Clinical Value of Periventricular Low-intensity Areas Detected Fluid Attenuated Inversion Recovery (FLAIR): Relationships between MRI at Near Term and Long-distant Outcome.

Accession number;02A0168945
Title;Clinical Value of Periventricular Low-intensity Areas Detected Fluid Attenuated Inversion Recovery (FLAIR): Relationships between MRI at Near Term and Long-distant Outcome.
Author; IWATA OSUKE (Naganokenkodomobyoin Shinseijika) KADOWAKI SACHIKO (Naganokenkodomobyoin Shinseijika) TAMURA MASANORI (Naganokenkodomobyoin Shinseijika) HIROMA TAKEHIKO (Naganokenkodomobyoin Shinseijika) UETA IKUYA (Naganokenkodomobyoin Shinseijika) NAKAMURA TOMOHIKO (Naganokenkodomobyoin Shinseijika) HIRABAYASHI SHIN'ICHI (Naganokenkodomobyoin Shinkeika) FUEKI NOBORU (Naganokenkodomobyoin Shinkeika) KONDO YOSHIAKI (Naganokenkodomobyoin Hoshasenka)
Journal Title;Journal of the Japan Pediatric Society
Journal Code:F0896A
ISSN:0001-6543
VOL.106;NO.1;PAGE.19-28(2002)
Figure&Table&Reference;FIG.5, TBL.2, REF.25
Pub. Country;Japan
Language;Japanese
Abstract;We performed an MRI (magnetic resonance imaging) study of neonatal brain to assess the clinical value of periventricular low intensities (PVLI) detected on FLAIR (fluid attenuated inversion recovery) imaging in 280 preterm and term infants. The incidence of PVLI was 62% on early MRI, obtained before two-months corrected age, and it decreased to 3% and 0% on middle (2-8 months) and late (8-18 months) MRI. On middle and late MRI, we observed periventricular hyperintensities (PVHI) both on FLAIR imaging and T2-weighted imaging, which were considered to be chronic lesions of leukomalacia. The severity of white matter damage diagnosed on early FLAIR imaging had a significant correlation with that of late FLAIR imaging. We conclude that early FLAIR imaging would be a good predictor of chronic white matter damage that may influence the motor and mental development of the infants. (author abst.)