Abstract
Brain pathology is an important cause of morbidity and mortality in neonates, especially in the premature population. While conventional two-dimensional neurosonography is traditionally used for screening, diagnosis and monitoring of brain disorders such as germinal matrix hemorrhage, periventricular leukomalacia and hydrocephalus, three-dimensional ultrasonography has gained popularity in a variety of clinical applications in recent years. Three-dimensional ultrasonography is not yet widely utilized in pediatric imaging but is a potentially powerful tool for evaluating the neonatal brain. Three-dimensional neurosonography allows imaging of the entire brain in a single volumetric sweep and offers the capability of reconstructing images in the axial plane and performing volumetric analyses that are unavailable in conventional two-dimensional neurosonography. The purpose of this article is two-fold: (1) to present the technical aspects of three-dimensional neurosonography and (2) to illustrate the potential applications of three-dimensional neurosonography in the context of commonly encountered neonatal neuropathology.
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Acknowledgments
We thank the following sonographers for their assistance in performing 3-D neurosonography: Kathleen Corcoran, Constance Santini, Stella Kohen, Carolina Charriez, Barbara Morris, Manal Mejalli, Emilly Reis, Yue Guo, Theresa Marino, Maria Acosta, Alexandra Cato and Herpreet Singh.
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Kurian, J., Sotardi, S., Liszewski, M.C. et al. Three-dimensional ultrasound of the neonatal brain: technical approach and spectrum of disease. Pediatr Radiol 47, 613–627 (2017). https://doi.org/10.1007/s00247-016-3753-1
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DOI: https://doi.org/10.1007/s00247-016-3753-1