Abstract
If one compares the diagnostic spectrum and efficacy of two competing imaging methods, a multitude of objectives need to be assessed; these include degree of invasiveness, ease of performance, cost, and associated noxious effects as well as accuracy, sensitivity, and specificity. While several of these items can be addressed squarely and unequivocally, others are more difficult to discuss. There is copious literature on the accuracy of computed tomography (CT), including large autopsy series2, 5, 38, 39 There are also sufficient literature data concerning clinical comparison of sonography and CT, particularly on intracerebral hemorrhage and ventricular dilatation. However, fewer data are available on ultrasonic clinicopathologic correlations, and at this writing there are no major series of postmortem ultrasound- CT comparisons. Nevertheless, there are sufficient clinical observations in the literature to permit a general comparison of the two modalities. In the course of this discussion, we will also refer to our own clinical experiences.
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References
Stewart AL, Thornburn RJ, Hope PL, Goldsmith M, Reynolds EOR, Lipscomb AP. Relation between ultrasound appearance of the brain in very preterm infants and neurodevelopmental outcome at 18 months of age. In: The Second Special Ross Laboratories Conference on Perinatal Intracranial Hemorrhage, Syllabus, 1090-1116, 1982.
Flodmark O, Becker LE, Harwood-Nash DC, Fitzhardinge PM, Fitz CR, Chuang SH. Correlation between computed tomography and autopsy in premature and full-term neonates that have suffered perinatal asphyxia. Radiology 137:93-103, 1980.
Bozynski ME, Nelson MN, Genaze DR, Chilcote RG, Ramsey RG, Clasen RA, O’Donnell KJ, Meier W A. Longitudinal follow-up by ultrasound of intracranial hemorrhage and ventriculomegaly in relation to developmental outcome in infants weighing 1 ,200 grams at birth. In: The Second Special Ross Laboratories Conference on Perinatal Intracranial Hemorrhage, Syllabus, 1153-1175, 1982.
Pape KE, Wigglesworth JS. Hemorrhage, ischemia and the perinatal brain. In: Clinics in Developmental Medicine, Numbers 69170, Pape KE, Wigglesworth HS, eds. London, William Heinemann/Philadelphia, Lippincott, 1979.
Leech RW, Kohnen P. Subependymal and intraventricular hemorrhages in the newborn. Am J Pathol 77:465-476, 1974.
Ludwig B, Becker K, Rutter G, Bohl J, Brand M. Postmortem CT and autopsy in perinatal intracranial hemorrhage. AJNR 4:27-36, 1983.
Armstrong DD. Intraventricular hemorrhage. Pathology of short-term survivors. In: The Second Special Ross Laboratories Conference on Perinatal Intracranial Hemorrhage, Syllabus, 1074- 1089, 1982.
Shinnar S, Molteni RA, Gammon K, D’Souza BJ, Altman J, Freeman JM. Intraventricular hemorrhage in the premature infant. A changing outlook. N Engl J Med 306:1464-1486, 1982.
Rumack CM, Johnson ML. Neonatal brain imaging: choosing between modalities. Diagn Imaging 28-33, 1983.
Shankaran S, Slovis TL, Bedard MP, Bedard MP, Poland RL. Sonographic classification of intracranial hemorrhage. A prognostic indication of mortality, morbidity and short-term neurologic outcome. J Pediatr 100:469, 1982.
Fleischer AC, Hutchison AA, Kirchner SG, James AE. Cranial sonography of the preterm neonate. Diagn Imaging 20 II, 1981.
Ment LR, Scott DT, Rothman SG, Ehrenkranz RS, Warshaw JB. Neurodevelopmental followup of VLBW neonates: effects of GMH/IVH (abstr). Pedi’atr Res 15:1592, 1981.
Schechner S, Ross G, Auld P. Early neurodevelopmental outcome of low-birth-weight infants surviving neonatal intraventricular hemorrhage. In: Perinatal intracranial hemorrhage, Ross Laboratories Conference, Washington, D.C., Syllabus, 724-735, 1980.
Papile LA, Burstein J, Burstein R, Koffler H, Koops BL, Johnson JD. Posthemorrhagic hydrocephalus in low-birthweight infants: treatment by serial lumbar punctures. J Pediatr 97:273-277, 1980.
Krishnamoorthy KS, Todres ID, Kuehnle KJ, Shannon DC, DeLong GR, Davis KR. Neurologic sequelae in the survivors of neonatal intraventricular hemorrhage. In: Perinatal intracranial hemorrhage, Ross Laboratories Conference, Washington, D.C., Syllabus, 697-710, 1980.
Stewart AL, Reynolds EOR, Lipscomb AP. Outcome for infants of very low-birthweight: survey of the world literature. Lancet 1:1038-1041, 1981.
Babcock DS, Bove KE, Han BK. Intracranial hemorrhage in premature infants: sonographicpathologic correlation. AJNR 3:309-317, 1982.
Garret WJ, Kossoff G, Jones RFC. Ultrasonic cross-sectional visualization of hydrocephalus in infants. Neuroradiology 8:279-288, 1975.
Lees RF, Harrison RB, Sims TL. Grey scale ultrasonography in the evaluation of hydrocephalus and associated abnormalities in infants. Am J Dis Child 132:376-378, 1978.
Skolnick ML, Rosenbaum AE, Matzuk T, Guthkeich AN, Heinz ER. Detection of dilated cerebr~ ventricles in infants. A correlative study between ultrasound and computed tomography. Radiology 131:447-451, 1979.
Morgan CL, Trought WS, Rothman SJ, Jiminez JR. Comparison of gray-scale ultrasonography and computed tomography in the evaluation of macrocrania in infants. Radiology 132:119-123, 1979.
James AE, Flor WJ, Novak GR, et al. The ultrastructural basis of peri ventricular edema: preliminary studies. Radiology 135:747-750, 1980.
Sherwood A, Hopp A, Smith JF. Cellular reactions to subependymal hemorrhage in the human neonate. Neuropathol Appl Neurobiol 4:245-261, 1978.
Papile LA, Burstein J, Burstein R, Koffler H. Incidence and evolution of subependymal intraventricular hemorrhage: a study of infants with birthweights less than 1500 grams. J Pediatr 92:529-534, 1978.
Harcke HT, Naeye RL, Storch A, Blank WA. Perinatal cerebral intraventricular hemorrhage. J Pediatr 80:37-42, 1972.
Fedrick J, Butler NR. Certain causes of neonatal death. II. Intraventricular hemorrhage. Bioi Neonate 15:257-290, 1970.
Reeder JD, Sanders RC. Ventriculitis in the neonate: recognition by sonography. AJNR 4:37-41, 1983.
Deonna T, Payot M, Probat A, Probst A, Prodhom LS. Neonatal intracranial hemorrhage in premature infants. Pediatrics 56: 1056-1064, 1975.
Hambleton G, Wigglesworth JS. Origin of intraventricular hemorrhage in the preterm infant. Arch Dis Child 51:651-659, 1976.
Baldes-Dapena MAS, Arey JB. The causes of neonatal mortality: an analysis of 501 autopsies on newborn infants. J Pediatr 77:366-375, 1970.
Maki Y, Shirai S. Angiographic findings in intraventricular hemorrhage in newborn infants. Acta Radiol (Suppl) [Stockh] 347:167-174, 1975.
Palma PA, Miner ME, Morriss FH. Intraventricular hemorrhage in the neonate born at term. Am J Dis Child 133:941-944, 1979.
Friede RL. Residual lesions of infantile cerebral phlebothrombosis. Acta Neuropathol (Berl) 22:319-332, 1972.
Reeder JD, Jaude JV, Setzer ES. Choroid plexus hemorrhage in premature neonates: recognition by sonography. AJNR 3:619-622, 1982.
Friede R. Developmental Neuropathology. New York, Springer-Verlag, 28, 1975.
Sauerbrei EE, Digney M, Harrison PB, Cooperberg PL. Ultrasonic evaluation of neonatal intracranial hemorrhage and its complications. Radiology 139:677-685, 1981.
Jacobs L. Kinkel WR, Heffner RR. Autopsy correlation of computerized tomography: experience with 6000 CT scans. Arch Neurol 43:602-607, 1977.
Messina AV. Cranial computerized tomography. A radiologic pathologic correlation. Arch Neurol 43:602-607, 1977.
Zimmerman RA, Billaniuk LT, Gennarelli T, Bruce D, Dolinskas C, Uzzell B. Cranial computed tomography in diagnosis and management of acute head trauma. AJR 131:27-34, 1978.
Burstein J, Papile LA, Burstein R. Intraventricular hemorrhage and hydrocephalus in premature newborns: a prospective study with CT. AJR 132:631-635, 1979.
Lee BCP, Grassi AE, Schechner A, Auld PAM. Neonatal intraventricular hemorrhage: a serial computed tomography study. J Comput Assist Tomogr 3:483-490, 1979.
Lazzara A, Ahmann P, Dykes F, Brann AW, Schwartz). Clinical predictability of intraventricular hemorrhage in preterm infants. Pediatrics 65:30-34, 1980.
Pevsner PH, Garcia-Bunuel R, Leeds N, Finkelstein M. Subependymal and intraventricular hemorrhage in neonates, early diagnosis by computed tomography. Radiology 119:111-114, 1976.
Krishnamoorthy KS, Fernandez RA, Momose KJ, Delong GR, Moyland FMB, Todres JD, Shannon DC. Evaluation of neonatal intracranial hemorrhage by computerized tomography. Pediatrics 59:165-172,1977.
Burstein J, Papile L, Burstein R. Subependymal germinal matrix and intraventricular hemorrhage in premature infants: diagnosis by CT. AJR 128:971-976, 1977.
Rumack CM, McDonald MM, O’Meara OW, Sanders BB, Rudikoff Je. CT detection and course of intracranial hemorrhage in premature infants. AJR 131:493-497, 1978.
Pape KE, Cusick G, Houang MTW, Blackwell RJ, Sherwood A, Thorburn RJ, Reynolds EOR. Ultrasound detection of brain damage in preterm infants. Lancet 1:1261-1264, 1979.
Mack LA, Wright K, Hirsch JH, Alford EC, Guthrie RD, Shuman WP, Rogers JV, Bolender NF. Intracranial hemorrhage in premature infants: accuracy of sonographic evaluation. AJR 137:245-250, 1981.
London DA, Carroll BA, Enzmann DR. Sonography of ventricular size and germinal matrix hemorrhage in premature infants. AJR 135:559-564, 1980.
Grant EG, Schellinger D, Borts FT, McCullough DC, Friedman GR, Sivasubramanian, KN, Smith Dieter Schellinger Y. Real-time sonography of the neonatal and infant head. AJNR 1:487-492, 1980.
Sauerbrei EE, Harrision PB, Ling E, Cooperberg PL. Neonatal intracranial pathology demonstrated by high-frequency linear array ultrasound. JCU 9:427-433, 1981.
Johnson ML, Rumack CM, Mannes EJ, Appareti KE. Detection of neonatal intracranial hemorrhage utilizing real-time and static ultrasound. JCU 9:427-433, 1981.
Silverboard G, Horder MH, Ahmann PA, Lazzara A, Schwartz JF. Reliability of ultrasound in the diagnosis of intracerebral hemorrhage and posthemorrhagic hydrocephalus: comparison with computed tomographic scan. In: Perinatal Intracranial Hemorrhage, Ross Laboratories Conference, Washington, D.e., Syllabus, 501-513, 1980.
Babcock D, Han B. The accuracy of high resolution real-time ultrasonography of the head in infancy. Radiology 139:665-676, 1981.
Grant EG, Borts F, Schellinger D, McCullough D, Sivasubramanian KN, Smith, Y. Real-time ultrasonography of neonatal intraventricular hemorrhage and comparison with computed tomography.Radiology 139:685-689, 1981.
Pape K, Bennett-Britton S, Syzmonowicz W, Martin D, Fitz C, Becker L. Diagnostic accuracy of neonatal brain imaging: a postmortem correlation. Pediatr Res 15: 1597, 1981 (abstr).
Martin DC, Hill A, Daneman A, Fitz CR, Becker LE. Focal hypoxic/ischemic cerebral injury in the neonatal brain: sonographic features with computed tomography correlation. In: The Second Special Ross Laboratories Conference on Intracranial Hemorrhage, Syllabus, 513-526, 1982.
Larroche JC. Developmental Pathology of the Neonate. Amsterdam, Excerpta Medica, 1977.
Towbin A. Central nervous system damage in the human fetus and newborn infant. Mechanical and hypoxic injury incurred in the fetal-neonatal period. Am J Dis Child 119:529-542, 1970.
Chessels JM, Wigglesworth JS. Secondary haemorrhagic disease of the newborn. Arch Dis Child 45:539-543, 1970.
Osborn AG, Anderson RE, Wing SD. The false falx sign. Radiology 134:421-425, 1980.
Albright L, Fellows R. Sequential CT scanning after neonatal intracerebral hemorrhage. AJR 136:949-953, 1981.
Estrada M, EI Gammal T, Dyken PR. Periventricular low attenuation. A normal finding in computerized tomographic scans of neonates? Arch Neurol 37:754-756, 1980.
Schrumpf JD, Sehring S, Killpack S, Brady JP, Hirata T, Mednick JP. Correlation of early neu7. Comparison of Two Modalities: Ultrasound versus Computed Tomography 111 rologic outcome and CT findings in neonatal brain hypoxia and injury. J Comput Assist Tomogr 4:445-450, 1980.
Quencer RM. Maturation of normal primate white matter: computed tomographic correlation. AJR 139:561-568, 1982.
Armstrong D, Norman M. Periventricular leukomalacia in neonates. Complications and sequelae. Arch Dis Child 49:367-375, 1974.
Volpe JJ. Cited at the Perinatal Intracranial Hemorrhage. Ross Laboratories Conference, Washington, D.C., 1980.
Leech RW, Alford EC. Morphologic variations in periventricular leukomalacia. Am J Pathol74:591-600, 1974.
Armstrong D, Norman MG. Periventricular leukomalacia in neonates. Complications and sequelae.Arch Dis Child 49:367-375, 1974.
Shuman RM, Selednik LH. Periventricular leukomalacia. A One-Year Autopsy Study. Neurology 37:231-235, 1980.
Banker BQ, Larroche JC. Periventricular leukomalacia of infancy. Arch Neurol 7:386-410, 1962.
Schellinger D, Grant EG, Richardson JD. Cystic periventricular leukomalacia: sonographic and CT findings. AJNR 5:439-445, 1984.
Babcock DS, Ball W. Ultrasound diagnosis and short-term prognosis of post-asphyxial encephalopathy in term infants. In: The Second Special Ross Laboratories Conference on Intracranial Hemorrhage, Syllabus, 697-721, 1982.
Grant EG, Williams AL, Schellinger D, Slovis T. Intracranial calcification in the infant and neonate: evaluation by sonography and CT. Radiology 1985; 157:63-68.
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Schellinger, D. (1986). Comparison of Two Modalities: Ultrasound versus Computed Tomography. In: Grant, E.G. (eds) Neurosonography of the Pre-Term Neonate. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8603-2_7
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DOI: https://doi.org/10.1007/978-1-4613-8603-2_7
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