TO DETERMINE THE DIAGNOSTIC ACCURACY OF TRANSCRANIAL ULTRASOUND IN THE DETECTION OF HYPOXIC ISCHEMIC INJURY IN NEONATES KEEPING MAGNETIC RESONANCE IMAGING AS A GOLD STANDARD

TO DETERMINE THE DIAGNOSTIC ACCURACY OF TRANSCRANIAL ULTRASOUND IN THE DETECTION OF HYPOXIC ISCHEMIC INJURY IN NEONATES KEEPING MAGNETIC RESONANCE IMAGING AS A GOLD STANDARD

Authors

  • Muhammad Waleed Khan Hayatabad Medical Complex, Peshawar
  • Ghazala Wahid Hayatabad Medical Complex, Peshawar
  • Rabeea Ihtesham Hayatabad Medical Complex, Peshawar
  • Uzma Badshah Hayatabad Medical Complex, Peshawar
  • Shaista Khan KMU Institute of Medical Sciences, Kohat
  • Samia Iftikhar Hayatabad Medical Complex (HMC), Peshawar

DOI:

https://doi.org/10.70520/kjms.v18i1.519

Keywords:

Hypoxic Ischemic Injury, Magnetic Resonance Imaging, neonates, transcranial ultrasound

Abstract

Objective: To ascertain the accuracy of transcranial ultrasound diagnosis in the detection of hypoxic ischemic injury in neonates, keeping magnetic resonance imaging as the gold standard.

Material & Methods: A cross-sectional study was conducted on 147 Male and female patients with an age range of 1-28 days in the Department of Radiology, Hayatabad Medical Complex, Peshawar, from 28 February 2023 to 28 August 2023 (06 months). The patients were suspected of hypoxic-ischemic injury, i.e., suffered from perinatal asphyxia. The diagnostic accuracy of transcranial sonography in detecting neonatal hypoxic-ischemic injury was determined.

Results: The mean age of the patients was 14.44±7.77 days. The accuracy of transcranial ultrasound diagnosis in the detection of hypoxic ischemic injury by taking magnetic resonance imaging as the gold standard was 76.19%, with sensitivity 81.61%, specificity 68.33%, Positive Predictive Value 78.89%, and Negative Predictive Value 71.93%.

Conclusion: From our study, we conclude that transcranial ultrasound is an accurate modality in detecting neonatal hypoxic ischemic injury with a diagnostic accuracy of 76.19%, a sensitivity of 81.61%, and a specificity of 68.33%.

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Published

2025-04-03

How to Cite

1.
Khan MW, Wahid G, Ihtesham R, Badshah U, Khan S, Iftikhar S. TO DETERMINE THE DIAGNOSTIC ACCURACY OF TRANSCRANIAL ULTRASOUND IN THE DETECTION OF HYPOXIC ISCHEMIC INJURY IN NEONATES KEEPING MAGNETIC RESONANCE IMAGING AS A GOLD STANDARD. Khyber Journal of Medical Sciences. 2025;18(1):16-22. https://doi.org/10.70520/kjms.v18i1.519

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