The association of intrapartum deceleration and acceleration areas with MRI findings in neonatal encephalopathy.
Neta GevaYael GevaShimrit Yaniv SalemKyla Anna MarksReut RotemRamy AbramskyReli HershkovitzIlan ShelefEvelyn Farkash NovikAdi Yehuda WeintraubEilon ShanyPublished in: Pediatric research (2023)
The current cardiotocography predictive value for neonatal outcome is limited. This study aimed to assess the association of intrapartum deceleration and acceleration areas with the degree of cerebral injury in early cerebral MRI of neonates with encephalopathy. Lower acceleration area and acceleration-to-deceleration ratio were found to be associated with a higher degree of neonatal brain injury. Brain MRI is a marker of long-term outcome; its association with cardiotocography indices supports their association with long-term outcome in these neonates. Future computer-based CTG area analysis could assist in delivery room decision making to better time interventions and prevent hypoxic-ischemic encephalopathy.
Keyphrases
- brain injury
- subarachnoid hemorrhage
- cerebral ischemia
- contrast enhanced
- magnetic resonance imaging
- early onset
- decision making
- diffusion weighted imaging
- physical activity
- computed tomography
- low birth weight
- deep learning
- magnetic resonance
- current status
- resting state
- cerebral blood flow
- preterm birth
- data analysis