A NOVEL SCORING SYSTEM FOR TERM-EQUIVALENT-AGE CRANIAL ULTRASOUND IN EXTREMELY PRETERM INFANTS

被引：18

作者：

Skiold, Beatrice ^{[1
,2
]}

Hallberg, Boubou ^{[2
,3
]}

Vollmer, Brigitte ^{[1
,4
]}

Aden, Ulrika ^{[1
,2
]}

Blennow, Mats ^{[2
,3
]}

Horsch, Sandra ^{[2
,5
]}

机构：

[1] Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden

[2] Karolinska Univ Hosp, Dept Neonatol, Stockholm, Sweden

[3] Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden

[4] Univ Southampton, Fac Med, Clin & Expt Sci, Southampton, England

[5] Helios Klinkum Berlin Buch, Dept Neonatol, Berlin, Germany

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2019年 / 45卷 / 03期

基金：

英国医学研究理事会;

关键词：

Brain injury; Cerebral palsy; Magnetic resonance imaging; Neonate; Neurodevelopmental outcome; White matter abnormalities; Prognosis; Ultrasound; ACTIVE PERINATAL-CARE; NEURODEVELOPMENTAL OUTCOMES; NEONATAL BRAIN; CEREBRAL-PALSY; MRI; ABNORMALITIES; PREDICT;

D O I：

10.1016/j.ultrasmedbio.2018.11.005

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

The role of term-equivalent-age (TEA) cranial ultrasound (cUS) in predicting outcome in preterm infants is increasingly being recognized. However, a detailed quantitative scoring system that allows comparison of groups and comparison with TEA magnetic resonance imaging (MRI) scoring systems is lacking. Eighty-four extremely preterm infants underwent cUS and MRI at TEA. Cranial US was evaluated using a novel detailed scoring system. Agreement between cUS and MRI scores was good (Spearman's p = 0.51, p < 0.001). Outcome at 30 mo corrected was assessed in 66 of 84 preterm and 85 term-born infants. Sensitivity was the same for cUS and MRI in prediction of cerebral palsy (75%) and severe cognitive delay (100%); the specificity was slightly higher for MRI (cerebral palsy: 97% vs. 90%, severe cognitive delay: 95% vs. 90%). The proposed novel cUS scoring system is a helpful tool in quantitative assessment of cUS at TEA and prediction of outcome at 30 mo. (C) 2018 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

引用

页码：786 / 794

页数：9

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