Abstract

This case report aims to extend analytical thinking and clinical reasoning of clinicians and radiographers when presented with diagnosing premature neonatal brain injuries (PNBI). The report considers the uses and merit of magnetic resonance imaging (MRI) in the primary assessment of PNBI. The traditional technique of cranial ultrasound as the first modality of choice can have several limitations, which includes a lower temporal resolution in its ability to differentiate grey‐white matter distribution patterns, lower spatial resolution in its ability to accurately map white matter fibre tracts and distribution patterns which are critical in white matter injury pathological events. In this specific case report, MRI was useful for the assessment of haemorrhagic brain injury post partum.Therefore, should MRI be considered, the primary imaging modality in these cases when the concerns about PNBI is presented? This case study explores the current trends in MRI neonatal brain imaging and advancements being made in this field.

Highlights

  • Magnetic resonance imaging (MRI) for premature neonatal brain injuries (PNBI) is a recurrent request that we face at many clinical centres in Australia and New Zealand in my experience

  • This specific case report and discussion is based on a premature low birthweight brain injury patient who had a cranial ultrasound examination performed, when he was post-partum 32 weeks, and subsequently a feed and sleep MRI scan was performed to determine the pathological diagnosis of PNBI

  • The prenatal and perinatal risk factors often do not correlate to injury types and little is known about the developmental effects on periventricular leukomalacia (PVL) white matter injuries at such a young age

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Summary

Introduction

Magnetic resonance imaging (MRI) for premature neonatal brain injuries (PNBI) is a recurrent request that we face at many clinical centres in Australia and New Zealand in my experience. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology Cerebellar atrophy, but no definite structural abnormality of the cerebellum is seen.” This MRI report demonstrates that haemorrhage due to PNBI is visualised in the lateral, third and fourth ventricles, structurally the brain ventricles are enlarged. It demonstrates PNBI with specific periventricular leukomalacia (PVL) injury

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