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Updated: Jan 28, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

Published on: January 27, 2023

Neonatal Jaundice.

Pooja Abbey¹, Devasenathipathy Kandasamy², Priyanka Naranje²

¹Department of Radio-Diagnosis, Lady Hardinge Medical College, New Delhi, India. pooja_abbey@yahoo.co.in.

Indian Journal of Pediatrics

|February 22, 2019

Summary

This summary is machine-generated.

Neonatal hyperbilirubinemia requires timely diagnosis. Imaging like ultrasound and MRCP aids in identifying surgical conditions such as biliary atresia and choledochal cysts, preventing liver damage and brain injury.

Keywords:

Biliary atresia Bilirubin induced brain injury Choledochal cyst Neonatal cholestasis

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Last Updated: Jan 28, 2026

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Area of Science:

Neonatology
Pediatric Radiology
Hepatology

Background:

Neonatal hyperbilirubinemia, both physiological and pathological, is common.
Conjugated hyperbilirubinemia can lead to irreversible liver damage if untreated.
Severe unconjugated hyperbilirubinemia poses a risk of bilirubin-induced brain injury.

Purpose of the Study:

To outline the role of imaging in diagnosing neonatal surgical conditions causing hyperbilirubinemia.
To detail imaging features for biliary atresia and choledochal cysts.
To describe brain MRI findings in neonatal bilirubin encephalopathy.

Main Methods:

Abdominal ultrasound as the first-line imaging modality.
Magnetic resonance cholangiopancreatography (MRCP) for pre-operative assessment of choledochal cysts (CDCs).
Brain MRI for evaluating bilirubin-induced brain injury.

Main Results:

Ultrasound shows 95% sensitivity for biliary atresia using the triangular cord sign and gallbladder abnormalities.
MRCP effectively assesses abnormal pancreaticobiliary junction in CDCs.
Brain MRI reveals characteristic T1 hyperintensity in acute and T2 hyperintensity in chronic bilirubin encephalopathy.

Conclusions:

Timely diagnosis of surgical causes of hyperbilirubinemia is crucial to prevent complications.
Imaging modalities like ultrasound and MRCP are vital for diagnosing biliary atresia and CDCs.
Prompt evaluation and management of neonatal hyperbilirubinemia are essential to prevent neurological sequelae.