Neurosonography: in pursuit of an optimized examination

Pediatric Radiology
Alan Daneman, Monica Epelman

Abstract

This article emphasizes technical factors that are helpful for optimizing sonographic examinations of the brain in preterm and term neonates. It also reviews existing data regarding the accuracy of neurosonographic examinations relative to MR. Many neurosonographic signs are subtle and can be easily overlooked, which could lead to delayed diagnosis or misdiagnosis. Therefore meticulous attention to sonographic technique is required to maximize the diagnostic utility of this modality. Although MR images of the brain often depict abnormalities more clearly than sonography, neurosonography continues to be an exceptionally valuable tool for evaluation of the neonatal brain, even in full-term neonates. Furthermore, its accuracy is greater, even in the latter age group, than many older publications suggest. Prospective studies using state-of-the-art equipment comparing findings on sonography and MR are needed to better understand how the accuracy of these modalities changes with refinements in equipment and to help us better understand the role of neurosonography relative to MR.

References

Jun 24, 2003·Archives of Disease in Childhood. Fetal and Neonatal Edition·T DebillonJ C Roze
Jun 14, 2006·Pediatric Radiology·Alan DanemanJose Ricardo Jarrin
Apr 23, 2010·Pediatric Radiology·Monica EpelmanSusan Blaser
Nov 29, 2011·Magnetic Resonance Imaging Clinics of North America·Monica EpelmanWolfgang Hirsch

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Citations

Dec 28, 2017·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Misun HwangThierry A G M Huisman
Mar 29, 2020·Pediatric Research·Jeroen DudinkUNKNOWN eurUS.brain group

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