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26 June 2018 Quantitative 3-D head ultrasound measurements of ventricle volume to determine thresholds for preterm neonates requiring interventional therapies following posthemorrhagic ventricle dilatation
Jessica Kishimoto, Aaron Fenster, David S. C. Lee, Sandrine de Ribaupierre
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Journal of Medical Imaging, Vol. 5, Issue 2, 026001 (June 2018). https://doi.org/10.1117/1.JMI.5.2.026001
Abstract
Dilatation of the cerebral ventricles is a common condition in preterm neonates with intraventricular hemorrhage. This posthemorrhagic ventricle dilatation (PHVD) can lead to lifelong neurological impairment through ischemic injury due to increased intracranial pressure, and without treatment can lead to death. Two-dimensional ultrasound (US) through the fontanelles of the patients is serially acquired to monitor the progression of PHVD. These images are used in conjunction with clinical experience and physical exams to determine when interventional therapies such as needle aspiration of the built up cerebrospinal fluid (ventricle tap, VT) might be indicated for a patient; however, quantitative measurements of the ventricles size are often not performed. We describe the potential utility of the quantitative three-dimensional (3-D) US measurements of ventricle volumes (VVs) in 38 preterm neonates to monitor and manage PHVD. Specifically, we determined 3-D US VV thresholds for patients who received VT in comparison to patients with PHVD who resolve without intervention. In addition, since many patients who have an initial VT will receive subsequent interventions, we determined which PHVD patients will receive additional VT after the initial one has been performed.
CC BY: © The Authors. Published by SPIE under a Creative Commons Attribution 4.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
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Jessica Kishimoto, Aaron Fenster, David S. C. Lee, and Sandrine de Ribaupierre "Quantitative 3-D head ultrasound measurements of ventricle volume to determine thresholds for preterm neonates requiring interventional therapies following posthemorrhagic ventricle dilatation," Journal of Medical Imaging 5(2), 026001 (26 June 2018). https://doi.org/10.1117/1.JMI.5.2.026001
Received: 19 October 2017; Accepted: 4 June 2018; Published: 26 June 2018
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Cited by 11 scholarly publications.
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KEYWORDS
3D image processing
3D metrology
Image segmentation
Ultrasonography
Head
Therapeutics
3D acquisition
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