Gressens Pierre, Luton Dominique
INSERM E 9935 and Service de Neurologie Pédiatrique, Hôpital Robert Debré, 48 Blvd Sérurier, Paris, France.
Pediatr Radiol. 2004 Sep;34(9):682-4. doi: 10.1007/s00247-004-1247-z. Epub 2004 Jul 23.
Despite major advances in the understanding and in the genetics of several diseases of the developing brain, early prediction of the neurological prognosis of brain abnormality discovered in utero or of white matter damage discovered in a preterm neonate remains particularly difficult. Advances in prenatal diagnosis and the increased rate of survival of extremely preterm infants who are at higher risk of developing white matter damage underline the critical and urgent need for reliable predictive techniques. New imaging techniques such as diffusion-weighted imaging, magnetic resonance spectroscopy or functional MRI applied to the fetus represent promising tools in this perspective.
尽管在发育中大脑的几种疾病的理解和遗传学方面取得了重大进展,但对子宫内发现的脑异常或早产儿中发现的白质损伤的神经学预后进行早期预测仍然特别困难。产前诊断的进展以及发生白质损伤风险较高的极早产儿存活率的提高凸显了对可靠预测技术的迫切需求。从这个角度来看,诸如扩散加权成像、磁共振波谱或应用于胎儿的功能磁共振成像等新的成像技术是很有前景的工具。