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足月等效年龄的神经影像学检查:对早产儿有价值吗?叙述性总结。

Neuroimaging at Term Equivalent Age: Is There Value for the Preterm Infant? A Narrative Summary.

作者信息

Banihani Rudaina, Seesahai Judy, Asztalos Elizabeth, Terrien Church Paige

机构信息

Newborn & Developmental Paediatrics, Sunnybrook Health Science Centre, 2075 Bayview Ave, The University of Toronto, Toronto, ON M4N 3M5, Canada.

出版信息

Children (Basel). 2021 Mar 16;8(3):227. doi: 10.3390/children8030227.

Abstract

Advances in neuroimaging of the preterm infant have enhanced the ability to detect brain injury. This added information has been a blessing and a curse. Neuroimaging, particularly with magnetic resonance imaging, has provided greater insight into the patterns of injury and specific vulnerabilities. It has also provided a better understanding of the microscopic and functional impacts of subtle and significant injuries. While the ability to detect injury is important and irresistible, the evidence for how these injuries link to specific long-term outcomes is less clear. In addition, the impact on parents can be profound. This narrative summary will review the history and current state of brain imaging, focusing on magnetic resonance imaging in the preterm population and the current state of the evidence for how these patterns relate to long-term outcomes.

摘要

早产儿神经影像学的进展增强了检测脑损伤的能力。这些额外的信息既是福音也是祸根。神经影像学,尤其是磁共振成像,对损伤模式和特定易损性有了更深入的了解。它还让人们更好地理解了轻微和严重损伤的微观及功能影响。虽然检测损伤的能力很重要且难以抗拒,但这些损伤与特定长期后果之间的联系证据却不那么明确。此外,对父母的影响可能很大。本叙述性综述将回顾脑成像的历史和现状,重点关注早产人群的磁共振成像以及这些模式与长期后果之间关系的现有证据状况。

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