Abstract
During an 11 month period of a prospective study of < 1250 gm appropriate for gestational age infants, 31/87 (36%) died. Autopsies were performed on 24 and revealed 2 (8%) with germinal layer hemorrhage only, 15 (63%) with intraventricular±germinal layer hemorrhage and 7 (29%)without either hemorrhage. During life all infants were scanned through the skull in coronal and axial planes using real-time linear array ultrasound (U/S). Transfontanelle static sector U/S and CT studies were done after death prior to autopsy. The table shows correlation of autopsy findings with these scans.
Although the differences are not statistically significant, the results suggest that greatest accuracy is obtained by ultrasound imaging through the fontanelle. It is noteworthy that no method of brain imaging was 100% accurate in detecting hemorrhage.
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Pape, K., Bennett-Britton, S., Szymonowicz, W. et al. 1597 DIAGNOSTIC ACCURACY OF NEONATAL BRAIN IMAGING: A POST-MORTEM CORRELATION. Pediatr Res 15 (Suppl 4), 709 (1981). https://doi.org/10.1203/00006450-198104001-01614
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DOI: https://doi.org/10.1203/00006450-198104001-01614