ORIGINAL ARTICLE   

Minerva Pediatrica 2019 October;71(5):438-42

DOI: 10.23736/S0026-4946.16.04349-8

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Use of MRI and CT image indexing to assess cerebral injuries in neonates with hypoxic-ischemic encephalopathy

Tao XIN ¹, Zhenguang LI ² ✉, Xinxian ZHANG ¹

¹ Department of Radiology, Xuzhou Children’s Hospital, Xuzhou, China; ² Department of Neonatology, Xuzhou Children’s Hospital, Xuzhou, China

BACKGROUND: The aim of this study is to explore the application of magnetic resonance imaging (MRI) and computed tomography (CT) image indexing in the assessment of cerebral injury of hypoxic-ischemic encephalopathy (HIE) neonate.
METHODS: The clinical data of 100 HIE children, who were admitted to the Department of Radiology, Xuzhou Children’s Hospital, Jiangsu, from June 2013 to June 2014, were statistically analyzed.
RESULTS: Among the imaging data of 100 HIE children, the detection rate and false negative rate were 91.4% and 8.6%, respectively. The MRI detection rate was 100%. There was significant correlation between clinical indexing and CT indexing and MRI indexing (coefficient of contingency 0.731 and 0.723, P<0.05).
CONCLUSIONS: MRI and CT image indexing could be used as important diagnostic indications in the assessment of cerebral injury of HIE neonate. MRI had a higher detection rate for abnormality than CT, it could detect the basal ganglia damage earlier, and CT could identify subarachnoid hemorrhage, both methods were valuable in clinical applications.

KEY WORDS: Magnetic resonance imaging X-ray computed tomography; Brain injuries; Newborn infant; Brain hypoxia-ischemia