3 doctors weighed in:

When do they need a CT or MRI to detect ivh?

3 doctors weighed in
Dr. Raja Nandyal
Pediatrics
1 doctor agrees

In brief: For a term, rarely

If a term or a late preterm infant is stable enough to be transported to ct or MRI area, and less than 4 days old, ct is preferred.
Otherwise MRI is the best. They are recommended if the infant has seizures, extreme lethargy or irritability, recurrent apnea (forget to breath), evidence of trauma (like head injury from forceps or vacuum delivery), suspected shaken baby syndrome, CNS infections etc.

In brief: For a term, rarely

If a term or a late preterm infant is stable enough to be transported to ct or MRI area, and less than 4 days old, ct is preferred.
Otherwise MRI is the best. They are recommended if the infant has seizures, extreme lethargy or irritability, recurrent apnea (forget to breath), evidence of trauma (like head injury from forceps or vacuum delivery), suspected shaken baby syndrome, CNS infections etc.
Dr. Raja Nandyal
Dr. Raja Nandyal
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Dr. Andrew Nordine
Pediatrics

In brief: Almost never

Computed tomography (ct) and magnetic resonance imaging (MRI) are not necessary to detect intraventricular hemorrhage (ivh).
They are useful if bleeding is suspected in other areas of the brain or if other malformations are suspected. Ivh can be easily characterized by bedside ultrasound which risks neither the radiation exposure nor procedural sedation typically necessary for ct or mri.

In brief: Almost never

Computed tomography (ct) and magnetic resonance imaging (MRI) are not necessary to detect intraventricular hemorrhage (ivh).
They are useful if bleeding is suspected in other areas of the brain or if other malformations are suspected. Ivh can be easily characterized by bedside ultrasound which risks neither the radiation exposure nor procedural sedation typically necessary for ct or mri.
Dr. Andrew Nordine
Dr. Andrew Nordine
Thank
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