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Updated: Aug 28, 2025

Autofluorescence Imaging to Evaluate Cellular Metabolism
Published on: November 15, 2021
Imaging of Inherited Metabolic and Endocrine Disorders
Anna V Trofimova1, Kartik M Reddy1
1Children's Healthcare of Atlanta, Radiology Department, 1405 Clifton Road NE, Atlanta, GA 30322, USA; Emory University, Department of Radiology and Imaging Sciences, 1364 Clifton Road NE, Atlanta, GA, 30322, USA.
Insights
Neonatal onset inherited metabolic disorders cause severe, rapid decompensation requiring urgent diagnosis. This review covers classification and clinical/imaging findings for prompt management to prevent brain injury.
Area of Science:
- Medical Genetics
- Pediatric Neurology
- Neonatology
Background:
- Inherited metabolic disorders (IMDs) are a significant cause of neonatal illness.
- Approximately 25% of IMDs manifest in the neonatal period with acute, severe symptoms.
- Neonatal presentation often indicates profound metabolic derangement and high risk of adverse outcomes.
Purpose of the Study:
- To review the classification of IMDs presenting in neonates.
- To outline the clinical and imaging findings associated with these disorders.
- To emphasize the importance of rapid diagnosis and management in the neonatal period.
Main Methods:
- Literature review of IMDs with neonatal presentation.
- Synthesis of classification systems for metabolic and endocrine disorders.
- Compilation of characteristic clinical and neuroimaging findings.
Main Results:
- IMDs present a diverse spectrum of clinical manifestations and imaging abnormalities in neonates.
- Early recognition of nonspecific signs is crucial for timely diagnosis.
- Specific diagnostic criteria and imaging patterns aid in identifying affected infants.
Conclusions:
- Neonatal onset IMDs require prompt recognition and intervention to mitigate severe neurological sequelae.
- Understanding the classification and presentation is key for effective clinical management.
- Multidisciplinary approach is essential for optimizing outcomes in affected neonates.
Abstract:
"Inherited metabolic disorders represent a large group of disorders of which approximately 25% present in neonatal period with acute metabolic decompensation, rapid clinical deterioration, and often nonspecific imaging findings. Neonatal onset signifies the profound severity of the metabolic abnormality compared with cases with later presentation and necessitates rapid diagnosis and urgent therapeutic measures in an attempt to decrease the extent of brain injury and prevent grave neurologic sequela or death. Here, the authors discuss classification and clinical and imaging findings in a spectrum of metabolic and endocrine disorders with neonatal presentation."
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