Neonatal Cranial Ultrasonography: Advantages and Aims

Meijler, Gerda; Steggerda, Sylke J.

doi:10.1007/978-3-319-77815-0_1

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…To date, only a limited number of brain structures have been evaluated as potential markers for brain growth or predictors for neurodevelopmental outcomes in preterm infants. 18 19 20 27 28 29 It is not easy to find recognizable and consistent landmarks when exploring the brain with cUS, and this may be one of the reasons for the paucity of standardized measurable markers. The set of measurements we propose are all taken in planes routinely used during a standard scan.…”

Section: Discussionmentioning

confidence: 99%

“…The set of measurements we propose are all taken in planes routinely used during a standard scan. 29 This means that the approach to these new measurements is easy for anyone who is able to perform standard cUS, and there is no need for further training. According to previous literature, we demonstrated a satisfactory reproducibility for CC, CCF, and TCD measurements.…”

Section: Discussionmentioning

confidence: 99%

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Brain Growth Evaluation Assessed with Transfontanellar (B-GREAT) Ultrasound. Old and New Bedside Markers to Estimate Cerebral Growth in Preterm Infants: a Pilot Study

et al. 2021

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Objective: We aimed to investigate the feasibility of evaluating overall preterm brain growth using a gathered set of measurements of brain structures in standard cranial ultrasound planes. We called this method of assessment Brain GRowth Evaluation Assessed with Transfontanellar ultrasound (B-GREAT). Study design: In this prospective observational cohort study, cranial ultrasound was regularly performed (on day 1, 2, 3, 7 of life and then weekly until discharge and at term) in preterm infants born with a gestational age less than 32 weeks. We evaluated Corpus Callosum (CC) length, Corpus Callosum-Fastigium (CCF) length, Anterior Horn Width (AHW), Frontal White Matter (FWM) height, Total brain Surface (TBS), Deep Grey Matter (DGM) height, Hemisphere Height (HH), Transverse Cerebellar Diameter in the axial view (TCDax) and coronal view (TCDcor). Measurements obtained were used to develop growth charts for B-GREAT markers as a function of postmenstrual age. Reproducibility of B-GREAT markers was studied. Results: A total of 528 cranial ultrasounds was performed in 80 neonates (median birth gestational age: 28+5 weeks, interquartile range: 27+3 to 30+5). The intraclass correlation coefficients for intra-observer and inter-observer analyses showed substantial agreement for all B-GREAT markers. Growth curves for B-GREAT markers were developed. Conclusion: B-GREAT is a feasible and reproducible method for bedside monitoring of the growth of the main brain structures in preterm neonates.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Brain Growth Evaluation Assessed with Transfontanellar (B-GREAT) Ultrasound. Old and New Bedside Markers to Estimate Cerebral Growth in Preterm Infants: a Pilot Study

et al. 2021

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“…The preferred, non-invasive tools to image the brain of infants during the neonatal period are cranial ultrasound (cUS) and magnetic resonance imaging (MRI). CUS is a reliable and easily repeatable bedside tool to identify the most common preterm and some termborn brain injury types and to follow the evolution of lesions (e.g., in case of WMI, PVHI, and PHVD) [2][3][4]. However, cUS is less sensitive for assessing punctate and subtle injury (e.g., punctate white matter lesions), injury to deep and superficial structures (e.g., stroke), and alterations in brain growth and maturation (including myelination and white matter tract formation), all of which may have implications for infant neurodevelopmental outcomes [3,[5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Practical Stepwise Approach to Performing Neonatal Brain MR Imaging in the Research Setting

King,

Low,

Gee

et al. 2023

Children

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Magnetic resonance imaging (MRI) is a non-invasive imaging technique that is commonly used for the visualization of newborn infant brains, both for clinical and research purposes. One of the main challenges with scanning newborn infants, particularly when scanning without sedation in a research setting, is movement. Infant movement can affect MR image quality and therewith reliable image assessment and advanced image analysis. Applying a systematic, stepwise approach to MR scanning during the neonatal period, including the use of the feed-and-bundle technique, is effective in reducing infant motion and ensuring high-quality images. We provide recommendations for one such systematic approach, including the step-by-step preparation and infant immobilization, and highlight safety precautions to minimize any potential risks. The recommendations are primarily focused on scanning newborn infants for research purposes but may be used successfully for clinical purposes as well, granted the infant is medically stable. Using the stepwise approach in our local research setting, our success rate of acquiring high-quality, analyzable infant brain MR images during the neonatal period is as high as 91%.

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Normal sulcation and gyration in neonatal cranial sonography from 24 weeks gestational age until term: a pictorial essay

Yap,

Concepcion

2023

Pediatr Radiol

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Neonatal Cranial Ultrasonography: Advantages and Aims

Cited by 9 publications

References 22 publications

Brain Growth Evaluation Assessed with Transfontanellar (B-GREAT) Ultrasound. Old and New Bedside Markers to Estimate Cerebral Growth in Preterm Infants: a Pilot Study

Brain Growth Evaluation Assessed with Transfontanellar (B-GREAT) Ultrasound. Old and New Bedside Markers to Estimate Cerebral Growth in Preterm Infants: a Pilot Study

Practical Stepwise Approach to Performing Neonatal Brain MR Imaging in the Research Setting

Normal sulcation and gyration in neonatal cranial sonography from 24 weeks gestational age until term: a pictorial essay

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