Value of Cranial Ultrasound and Magnetic Resonance Imaging in Predicting Neurodevelopmental Outcome in Preterm Infants
| Autor: | M. van de Bor, Gerard L. Guit, L den Ouden |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities Pediatrics medicine.medical_specialty Periventricular leukomalacia medicine.diagnostic_test business.industry Ultrasound Postmenstrual Age Gestational age Magnetic resonance imaging medicine.disease nervous system diseases Echoencephalography Pediatrics Perinatology and Child Health medicine cardiovascular diseases Prospective cohort study business Survival rate reproductive and urinary physiology |
| Zdroj: | Pediatrics. 90:196-199 |
| ISSN: | 1098-4275 0031-4005 |
| Popis: | In this prospective study, cranial ultrasound was performed to detect periventricular-intraventricular hemorrhage and periventricular leukomalacia in 33 preterm infants of less than 32 weeks' gestation. At 44 weeks postmenstrual age magnetic resonance imaging was performed to detect the stage of myelination. Neurodevelopmental outcome was assessed at 3 years of age in 31 children (2 children died in the first year of life). Significant correlations were found between neurodevelopmental outcome and ultrasound findings (χ2 = 32.8; P < .0001) and stage of myelination (χ2 = 20.5; P < .0005). To establish the criterion with the best predictive factor, multiple regression analysis was performed with outcome as dependent variable and periventricular-intraventricular hemorrhage, periventricular leukomalacia, and stage of myelination as independent variables. It appeared that the detection of periventricular leukomalacia with ultrasound showed the best predictive factor for neurodevelopmental outcome. Routine magnetic resonance imaging at 44 weeks postmenstrual age should not be performed just for the purpose of predicting neurodevelopmental outcome more reliably. |
| Databáze: | OpenAIRE |
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