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

Minerva Pediatr. 2019 Oct;71(5):438-442. doi: 10.23736/S0026-4946.16.04349-8. Epub 2015 Jun 19.

Abstract

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.

Publication types

  • Comparative Study

MeSH terms

  • Basal Ganglia / diagnostic imaging
  • Brain Injuries / diagnostic imaging*
  • China
  • False Negative Reactions
  • Female
  • Hospitals, Pediatric
  • Humans
  • Hypoxia-Ischemia, Brain / complications
  • Hypoxia-Ischemia, Brain / diagnostic imaging*
  • Infant
  • Infant, Newborn
  • Magnetic Resonance Imaging*
  • Male
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Tomography, X-Ray Computed*