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, Sheng-Che Hung, MD, PhD Department of Radiology, School of Medicine, University of North Carolina Chapel Hill , Chapel Hill, NC 27599, United States Corresponding author: Sheng-Che Hung, MD, PhD, Department of Radiology, School of Medicine, University of North Carolina Chapel Hill, 2000 Old Clinic, CB# 7510, Chapel Hill, NC 27599, United States (hsz829@gmail.com) Search for other works by this author on: Oxford Academic Yi-Fang Tu, MD Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University , Tainan 70403, Taiwan Search for other works by this author on: Oxford Academic Senyene E Hunter, MD, PhD Department of Neurology, School of Medicine, University of North Carolina Chapel Hill , Chapel Hill, NC 27599-7025, United States Search for other works by this author on: Oxford Academic Carolina Guimaraes, MD Department of Radiology, School of Medicine, University of North Carolina Chapel Hill , Chapel Hill, NC 27599, United States Search for other works by this author on: Oxford Academic
British Journal of Radiology, Volume 97, Issue 1158, June 2024, Pages 1067–1077, https://doi.org/10.1093/bjr/tqae048
Published:
24 February 2024
Article history
Received:
09 August 2023
Revision received:
12 January 2024
Accepted:
22 February 2024
Published:
24 February 2024
Corrected and typeset:
13 March 2024
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Sheng-Che Hung, Yi-Fang Tu, Senyene E Hunter, Carolina Guimaraes, MRI predictors of long-term outcomes of neonatal hypoxic ischaemic encephalopathy: a primer for radiologists, British Journal of Radiology, Volume 97, Issue 1158, June 2024, Pages 1067–1077, https://doi.org/10.1093/bjr/tqae048
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Abstract
This review aims to serve as a foundational resource for general radiologists, enhancing their understanding of the role of Magnetic Resonance Imaging (MRI) in early prognostication for newborns diagnosed with hypoxic ischaemic encephalopathy (HIE). The article explores the application of MRI as a predictive instrument for determining long-term outcomes in newborns affected by HIE. With HIE constituting a leading cause of neonatal mortality and severe long-term neurodevelopmental impairments, early identification of prognostic indicators is crucial for timely intervention and optimal clinical management. We examine current literature and recent advancements to provide an in-depth overview of MRI predictors, encompassing brain injury patterns, injury scoring systems, spectroscopy, and diffusion imaging. The potential of these MRI biomarkers in predicting long-term neurodevelopmental outcomes and the probability of epilepsy is also discussed.
hypoxic-ischaemic encephalopathy, neonatal encephalopathy, hypothermia, therapeutic hypothermia, outcome, MRI
© The Author(s) 2024. Published by Oxford University Press on behalf of the British Institute of Radiology. All rights reserved. For permissions, please email: journals.permissions@oup.com
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Subject
Neuro Paediatrics
Issue Section:
Review
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