Head and Neck Imaging
Clinical Value of MRI and Functional Iagingin Newborn Bilirubin Encephalopathy
Author：JIN Jin-yan, LI Hong-yi
affiliation：Department of Radiology, Mudanjiang City Women and Children Hospital, Mu Danjiang 157000, Heilongjiang Province, China
PDFAbstract
Objective To investigate the imaging findings, diagnostic value of MRI and functional imaging in children with newborn bilirubin encephalopathy (NBE). Methods A total of 68 cases of NBE which diagnosed by clinical were analyzed retrospectively. All cases accepted MR plain scan, DWI and MRS scan and were divided into three groups according to the serum total bilirubin level. Analyze the imaging features of different MR sequences, the changes of the peak values of various substances on MRS images and the correlation with the NBE. Results Both of T1WI, T2WI and T2 water pressure sequences could be used to diagnosed NBE, and T1WI was more sensitive than the others；there was no significant difference in the bilateral T1WI signal intensity in 3 groups of children while there was significant difference among the three groups, and the T1WI high signal lesions showed the decrease of NAA/Cr and the increase of Cho/Cr, Cho/NAA in MRS. The MRS findings of T1WI high signal lesions were significantly different from those of T1WI equal signal lesions. Conclusion MRI and functional imaging could be used to the diagnosis of NBE and was worthy of clinical promotion.
【Keyword】Newborn Bilirubin Encephalopathy; Magnetic Resonance Imaging; Functional Imaging; Proton Magnetic Resonance Spectroscopy; Clinical Value
【Chart number】R722.1
【Document Identification Number】A
【DOI】 10.3969/j.issn.1672- 5131.2019.01.004
Chinese journal of CT and MRI
th17Volume， th 1 Issue
2019Year01Month
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