scholarly journals Correlation Between White Matter Injury Identified by Neonatal Diffusion Tensor Imaging and Neurodevelopmental Outcomes Following Term Neonatal Asphyxia and Therapeutic Hypothermia: An Exploratory Pilot Study

2019 ◽  
Vol 34 (10) ◽  
pp. 556-566 ◽  
Author(s):  
Gwendolyn J. Gerner ◽  
Eric I. Newman ◽  
V. Joanna Burton ◽  
Brenton Roman ◽  
Elizabeth A. Cristofalo ◽  
...  
Keyword(s):  
Diffusion Tensor Imaging ◽  
White Matter ◽  
Pilot Study ◽  
Therapeutic Hypothermia ◽  
Diffusion Tensor ◽  
White Matter Injury ◽  
Hypoxic Ischemic Encephalopathy ◽  
Group Differences ◽  
Neurodevelopmental Outcomes ◽  
Ischemic Encephalopathy

Aim: Hypoxic-ischemic encephalopathy is associated with damage to deep gray matter; however, white matter involvement has become recognized. This study explored differences between patients and clinical controls on diffusion tensor imaging, and relationships between diffusion tensor imaging and neurodevelopmental outcomes. Method: Diffusion tensor imaging was obtained for 31 neonates after hypoxic-ischemic encephalopathy treated with therapeutic hypothermia and 10 clinical controls. A subgroup of patients with hypoxic-ischemic encephalopathy (n = 14) had neurodevelopmental outcomes correlated with diffusion tensor imaging scalars. Results: Group differences in diffusion tensor imaging scalars were observed in the putamen, anterior and posterior centrum semiovale, and the splenium of the corpus callosum. Differences in these regions of interest were correlated with neurodevelopmental outcomes between ages 20 and 32 months. Conclusion: Therapeutic hypothermia may not be a complete intervention for hypoxic-ischemic encephalopathy, as neonatal white matter changes may continue to be evident, but further research is warranted. Patterns of white matter change on neonatal diffusion tensor imaging correlated with neurodevelopmental outcomes in this exploratory pilot study.

scholarly journals Can diffusion tensor imaging predict cerebral palsy in term neonates with hypoxic ischemic encephalopathy?

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Ahmed A. ElBeheiry ◽  
Mohamed A. Elgamal ◽  
Ashraf N. Ettaby ◽  
Tarek E. Omar ◽  
Adham O. Badeib
Keyword(s):  
Cerebral Palsy ◽  
Diffusion Tensor Imaging ◽  
White Matter ◽  
Diffusion Tensor ◽  
Hypoxic Ischemic Encephalopathy ◽  
Early Prediction ◽  
Imaging Features ◽  
Term Neonates ◽  
Conventional Mri ◽  
Ischemic Encephalopathy

Abstract Background Hypoxic ischemic encephalopathy (HIE) is a principal cause of pediatric mortality and morbidity, with possible neurologic sequel, such as cerebral palsy. Thus, it is of outmost importance to assess, shortly after birth, the prognosis of neonates with HIE. The purpose of this study was to assess the role of diffusion tensor imaging (DTI) in early prediction of cerebral palsy in term neonates with HIE. The study was carried out initially on 35 full-term neonates admitted to the neonatal intensive care unit (NICU) with manifestations of HIE. Imaging was done at the age of 10.32 ± 1.78 days including conventional MRI and DTI (for detection of white matter injury). Thirty-three infants out of the initially examined 35 were finally evaluated at the age of 1 year with the Bayley Scales of Infant and Toddler Development 3rd edition for development of cerebral palsy. Another MRI brain study was done at 1 year of age to evaluate the final brain imaging features and assess white matter integrity. Results Seventeen infants (17/33) were clinically normal while 16 (16/33) acquired cerebral palsy (CP) by the end of the first year. Initial conventional MRI showed false-negative results in 7 patients. Diffusion tensor imaging showed significantly different reduction in fractional anisotropy within the examined brain regions of interest (ROIs) between CP and normal outcome infants mostly at the posterior limb of the internal capsule, centrum semiovale, and corpus callosum with significant cutoff values of ≤ 0.435, ≤ 0.235, and ≤ 0.45, respectively. Conclusions Diffusion tensor imaging is a valuable tool for early prediction of CP in HIE neonates.

Exploring mania-associated white matter injury by comparison with multiple sclerosis: a diffusion tensor imaging study

2018 ◽  
Vol 281 ◽  
pp. 78-84 ◽  
Author(s):  
Niccolò Piaggio ◽  
Simona Schiavi ◽  
Matteo Martino ◽  
Giulia Bommarito ◽  
Matilde Inglese ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Diffusion Tensor Imaging ◽  
White Matter ◽  
Diffusion Tensor ◽  
Imaging Study ◽  
White Matter Injury ◽  
Diffusion Tensor Imaging Study

scholarly journals Diffusion Tensor Imaging of White Matter Injury Caused by Prematurity-Induced Hypoxic-Ischemic Brain Damage

2016 ◽  
Vol 22 ◽  
pp. 2167-2174 ◽  
Author(s):  
Fuyong Zhang ◽  
Chunli Liu ◽  
Linlin Qian ◽  
Haifeng Hou ◽  
Zhengyi Guo
Keyword(s):  
Diffusion Tensor Imaging ◽  
White Matter ◽  
Brain Damage ◽  
Diffusion Tensor ◽  
White Matter Injury ◽  
Ischemic Brain Damage ◽  
Ischemic Brain

scholarly journals Diffusion Tensor Imaging Reveals White Matter Injury in a Rat Model of Repetitive Blast-Induced Traumatic Brain Injury

2014 ◽  
Vol 31 (10) ◽  
pp. 938-950 ◽  
Author(s):  
Evan Calabrese ◽  
Fu Du ◽  
Robert H. Garman ◽  
G. Allan Johnson ◽  
Cory Riccio ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Diffusion Tensor Imaging ◽  
Brain Injury ◽  
White Matter ◽  
Rat Model ◽  
Diffusion Tensor ◽  
White Matter Injury

scholarly journals Diffusion Tensor Imaging on Teenagers, Born at Term With Moderate Hypoxic-ischemic Encephalopathy

2005 ◽  
Vol 58 (5) ◽  
pp. 936-940 ◽  
Author(s):  
Zoltan Nagy ◽  
Katarina Lindström ◽  
Helena Westerberg ◽  
Stefan Skare ◽  
Jesper Andersson ◽  
...  
Keyword(s):  
Diffusion Tensor Imaging ◽  
Diffusion Tensor ◽  
Hypoxic Ischemic Encephalopathy ◽  
Ischemic Encephalopathy

scholarly journals Outcomes of Infants with Mild Hypoxic Ischemic Encephalopathy Who Did Not Receive Therapeutic Hypothermia

2019 ◽  
Vol 4 (3) ◽  
pp. 1-9 ◽  
Author(s):  
Jonathan Reiss ◽  
Mridu Sinha ◽  
Jeffrey Gold ◽  
Julie Bykowski ◽  
Shelley M. Lawrence
Keyword(s):  
Therapeutic Hypothermia ◽  
Severe Disease ◽  
Significant Risk ◽  
Brain Magnetic Resonance Imaging ◽  
Adverse Outcomes ◽  
Hypoxic Ischemic Encephalopathy ◽  
Neurodevelopmental Outcomes ◽  
Specific Patient ◽  
Increased Risk ◽  
Ischemic Encephalopathy

Introduction: Accurately diagnosing and treating infants with mild forms of hypoxic ischemic encephalopathy (HIE) is important, as the majority of neonates with signs and symptoms of HIE after birth do not meet clinical criteria for moderate or severe disease. Emerging evidence, however, suggests that infants with mild HIE (mHIE) have an increased risk for neurodevelopmental impairment (NDI). Methods: This retrospective descriptive study examined all inborn infants ≥35 week’s gestational age at a single, level III neonatal intensive care unit (NICU) in California between January 1, 2012, and December 31, 2015. International Classification of Diseases codes were used as a proxy to identify neonates with mHIE but who did not receive therapeutic hypothermia (TH). Short- and long-term neurodevelopmental outcomes were documented, including abnormal (1) brain magnetic resonance imaging within 10 days of birth suggestive of HIE, (2) electroencephalogram with electrographic seizures, (3) neurologic discharge examination, or (4) NDI following NICU discharge. Results: Over the 4-year study period, 25 infants met inclusion criteria. Eight of 25 (32%) infants demonstrated neurologic impairment, defined by an abnormality in at least one of the four categories. The remaining 17 infants were without documented evidence for adverse outcomes. Conclusion: Our results indicate that children with mHIE are at significant risk for neurologic injury and may benefit from more aggressive interventions. Further prospective studies should be completed to determine the efficacy of TH in this specific patient population.

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