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The investigators are wanting to learn more about early development of the lungs and to help them better understand prematurity and the development of a breathing disorder call BPD (Bronchopulmonary Dysplasia)
This is an observational case study involving up to three MRI visits. The first MRI will be complete after the infant's clinical initial evaluation. The second image will be obtained approximately 1 month later and the third MRI will be complete prior to discharge. Infants will be imaged at various ages, based up their initial evaluation. The investigators will collect urine and obtain clinically collected remnant blood around time of MRI, tracheal/endotracheal aspirate at time of the MRI when available and BAL samples as clinically available. MRI findings will be correlated with laboratory findings and outcomes from the medical record, and a research database will be built for the data. The investigators will also obtain a one-time MRI visit in non-BPD NICU patients to acquire data related to normal vasculature and pulmonary alveolar development.
Sub-study 1: Inpatient polysomnography Patients with the same inclusion/exclusion criteria as reported below will be approached for a brief inpatient polysomnogram. The population will include patients with and without BPD. The polysomnography (PSG) will be performed in the NICU within 1 week from the MRI that is obtained prior to discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BPD | Infants born premature requiring oxygen |
| |
| Controls |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NICU MRI | Diagnostic Test | MRI device that is not FDA approved. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Anatomic phenotypes using MRI | Investigate parenchymal and vascular structures, regional cardiopulmonary function, and dynamic airway collapse in BPD infants during quiet unsedated breathing. | baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Polysomnography | Determine the correlation between upper airway MRI and the obstruction index in the polysomnography. | within a week of baseline MRI |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the anatomic phenotype using MRI | Compare the parenchymal reader scoring, cardiac analysis, and airway scoring over the span of the BPD infant's time in the NICU. | 1 month post baseline and discharge from NICU |
Inclusion Criteria:
Exclusion Criteria:
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Bronchopulmonary Dysplasia (BPD)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Megan Schmitt | Contact | (513) 636-9348 | Megan.Schmitt@cchmc.org | |
| Ashley Bordon, MS | Contact | 5136360143 | Ashley.Bordon@cchmc.org |
| Name | Affiliation | Role |
|---|---|---|
| Jason Woods, PhD | Children's Hospital Medical Center, Cincinnati | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Megan Schmitt | Recruiting | Cincinnati | Ohio | 45229 | United States |
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| ID | Term |
|---|---|
| D001997 | Bronchopulmonary Dysplasia |
| ID | Term |
|---|---|
| D055397 | Ventilator-Induced Lung Injury |
| D055370 | Lung Injury |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D017286 | Polysomnography |
| ID | Term |
|---|---|
| D008991 | Monitoring, Physiologic |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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Urine and remnant blood and BAL samples
| Polysomnography |
| Diagnostic Test |
Polysomnography to better determine obstruction index in the airway. |
|
| D007235 |
| Infant, Premature, Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |