Magnetic resonance and ultrasound brain imaging in preterm infants

T Michael O'Shea1, Serena J Counsell, Dorothee B Bartels

  • 1Department of Pediatrics, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA. moshea@wfubmc.edu

Insights

Cranial ultrasonography and magnetic resonance imaging are used to assess brain injury in preterm infants. This review compares their findings with histology and neurodevelopmental outcomes.

Area of Science:

  • Neonatal neurology
  • Pediatric neuroimaging
  • Developmental neuroscience

Background:

  • Cranial ultrasonography (US) has a long history in evaluating brain injury in preterm neonates.
  • Magnetic resonance imaging (MRI) is increasingly utilized for assessing brain development and pathology in this population.
  • Histology and neurodevelopmental outcomes serve as critical benchmarks for imaging accuracy.

Purpose of the Study:

  • To review the concordance of cranial ultrasonography and MRI findings with histological data.
  • To evaluate the correlation between neuroimaging findings and long-term neurodevelopmental outcomes in preterm infants.
  • To compare the diagnostic capabilities of ultrasound versus MRI in preterm neonates.

Main Methods:

  • Systematic review of studies comparing cranial ultrasonography and MRI in preterm neonates.
  • Analysis of studies correlating imaging findings with post-mortem histology.
  • Examination of research linking neuroimaging results to neurodevelopmental assessments.

Main Results:

  • The review synthesizes evidence on the agreement between US and MRI findings and histological correlates.
  • It assesses how well each modality predicts neurodevelopmental outcomes.
  • Comparative data on the strengths and limitations of US and MRI are discussed.

Conclusions:

  • Both cranial ultrasonography and MRI provide valuable insights into brain injury and development in preterm infants.
  • Understanding the concordance with histology and neurodevelopmental outcomes is crucial for accurate diagnosis and prognosis.
  • The choice of imaging modality may depend on the specific clinical question and available resources.

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