Changes of Positron Emission Tomography in Newborn Infants at Different Gestational Ages, and Neonatal Hypoxic-Ischemic Encephalopathy

Abstract Cerebral glucose metabolism was measured by18 F-fluorodeoxyglucose position emission tomography in infants at different gestational ages and with neonatal hypoxic-ischemic encephalopathy. Thirty-six preterm and term infants at different gestational ages without brain injury were divided int...

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Veröffentlicht in:Pediatric neurology 2012-02, Vol.46 (2), p.116-123
Hauptverfasser: Shi, Yuan, MD, PhD, Zhao, Jin-Ning, MD, Liu, Lei, RN, Hu, Zhang-Xue, MD, Tang, Shi-Fang, MD, Chen, Long, MD, Jin, Rong-Bin, MD, PhD
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container_end_page 123
container_issue 2
container_start_page 116
container_title Pediatric neurology
container_volume 46
creator Shi, Yuan, MD, PhD
Zhao, Jin-Ning, MD
Liu, Lei, RN
Hu, Zhang-Xue, MD
Tang, Shi-Fang, MD
Chen, Long, MD
Jin, Rong-Bin, MD, PhD
description Abstract Cerebral glucose metabolism was measured by18 F-fluorodeoxyglucose position emission tomography in infants at different gestational ages and with neonatal hypoxic-ischemic encephalopathy. Thirty-six preterm and term infants at different gestational ages without brain injury were divided into four subgroups: ≤32 weeks (n = 4), 33-34 weeks (n = 5), 35-36 weeks (n = 12), and ≥37 weeks (n = 15). Twenty-four newborn infants with hypoxic-ischemic encephalopathy were divided into three subgroups: mild (n = 13), moderate (n = 7), and severe (n = 4). Cerebral glucose metabolism manifested a trend toward increase, and the structure of cranial18 F-fluorodeoxyglucose positron emission tomography images became clear with increased gestational age, especially at ≥37 weeks. Uptakes of18 F-fluorodeoxyglucose in the ≥37-week group were significantly higher than in the ≤32-week group (P  < 0.01). Cerebral glucose metabolism changed significantly in neonatal hypoxic-ischemic encephalopathy, and was either unbalanced bilaterally or relatively low at all sites. Moreover, uptakes of18 F-fluorodeoxyglucose were significantly lower in severe than in mild and medium hypoxic-ischemic encephalopathy ( P < 0.05). Cerebral glucose metabolism, as measured by18 F-fluorodeoxyglucose positron emission tomography, may prove useful for estimating brain development and injury in newborn infants, and its clinical values need further investigation.
doi_str_mv 10.1016/j.pediatrneurol.2011.11.005
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Moreover, uptakes of18 F-fluorodeoxyglucose were significantly lower in severe than in mild and medium hypoxic-ischemic encephalopathy ( P &lt; 0.05). 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Moreover, uptakes of18 F-fluorodeoxyglucose were significantly lower in severe than in mild and medium hypoxic-ischemic encephalopathy ( P &lt; 0.05). Cerebral glucose metabolism, as measured by18 F-fluorodeoxyglucose positron emission tomography, may prove useful for estimating brain development and injury in newborn infants, and its clinical values need further investigation.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22264707</pmid><doi>10.1016/j.pediatrneurol.2011.11.005</doi><tpages>8</tpages></addata></record>
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subjects Asphyxia Neonatorum - diagnostic imaging
Asphyxia Neonatorum - metabolism
Biological and medical sciences
Brain - diagnostic imaging
Brain - metabolism
Brain Mapping
Female
Gestational Age
Humans
Hypoxia-Ischemia, Brain - diagnostic imaging
Hypoxia-Ischemia, Brain - metabolism
Infant, Newborn
Infant, Premature
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Nervous system
Neurology
Pediatrics
Radionuclide Imaging
Radionuclide investigations
title Changes of Positron Emission Tomography in Newborn Infants at Different Gestational Ages, and Neonatal Hypoxic-Ischemic Encephalopathy
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