Head and Neck Imaging

Clinical Value of MRI in Diagnosis of Neonatal Hypoxic Ischemic Brain Damage

Author:MA Fei-fei, ZHANG Xin-xian, LIU Chang-chang.

affiliation:Department of Medical Imaging, Xuzhou Children's Hospital 221000

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Abstract

Objective To investigate the clinical value of MRI in diagnosis of neonatal hypoxic ischemic brain damage. Methods MRI data of 711 cases of neonatal hypoxic ischemic brain injury in our hospital from May 2015 to February 2013 were retrospectively analyzed. Results Neonatal hypoxic ischemic brain damage occurs mainly in different periods of prenatal, birth and postpartum period, In this group of 711 cases, there were 583 cases of asphyxia during birth and birth, 128 cases after birth, 682 cases of brain injury (95.92%, 682/711),The most common type was white matter damage (590/711, 82.98%), followed by gray matter damage, including cortical damage (369/711, 51.89%),Basal ganglia thalamic injury (298/711, 41.91%) and brain stem damage (263/711, 36.99%);There were statistically significant differences in the scores of 1 min and 5 Apgar (P<0.05) in mild and moderate and severe groups with different degrees of injury. Conclusion The most common type of neonatal hypoxic ischemic brain damage is white matter damage, and the MRI imaging of the patients with moderate and severe brain injury is more serious, and the basal ganglia and thalamus damage is the most important. MRI image analysis is very important for the diagnosis of neonatal hypoxic ischemic brain damage.

【Keyword】MRI; Neonate; Hypoxic Ischemic Brain Damage; Diagnosis

【Chart number】R651.1+5

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.02.007