Recomendaciones para el uso de la resonancia magnética cerebral en el periodo neonatal

IF 2.1 4区医学 Q2 PEDIATRICS

Anales de pediatria Pub Date : 2025-09-01 DOI:10.1016/j.anpedi.2025.503935

Miriam Martinez-Biarge , Juan Arnaez , Gemma Arca , Eva Valverde , Roberto Llorens-Salvador , Alfredo García-Alix , en representación del Grupo Cerebro Neonatal Español

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引用次数: 0

Abstract

Magnetic resonance imaging (MRI) of the brain is a key tool in the diagnosis and prognosis of neurological conditions in newborn infants, especially when used along cranial ultrasound. Although its use has increased over the last decade, significant variations in protocols between centers persist. This document, developed by the Spanish Neonatal Brain Group in collaboration with pediatric neuroradiologists, establishes recommendations based on scientific evidence and clinical experience to standardize its use.

The document describes the logistics of neonatal MRI, including patient preparation, image acquisition, and condition-specific protocols. Clinical indications and optimal timing of MRI are outlined to maximize its diagnostic and prognostic value in different pathologies such as hypoxic-ischemic encephalopathy, metabolic encephalopathy, arterial infarction, venous sinus thrombosis, congenital infections and brain damage associated with hypoglycemia, hyperbilirubinemia or prematurity. Condition-specific patterns of damage and their prognostic correlation are described.

The document offers recommendations for the standardization of radiological reports and the reporting of critical findings to improve communication between radiologists, clinicians and parents.

In conclusion, these recommendations aim to optimize the use of brain MRI in neonatology, which will result in improved diagnostic accuracy and better-informed therapeutic decision-making, with the ultimate goal of improving neurodevelopmental outcomes in this vulnerable population.

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关于在新生儿期使用脑核磁共振成像的建议

脑磁共振成像（MRI）是新生儿神经系统疾病诊断和预后的关键工具，特别是在颅超声检查时。虽然它的使用在过去十年中有所增加，但中心之间的协议仍然存在显著差异。该文件由西班牙新生儿大脑小组与儿科神经放射学家合作制定，基于科学证据和临床经验建立了标准化使用的建议。该文件描述了新生儿MRI的后勤，包括患者准备，图像采集和特定条件的协议。概述了MRI的临床适应症和最佳时机，以最大限度地发挥其在不同病理中的诊断和预后价值，如缺氧缺血性脑病、代谢性脑病、动脉梗死、静脉窦血栓形成、先天性感染和低血糖、高胆红素血症或早产相关的脑损伤。条件特异性模式的损害和他们的预后的相关性描述。该文件为放射报告的标准化和关键发现的报告提供了建议，以改善放射科医生、临床医生和家长之间的沟通。总之，这些建议旨在优化脑MRI在新生儿中的应用，从而提高诊断准确性和更好的治疗决策，最终目标是改善这一弱势群体的神经发育结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anales de pediatria 医学-小儿科

CiteScore

2.10

自引率

4.80%

发文量

155

审稿时长

44 days

期刊介绍： La Asociación Española de Pediatría tiene como uno de sus objetivos principales la difusión de información científica rigurosa y actualizada sobre las distintas áreas de la pediatría. Anales de Pediatría es el Órgano de Expresión Científica de la Asociación y constituye el vehículo a través del cual se comunican los asociados. Publica trabajos originales sobre investigación clínica en pediatría procedentes de España y países latinoamericanos, así como artículos de revisión elaborados por los mejores profesionales de cada especialidad, las comunicaciones del congreso anual y los libros de actas de la Asociación, y guías de actuación elaboradas por las diferentes Sociedades/Secciones Especializadas integradas en la Asociación Española de Pediatría.