Easily overlooked sonographic findings in the evaluation of neonatal encephalopathy

Lessons learned from magnetic resonance imaging

David Dinan, Alan Daneman, Carolina V. Guimaraes, Nancy Chauvin, Teresa Victoria, Monica Epelman

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Findings of neonatal encephalopathy (NE) and specifically those of hypoxic-ischemic injury are frequently evident on magnetic resonance imaging (MRI). Although MRI has become more widely used and has gained widespread acceptance as the study of choice for the evaluation of NE in recent years, its costs are high and access to MRI is sometimes limited for extremely sick neonates. Therefore, head sonography (US) continues to be the first-line imaging modality for the evaluation of the brain in neonates with NE; furthermore, in many of these infants, the diagnosis of NE may have first been made or suggested using head US. US is noninvasive, inexpensive, and portable, allowing examinations to be performed without moving the infant. However, many of the telltale signs of NE on US are subtle and may be easily overlooked, contributing to diagnostic delay or misdiagnosis. We aim to illustrate the spectrum of US findings in NE, with emphasis on those findings that may be easily overlooked on US. Recognition of these findings could potentially improve detection rates, reduce errors, and improve patient management.

Original languageEnglish (US)
Pages (from-to)627-651
Number of pages25
JournalSeminars in Ultrasound, CT and MRI
Volume35
Issue number6
DOIs
StatePublished - Dec 1 2014

Fingerprint

Brain Diseases
Magnetic Resonance Imaging
Head
Newborn Infant
Diagnostic Errors
Ultrasonography
Costs and Cost Analysis
Wounds and Injuries
Brain

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Dinan, David ; Daneman, Alan ; Guimaraes, Carolina V. ; Chauvin, Nancy ; Victoria, Teresa ; Epelman, Monica. / Easily overlooked sonographic findings in the evaluation of neonatal encephalopathy : Lessons learned from magnetic resonance imaging. In: Seminars in Ultrasound, CT and MRI. 2014 ; Vol. 35, No. 6. pp. 627-651.
@article{eb289af4dd824afb904cba1dc8f4a102,
title = "Easily overlooked sonographic findings in the evaluation of neonatal encephalopathy: Lessons learned from magnetic resonance imaging",
abstract = "Findings of neonatal encephalopathy (NE) and specifically those of hypoxic-ischemic injury are frequently evident on magnetic resonance imaging (MRI). Although MRI has become more widely used and has gained widespread acceptance as the study of choice for the evaluation of NE in recent years, its costs are high and access to MRI is sometimes limited for extremely sick neonates. Therefore, head sonography (US) continues to be the first-line imaging modality for the evaluation of the brain in neonates with NE; furthermore, in many of these infants, the diagnosis of NE may have first been made or suggested using head US. US is noninvasive, inexpensive, and portable, allowing examinations to be performed without moving the infant. However, many of the telltale signs of NE on US are subtle and may be easily overlooked, contributing to diagnostic delay or misdiagnosis. We aim to illustrate the spectrum of US findings in NE, with emphasis on those findings that may be easily overlooked on US. Recognition of these findings could potentially improve detection rates, reduce errors, and improve patient management.",
author = "David Dinan and Alan Daneman and Guimaraes, {Carolina V.} and Nancy Chauvin and Teresa Victoria and Monica Epelman",
year = "2014",
month = "12",
day = "1",
doi = "10.1053/j.sult.2014.07.003",
language = "English (US)",
volume = "35",
pages = "627--651",
journal = "Seminars in Ultrasound, CT and MRI",
issn = "0887-2171",
publisher = "W.B. Saunders Ltd",
number = "6",

}

Easily overlooked sonographic findings in the evaluation of neonatal encephalopathy : Lessons learned from magnetic resonance imaging. / Dinan, David; Daneman, Alan; Guimaraes, Carolina V.; Chauvin, Nancy; Victoria, Teresa; Epelman, Monica.

In: Seminars in Ultrasound, CT and MRI, Vol. 35, No. 6, 01.12.2014, p. 627-651.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Easily overlooked sonographic findings in the evaluation of neonatal encephalopathy

T2 - Lessons learned from magnetic resonance imaging

AU - Dinan, David

AU - Daneman, Alan

AU - Guimaraes, Carolina V.

AU - Chauvin, Nancy

AU - Victoria, Teresa

AU - Epelman, Monica

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Findings of neonatal encephalopathy (NE) and specifically those of hypoxic-ischemic injury are frequently evident on magnetic resonance imaging (MRI). Although MRI has become more widely used and has gained widespread acceptance as the study of choice for the evaluation of NE in recent years, its costs are high and access to MRI is sometimes limited for extremely sick neonates. Therefore, head sonography (US) continues to be the first-line imaging modality for the evaluation of the brain in neonates with NE; furthermore, in many of these infants, the diagnosis of NE may have first been made or suggested using head US. US is noninvasive, inexpensive, and portable, allowing examinations to be performed without moving the infant. However, many of the telltale signs of NE on US are subtle and may be easily overlooked, contributing to diagnostic delay or misdiagnosis. We aim to illustrate the spectrum of US findings in NE, with emphasis on those findings that may be easily overlooked on US. Recognition of these findings could potentially improve detection rates, reduce errors, and improve patient management.

AB - Findings of neonatal encephalopathy (NE) and specifically those of hypoxic-ischemic injury are frequently evident on magnetic resonance imaging (MRI). Although MRI has become more widely used and has gained widespread acceptance as the study of choice for the evaluation of NE in recent years, its costs are high and access to MRI is sometimes limited for extremely sick neonates. Therefore, head sonography (US) continues to be the first-line imaging modality for the evaluation of the brain in neonates with NE; furthermore, in many of these infants, the diagnosis of NE may have first been made or suggested using head US. US is noninvasive, inexpensive, and portable, allowing examinations to be performed without moving the infant. However, many of the telltale signs of NE on US are subtle and may be easily overlooked, contributing to diagnostic delay or misdiagnosis. We aim to illustrate the spectrum of US findings in NE, with emphasis on those findings that may be easily overlooked on US. Recognition of these findings could potentially improve detection rates, reduce errors, and improve patient management.

UR - http://www.scopus.com/inward/record.url?scp=84918788787&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84918788787&partnerID=8YFLogxK

U2 - 10.1053/j.sult.2014.07.003

DO - 10.1053/j.sult.2014.07.003

M3 - Article

VL - 35

SP - 627

EP - 651

JO - Seminars in Ultrasound, CT and MRI

JF - Seminars in Ultrasound, CT and MRI

SN - 0887-2171

IS - 6

ER -