Cranial Ultrasonography in Neonates: Role and Limitations

被引:111
作者
van Wezel-Meijler, Gerda [1 ]
Steggerda, Sylke J. [1 ]
Leijser, Lara M. [1 ]
机构
[1] Leiden Univ, Med Ctr, Dept Pediat, Div Neonatol, NL-2300 RC Leiden, Netherlands
关键词
neonate; brain; cranial ultrasonography; WHITE-MATTER INJURY; MAGNETIC-RESONANCE; PRETERM INFANTS; PREMATURE-INFANTS; CEREBELLAR INJURY; CEREBRAL INFARCTION; NEWBORN-INFANTS; BRAIN-INJURY; RISK-FACTORS; ULTRASOUND;
D O I
10.1053/j.semperi.2009.10.002
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In experienced hands, cranial ultrasonography (cUS) is an excellent tool to detect the most frequently occurring brain abnormalities in preterm and full-term neonates, to study the evolution of lesions, and to follow brain maturation. It enables screening of the brain and serial imaging in high-risk neonates. However, cUS also has limitations and magnetic resonance imaging is needed in most neonates with (suspected) parenchymal brain injury and/or neurological symptoms and in very preterm infants. In this review, we discuss the applications, possibilities, indications, predictive value, and limitations of neonatal cUS. We will pay attention to the standard cUS procedure and expand on optimizing the possibilities of cUS by using supplemental acoustic windows and changing transducers and focus points. For illustration numerous cUS images are provided. © 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:28 / 38
页数:11
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