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Title:
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Routine imaging of the preterm neonatal brain.
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Authors:
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Guillot M; Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario.
Chau V; Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario.
Lemyre B; Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario.
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Source:
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Paediatrics & child health [Paediatr Child Health] 2020 Jun; Vol. 25 (4), pp. 249-262. Date of Electronic Publication: 2020 Jun 10.
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Publication Type:
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Journal Article; Review
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Language:
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English; French
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Imprint Name(s):
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Publication: 2017- : Oxford : Oxford University Press
Original Publication: [Oakville, Ont.] : PULSUS Group [for the] Canadian Paediatric Society, 1996-
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Contributed Indexing:
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Keywords: Computed tomography; Germinal matrix hemorrhage; Head ultrasound; Intraventricular hemorrhage; Magnetic resonance imaging; Periventricular hemorrhagic infarction; Periventricular leukomalacia; Post-hemorrhagic ventricular dilation
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Entry Date(s):
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Date Created: 20200619 Latest Revision: 20210616
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Update Code:
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20240105
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PubMed Central ID:
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PMC7286736
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DOI:
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10.1093/pch/pxaa033
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PMID:
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32549742
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Routine brain imaging to detect injuries affecting preterm infants is used to predict long-term outcomes and identify complications that might necessitate an intervention. Although magnetic resonance imaging may be indicated in some specific cases, head ultrasound is the most widely used technique and, because of portability and ease of access, is the best modality for routine imaging. Routine head ultrasound examination is recommended for all infants born at or before 31+6 weeks gestation. For preterm neonates born between 32+0 to 36+6 weeks gestation, routine head ultrasound is recommended only in presence of risk factors for intracranial hemorrhage or ischemia. Brain imaging in the first 7 to 14 days postbirth is advised to detect most germinal matrix and intraventricular hemorrhages. Repeat imaging at 4 to 6 weeks of age is recommended to detect white matter injury.
(© Canadian Paediatric Society 2020. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Erratum in: Paediatr Child Health. 2021 May 24;26(4):259. (PMID: 34131460)