Routine Neuroimaging of the Preterm Brain

Author:

Hand Ivan L.1,Shellhaas Renée A.2,Milla Sarah S.3,Cummings James J.,Adams-Chapman Ira S.,Aucott Susan Wright,Goldsmith Jay P.,Kaufman David Alan,Martin Camilia Rivera,Puopolo Karen M.,Hartman Adam L.,Bonkowsky Josh L.,Capal Jamie K.,Lotze Timothy E.,Urion David K.,Alazraki Adina L.,Annam Aparna,Benya Ellen,Brown Brandon P.,Otero Hansel J.,Richer Edward,

Affiliation:

1. Department of Pediatrics, New York City Health + Hospitals/Kings County, State University of New York Downstate Medical Center, Brooklyn, New York;

2. Pediatric Neurology Division, Department of Pediatrics, Michigan Medicine, University of Michigan, Ann Arbor, Michigan; and

3. Departments of Radiology and Pediatrics, Emory University School of Medicine and Children’s Healthcare of Atlanta, Atlanta, Georgia

Abstract

Neuroimaging of the preterm infant is a common assessment performed in the NICU. Timely and focused studies can be used for diagnostic, therapeutic, and prognostic information. However, significant variability exists among neonatal units as to which modalities are used and when imaging studies are obtained. Appropriate timing and selection of neuroimaging studies can help identify neonates with brain injury who may require therapeutic intervention or who may be at risk for neurodevelopmental impairment. This clinical report reviews the different modalities of imaging broadly available to the clinician. Evidence-based indications for each modality, optimal timing of examinations, and prognostic value are discussed.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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