Evolution and challenges in neonatal MRI: a 15-year retrospective analysis

Dr Melinda Vlad, East Kent Hospitals NHS Foundation Trust, discusses the evolving role of magnetic resonance imaging (MRI) in the care of newborn babies at risk of brain injuries. She highlights the challenges of obtaining high-quality images due to the need for babies to remain still during scans and the time required for adequate imaging. Dr Vlad presents findings from a project comparing current MRI processes with those from 15 years ago, using electronic patient records and standardized MRI reporting. Key results include a significant shift in indications, with 20% of recent scans performed for antenatally diagnosed brain abnormalities—reflecting advances in fetal medicine. The study also found a 700% increase in monthly MRI scans, attributed to changes in neonatal management and evolving evidence supporting MRI’s prognostic value. However, about 40% of images remain suboptimal, impacting both clinical information for families and resource utilization. Dr Vlad outlines next steps to standardize imaging processes, optimize sedation, advocate for longer MRI slots, and increase scanner availability to meet growing demand. This interview took place at the RCPCH conference 2025 in Glasgow, Scotland.