IMAGING SCIENCE AND PHOTOCHEMISTRY ›› 2021, Vol. 39 ›› Issue (6): 860-864.DOI: 10.7517/issn.1674-0475.210507

• Review and Articles • Previous Articles     Next Articles

The Value of Multimodal Magnetic Resonance Imaging Parameters in the Diagnosis of Mild to Moderate Neonatal Hypoxic-ischemic Encephalopathy

LIU Lu, QU Haixin, ZHANG Lina   

  1. Department of Neonatology, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, Hebei, P. R. China
  • Received:2021-05-14 Online:2021-11-15 Published:2021-11-11

Abstract: This study was to investigate the value of multimodal magnetic resonance imaging (MRI) parameters in the diagnosis of neonatal hypoxic-ischemic encephalopathy. A total of 54 neonates with mild hypoxic-ischemic encephalopathy and 34 neonates with moderate hypoxic-ischemic encephalopathy were selected, and received conventional MRI scan, diffusion tensor imaging and light proton magnetic resonance spectrum scan. The fractional anisotropy (FA) values of posterior limb and thalamus, N-acetylaspartate (NAA)/creatine (Cr) and NAA/choline complex (Cho) in moderate group were significantly lower than those in mild group (P<0.05). The area under ROC curve of basal ganglia score, watershed score, FA value of posterior limb of internal capsule, FA value of thalamus, NAA/Cr and NAA/Cho in the differentiation of mild to moderate neonatal hypoxic-ischemic encephalopathy were all more than 0.700 (P<0.05), while the sensitivity and specificity of combined detection reached 96.00% and 98.00%. MRI multimodal parameters have a good value in the diagnosis of neonatal hypoxic-is chemic encephalopathy, has a certain value in differentiating the degree of the disease.

Key words: multimodal parameters, magnetic resonance imaging, newborn, hypoxic ischemic encephalopathy