been shown in 15 pilot patients (CCHMC Protocol 2011-2045). Further we have scanned almost 600 patients under a prior protocol (CCHMC Protocol 2011-2850) without an adverse event.
The present protocol seeks to allow continued performance of clinical MRI exams on the NICU magnet with improved administrative processes and procedures. NICU patients for whom an MRI exam is medically indicated will be recruited for the present study. Images will be obtained using both the FDA cleared OPTIMA NICU MRI platform and the integrated HDX/OPTIMA NICU MRI platform with the additional HDX images augmenting the OPTIMA images and contributing to diagnosis and guidance of subsequent clinical management. The specific MR imaging methods/procedures utilized will be determined by the type of exam to be performed and the medical indication. All of the MR images obtained will be reviewed by a board certified pediatric radiologist as part of clinical care and a clinical report will be generated and included in the infant's medical record.
- Conditions
- NICU MRI
- Being tested
- GE OPTIMA MR430s with HDx/GE Electronics
- Keywords
- NICU, MRI, Neonatal, Cincinnati
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GE OPTIMA MR430s with HDx/GE ElectronicsDevice
MRI scan
| Study group | Role | What they receive |
|---|---|---|
| MRI for Neonates | Experimental | MRI Receives: Device: GE OPTIMA MR430s with HDx/GE Electronics |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adverse Events as Observed During and After Scanning.
Any observed physical changes will be recorded during and after scanning
Measured: Day 1
Secondary outcomes (3)
Each Infant's Baseline Measurement for Weight Will be Recorded.
These measures will be used in order to facilitate future design of coils and transport tables for the customized MRI system.
Measured: Day 1
Each Infant's Anatomy Scanned Will be Obtained.
The anatomy used will be used in order to facilitate understand the need for specific coils for the customized MRI system.
Measured: Day 1
Baseline Measurement for Days Old Will be Recorded.
These measures will be used in conjunction with the weight at the time of scan to facilitate future design of coils and transport tables for the customized MRI system.
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Mar 2018
- Study start11 Feb 2018
- Primary completion3 Jun 2022
- Study completion9 Sep 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (29)Papers the sponsor has linked to this study.
- Other trials for NICU MRIStudies of the same condition, open and under way.
- More trials run by Children's Hospital Medical Center, CincinnatiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 386 participants (actual)
Sponsor and investigators
- Lead sponsor
- Children's Hospital Medical Center, Cincinnati
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Beth M Kline-Fath, MD, Principal investigator, Children's Hospital Medical Center, Cincinnati
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03476343
- Sponsor's protocol ID
- CIN_NICUclinicalMRI_003
- Status last verified
- Feb 2025
- First submitted
- 19 Mar 2018
- Last updated
- 12 Feb 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
Publications
McCormick MC, Behrman RE. The quiet epidemic of premature birth: commentary on a recent Institute of Medicine report. Ambul Pediatr. 2007 Jan-Feb;7(1):8-9. doi: 10.1016/j.ambp.2006.10.002. No abstract available.
PubMed 17261476Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, Rubens C, Menon R, Van Look PF. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010 Jan;88(1):31-8. doi: 10.2471/BLT.08.062554. Epub 2009 Sep 25.
PubMed 20428351Arthur R. Magnetic resonance imaging in preterm infants. Pediatr Radiol. 2006 Jul;36(7):593-607. doi: 10.1007/s00247-006-0154-x. Epub 2006 May 19.
PubMed 16770664Hirsch W, Sorge I, Krohmer S, Weber D, Meier K, Till H. MRI of the lungs in children. Eur J Radiol. 2008 Nov;68(2):278-88. doi: 10.1016/j.ejrad.2008.05.017. Epub 2008 Sep 3.
PubMed 18771869Adams EW, Counsell SJ, Hajnal JV, Allsop JM, Herlihy A, Edwards AD. Investigation of lung disease in preterm infants using magnetic resonance imaging. Biol Neonate. 2000 May;77 Suppl 1:17-20. doi: 10.1159/000047053.
PubMed 10828582Krishnamurthy R. Neonatal cardiac imaging. Pediatr Radiol. 2010 Apr;40(4):518-27. doi: 10.1007/s00247-010-1549-2.
PubMed 20225116Schweigmann G, Gassner I, Maurer K. Imaging the neonatal heart--essentials for the radiologist. Eur J Radiol. 2006 Nov;60(2):159-70. doi: 10.1016/j.ejrad.2006.07.017. Epub 2006 Aug 22.
PubMed 16930906Barkovich AJ. MR imaging of the neonatal brain. Neuroimaging Clin N Am. 2006 Feb;16(1):117-35, viii-ix. doi: 10.1016/j.nic.2005.10.003.
PubMed 16543088van Wezel-Meijler G, Leijser LM, de Bruine FT, Steggerda SJ, van der Grond J, Walther FJ. Magnetic resonance imaging of the brain in newborn infants: practical aspects. Early Hum Dev. 2009 Feb;85(2):85-92. doi: 10.1016/j.earlhumdev.2008.11.009. Epub 2009 Jan 12.
PubMed 19138830Saunders DE, Thompson C, Gunny R, Jones R, Cox T, Chong WK. Magnetic resonance imaging protocols for paediatric neuroradiology. Pediatr Radiol. 2007 Aug;37(8):789-97. doi: 10.1007/s00247-007-0462-9. Epub 2007 May 9.
PubMed 17487479Mathur AM, Neil JJ, McKinstry RC, Inder TE. Transport, monitoring, and successful brain MR imaging in unsedated neonates. Pediatr Radiol. 2008 Mar;38(3):260-4. doi: 10.1007/s00247-007-0705-9. Epub 2007 Dec 19.
PubMed 18175110Bluml S, Friedlich P, Erberich S, Wood JC, Seri I, Nelson MD Jr. MR imaging of newborns by using an MR-compatible incubator with integrated radiofrequency coils: initial experience. Radiology. 2004 May;231(2):594-601. doi: 10.1148/radiol.2312030166.
PubMed 15128999Erberich SG, Friedlich P, Seri I, Nelson MD Jr, Bluml S. Functional MRI in neonates using neonatal head coil and MR compatible incubator. Neuroimage. 2003 Oct;20(2):683-92. doi: 10.1016/S1053-8119(03)00370-7.
PubMed 14568444Foran AM, Fitzpatrick JA, Allsop J, Schmitz S, Franklin J, Pamboucas C, O'Regan D, Hajnal JV, Edwards AD. Three-tesla cardiac magnetic resonance imaging for preterm infants. Pediatrics. 2007 Jul;120(1):78-83. doi: 10.1542/peds.2006-3305.
PubMed 17606564Groves AM, Chiesa G, Durighel G, Goldring ST, Fitzpatrick JA, Uribe S, Razavi R, Hajnal JV, Edwards AD. Functional cardiac MRI in preterm and term newborns. Arch Dis Child Fetal Neonatal Ed. 2011 Mar;96(2):F86-91. doi: 10.1136/adc.2010.189142. Epub 2010 Oct 21.
PubMed 20971721
Study at a glance
From the registry record, last updated by the sponsor on 12 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Use of a Neonatal MRI System
- ClinicalTrials.gov ID
- NCT03476343
- Acronym / sponsor ID
- CIN_NICUclinicalMRI_003
- Conditions
- NICU MRI
- Keywords
- NICU, MRI, Neonatal, Cincinnati
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 386 participants (actual)
- Lead sponsor
- Children's Hospital Medical Center, CincinnatiUniversity, hospital or other
- Study start
- 11 Feb 2018 (actual)
- Primary completion
- 3 Jun 2022 (actual)
- Study completion
- 9 Sep 2022 (actual)
- First posted
- 26 Mar 2018 (actual)
- Results
- Posted 13 Feb 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the present study is to continue clinical scanning on the NICU MRI with improved administrative processes and procedures, thereby making medically indicated, state of the art/high end MRI exams available to all infants treated at CCHMC.
Detailed description
There are significant safety and image quality issues associated with transferring neonates from the Neonatal Intensive Care Unit (NICU) to the main Radiology Department for imaging in an adult-sized magnetic resonance imaging (MRI) scanner. For these reasons, the smallest and/or sickest neonates are typically precluded from receiving an MRI exam. The goal of our research effort is to bring high-performance MRI into the NICU so that all neonates can benefit from the same quality of diagnostic imaging as adults. To accomplish this, we have converted a commercial small-bore 1.5 Tesla (T) MRI scanner designed for orthopedic use into a neonatal MRI system optimized for whole body imaging of neonates (NICU MRI). To expand the imaging capabilities of the NICU MRI system, the measurement control electronics and operating system software of the FDA cleared OPTIMA platform have been augmented with state of the art HDX electronics and software currently used on a conventional commercially available adult sized whole body MRI scanner. The clinical safety of the integrated HDX/OPTIMA NICU MRI system and its ability to produce diagnostic image quality has been shown in 15 pilot patients (CCHMC Protocol 2011-2045). Further we have scanned almost 600 patients under a prior protocol (CCHMC Protocol 2011-2850) without an adverse event.
The present protocol seeks to allow continued performance of clinical MRI exams on the NICU magnet with improved administrative processes and procedures. NICU patients for whom an MRI exam is medically indicated will be recruited for the present study. Images will be obtained using both the FDA cleared OPTIMA NICU MRI platform and the integrated HDX/OPTIMA NICU MRI platform with the additional HDX images augmenting the OPTIMA images and contributing to diagnosis and guidance of subsequent clinical management. The specific MR imaging methods/procedures utilized will be determined by the type of exam to be performed and the medical indication. All of the MR images obtained will be reviewed by a board certified pediatric radiologist as part of clinical care and a clinical report will be generated and included in the infant's medical record.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| MRI for Neonates | Experimental | Device: GE OPTIMA MR430s with HDx/GE ElectronicsMRI |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Any infant admitted to CCHMC
- Have a medical condition for which an MRI exam is indicated, as determined by the attending neonatologist
Key exclusion criteria (2 listed)
- Infants too large to fit in the customized NICU MRI system comfortably (generally infants > 6 kg)
- Standard MRI exclusion criteria as set forth by the CCHMC Division of Radiology
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GE OPTIMA MR430s with HDx/GE ElectronicsMRI scan | Device | MRI for Neonates |
Primary outcome
Number of Participants With Adverse Events as Observed During and After Scanning.
Time frame: Day 1
Any observed physical changes will be recorded during and after scanning
3 secondary outcomes
Each Infant's Baseline Measurement for Weight Will be Recorded.
Time frame: Day 1
Each Infant's Anatomy Scanned Will be Obtained.
Time frame: Day 1
Baseline Measurement for Days Old Will be Recorded.
Time frame: Day 1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Feb 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 17261476McCormick MC, Behrman RE. The quiet epidemic of premature birth: commentary on a recent Institute of Medicine report. Ambul Pediatr. 2007 Jan-Feb;7(1):8-9. doi: 10.1016/j.ambp.2006.10.002. No abstract available.
- Background: PubMed 20428351Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, Rubens C, Menon R, Van Look PF. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010 Jan;88(1):31-8. doi: 10.2471/BLT.08.062554. Epub 2009 Sep 25.
- Background: PubMed 16770664Arthur R. Magnetic resonance imaging in preterm infants. Pediatr Radiol. 2006 Jul;36(7):593-607. doi: 10.1007/s00247-006-0154-x. Epub 2006 May 19.
- Background: PubMed 18771869Hirsch W, Sorge I, Krohmer S, Weber D, Meier K, Till H. MRI of the lungs in children. Eur J Radiol. 2008 Nov;68(2):278-88. doi: 10.1016/j.ejrad.2008.05.017. Epub 2008 Sep 3.
- Background: PubMed 10828582Adams EW, Counsell SJ, Hajnal JV, Allsop JM, Herlihy A, Edwards AD. Investigation of lung disease in preterm infants using magnetic resonance imaging. Biol Neonate. 2000 May;77 Suppl 1:17-20. doi: 10.1159/000047053.
- Background: PubMed 20225116Krishnamurthy R. Neonatal cardiac imaging. Pediatr Radiol. 2010 Apr;40(4):518-27. doi: 10.1007/s00247-010-1549-2.
- Background: PubMed 16930906Schweigmann G, Gassner I, Maurer K. Imaging the neonatal heart--essentials for the radiologist. Eur J Radiol. 2006 Nov;60(2):159-70. doi: 10.1016/j.ejrad.2006.07.017. Epub 2006 Aug 22.
- Background: PubMed 16543088Barkovich AJ. MR imaging of the neonatal brain. Neuroimaging Clin N Am. 2006 Feb;16(1):117-35, viii-ix. doi: 10.1016/j.nic.2005.10.003.
- Background: PubMed 19138830van Wezel-Meijler G, Leijser LM, de Bruine FT, Steggerda SJ, van der Grond J, Walther FJ. Magnetic resonance imaging of the brain in newborn infants: practical aspects. Early Hum Dev. 2009 Feb;85(2):85-92. doi: 10.1016/j.earlhumdev.2008.11.009. Epub 2009 Jan 12.
- Background: PubMed 17487479Saunders DE, Thompson C, Gunny R, Jones R, Cox T, Chong WK. Magnetic resonance imaging protocols for paediatric neuroradiology. Pediatr Radiol. 2007 Aug;37(8):789-97. doi: 10.1007/s00247-007-0462-9. Epub 2007 May 9.
- Background: PubMed 18175110Mathur AM, Neil JJ, McKinstry RC, Inder TE. Transport, monitoring, and successful brain MR imaging in unsedated neonates. Pediatr Radiol. 2008 Mar;38(3):260-4. doi: 10.1007/s00247-007-0705-9. Epub 2007 Dec 19.
- Background: PubMed 15128999Bluml S, Friedlich P, Erberich S, Wood JC, Seri I, Nelson MD Jr. MR imaging of newborns by using an MR-compatible incubator with integrated radiofrequency coils: initial experience. Radiology. 2004 May;231(2):594-601. doi: 10.1148/radiol.2312030166.
Related trials for NICU MRI
Active, not recruiting
Serial Brain MRI in Hospitalized Preterm Infants
Preterm Birth Complication
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Beth M Kline-Fath, MD principal investigator
Children's Hospital Medical Center, Cincinnati
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing GE OPTIMA MR430s with HDx/GE Electronics in people with NICU MRI, run by Children's Hospital Medical Center, Cincinnati at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 Feb 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Adverse Events as Observed During and After Scanning. (time frame: Day 1). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03476343, which also lists 29 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Feb 2025.