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早产儿脑成像:超声还是 MRI?

Imaging the premature brain: ultrasound or MRI?

机构信息

Department of Neonatology, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, The Netherlands.

出版信息

Neuroradiology. 2013 Sep;55 Suppl 2:13-22. doi: 10.1007/s00234-013-1233-y. Epub 2013 Jul 10.

DOI:10.1007/s00234-013-1233-y
PMID:23839652
Abstract

Neuroimaging of preterm infants has become part of routine clinical care, but the question is often raised on how often cranial ultrasound should be done and whether every high risk preterm infant should at least have one MRI during the neonatal period. An increasing number of centres perform an MRI either at discharge or around term equivalent age, and a few centres have access to a magnet in or adjacent to the neonatal intensive care unit and are doing sequential MRIs. In this review, we try to discuss when best to perform these two neuroimaging techniques and the additional information each technique may provide.

摘要

早产儿的神经影像学已成为常规临床护理的一部分,但问题往往是,颅超声检查应该做多少次,以及是否每个高危早产儿在新生儿期都至少应该进行一次 MRI 检查。越来越多的中心在出院时或接近足月时进行 MRI 检查,少数中心在新生儿重症监护病房内或附近有磁体,并进行连续 MRI 检查。在这篇综述中,我们试图讨论何时最好进行这两种神经影像学技术,以及每种技术可能提供的额外信息。

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Imaging the premature brain: ultrasound or MRI?早产儿脑成像:超声还是 MRI?
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Small cerebellar hemorrhage in preterm infants: perinatal and postnatal factors and outcome.早产儿小量小脑内出血:围生期和产后因素及结局。
Cerebellum. 2013 Dec;12(6):794-801. doi: 10.1007/s12311-013-0487-6.
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New MR imaging assessment tool to define brain abnormalities in very preterm infants at term.
修饰间充质干细胞的分泌组可延长早产儿脑病的再生治疗窗口期。
Int J Mol Sci. 2024 Jun 12;25(12):6494. doi: 10.3390/ijms25126494.
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Practical Stepwise Approach to Performing Neonatal Brain MR Imaging in the Research Setting.在研究环境中进行新生儿脑部磁共振成像的实用逐步方法。
Children (Basel). 2023 Oct 30;10(11):1759. doi: 10.3390/children10111759.
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Cranial Ultrasound Abnormalities in Small for Gestational Age or Growth-Restricted Infants Born over 32 Weeks Gestation: A Systematic Review and Meta-Analysis.孕龄超过32周的小于胎龄儿或生长受限婴儿的颅脑超声异常:一项系统评价和荟萃分析
Brain Sci. 2022 Dec 14;12(12):1713. doi: 10.3390/brainsci12121713.
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Expert consensus on the clinical practice of neonatal brain magnetic resonance imaging.新生儿脑磁共振成像临床实践专家共识。
Zhongguo Dang Dai Er Ke Za Zhi. 2022 Jan 15;24(1):14-25. doi: 10.7499/j.issn.1008-8830.2110018.
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Inflammatory cytokines, placental pathology, and neurological outcomes in infants born to preterm preeclamptic mothers.炎症细胞因子、胎盘病理与早产子痫前期产妇所生婴儿的神经学结局
PLoS One. 2021 Nov 15;16(11):e0260094. doi: 10.1371/journal.pone.0260094. eCollection 2021.
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J Pediatr. 2021 Oct;237:197-205.e4. doi: 10.1016/j.jpeds.2021.05.059. Epub 2021 Jun 4.
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AJNR Am J Neuroradiol. 2013 Nov-Dec;34(11):2208-14. doi: 10.3174/ajnr.A3521. Epub 2013 Apr 25.
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Acta Paediatr. 2013 May;102(5):492-7. doi: 10.1111/apa.12191. Epub 2013 Mar 4.
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BMJ. 2012 Dec 4;345:e7976. doi: 10.1136/bmj.e7976.
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