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Anatomic Illustrations of Cranial Ultrasound Images
Through the Posterior Fontanelle in Neonates: Objective
Analysis of Oblique Sonographic Scans using MRI and a
Reconstruction Program |
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Sang Young Oh, MD1 Young Seok Lee, MD1, Dong Soo Yoo, MD1,
Young Pyo Chang, MD2 |
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1Department of Radiology, Dankook University Hospital, Cheonan, Korea
2Department of Pediatrics, Dankook University Hospital, Cheonan, Korea |
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Purpose: Neonatal cranial sonongraphy through the posterior fontanelle is more
useful than through the anterior approach for the evaluation of posterior brain structures.
The aims of this study were to determine the appropriate neonatal cranial
sonography scan planes through the posterior fontanelle, and to objectively evaluate
the anatomy of neonatal cranial sonographic images.
Materials and Methods: Neonates who underwent cranial sonography and MRI
including 3D-SPGR axial scans and showed normal features on both modalities were
enrolled. We reconstructed MR images corresponding to sonongraphic planes, then
constructed anatomic models of the neonatal cranial sonographic images using axial
MRI as the standard reference on the same screen.
Results: We successfully created anatomic atlas that represents 8 oblique coronal
and 4 oblique sagittal scans and planes that corresponded to the neonatal cranial
sonographic images through the posterior fontanelle.
Conclusion: The objective manner of this anatomic research provided standardized
sonographic scan planes and created anatomic model through the posterior
fontanelle. Cranial sonographic models through the posterior fontanelle using MRI and
multi-planar reconstruction program will be helpful in the evaluation of sonographic
anatomy and detection of abnormalities in the basal ganglia, thalamus and posterior
part of the brain. |
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Keyword : Neonate; Brain; Ultrasound; Anatomy; Posterior fontanelle; SPGR |
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pdf파일 : 171-179오상영.pdf
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