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| Application Value of Ultrasound Combined with MRI in Diagnosis of Neonatal Intracranial Hemorrhage |
| MIAO Yu-tian, KUANG Hai-yan, LUO Ying-chun, et al |
| Department of Ultrasound,The Maternal and Child Health Care Hospital of Hunan Province, Changsha, Hunan 410008 China |
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Abstract 【Objective】 To explore the application value of ultrasound combined with craniocerebral MRI(Magnetic Resonance Imaging) in the diagnosis of neonatal intracranial hemorrhagic disease. 【Methods】 The clinical data of 100 children with intracranial hemorrhage admitted to our hospital were retrospectively analyzed. All cases underwent color Doppler ultrasound and cranial MRI examination. The diagnostic accuracy of single ultrasound or MRI was compared to that of ultrasound combined with MRI in the diagnosis of neonatal intracranial hemorrhagic disease. 【Results】 Among 100 children with intracranial hemorrhage, 11 cases were clinically diagnosed with cerebral parenchymal hemorrhage, 13 cases with subarachnoid hemorrhage, 15 cases with subdural hemorrhage, 61 cases with periventricular-intraventricular hemorrhage. The ultrasound detected 9 cases of cerebral parenchymal hemorrhage, 61 cases of periventricular-intraventricular hemorrhage, 3 cases of subdural hemorrhage, 2 cases of subarachnoid hemorrhage; so the diagnosis rate was 75.00% (75/100). MRI diagnosed 11 cases of cerebral parenchymal hemorrhage, 47 cases of periventricular-intraventricular hemorrhage, 13 cases of subarachnoid hemorrhage and 12 cases of subarachnoid hemorrhage. The diagnosis rate with MRI was 83% (83/100). There was no statistically significant difference in the accuracy of ultrasound and MRI in diagnosing intracranial hemorrhage (75.00% vs 83.00%,χ2=2.485,P=0.115). However, the accuracy of ultrasound + MRI in diagnosing intracranial hemorrhage was significantly higher (97.00% vs 75.00% vs 83.00%,χ2=19.451,P<0.001). 【Conclusion】 Both color Doppler ultrasound and MRI can detect and diagnose different types of intracranial hemorrhage. When the two methods are used separately, there is no significant difference in the accuracy of neonatal intracranial hemorrhage diagnosis. Combination of ultrasound and MRI detection can improve the diagnostic accuracy of neonatal intracranial hemorrhagic disease.
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Received: 05 February 2021
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2021, Vol. 38 
