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Diagnostic ultrasound ( PDFDrive )

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1520 PART V Pediatric Sonography

With use of the American College of Radiology (ACR) and

American Institute of Ultrasound Medicine (AIUM) practice

parameters for the performance of neurosonography in neonates

and infants, 29 there are speciic questions to answer. Developing

a template for reports is a useful task to ensure complete

reporting.

DEVELOPMENTAL ANATOMY

Brain Sulcal Development and

Subarachnoid Spaces

In the very premature infant, the brain sulci are not fully developed

and the brain appears quite smooth 20,30 (Figs. 45.11 and 45.12).

Ultrasound of the Brain: Standard

Report Template

The ventricular size and coniguration are <normal>.

The corpus callosum is <present> <above the cavum

septum pellucidi and/or cavum vergae>.

There is <no hemorrhage in the caudothalamic groove or in

the ventricular system>.

The cerebellar vermis, fourth ventricle, and cerebellar

hemispheres <appear normal>.

Sulcal development is <normal> for gestational age.

22 Wks

32 Wks

24 Wks

34 Wks

26 Wks

36 Wks

28 Wks

38 Wks

30 Wks 40 Wks

FIG. 45.11 Normal Sulcal Pattern Development. At 22 to 40 weeks’ gestation. (With permission from Dorovini-Zis K, Dolman CL. Gestational

development of brain. Arch Pathol Lab Med. 1977;101[4]:192-195. 20 )

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