AJR AJR Integrative Imaging Dec 2008 articles
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American Journal of Roentgenology, Vol 150, Issue 4, 889-896
Copyright © 1988 by American Roentgen Ray Society

Articles

MR evaluation of early myelination patterns in normal and developmentally delayed infants

RB Dietrich, WG Bradley, EJ Zaragoza 4th, RJ Otto, RK Taira, GH Wilson, and H Kangarloo

Department of Radiological Sciences, UCLA School of Medicine, CA 90024.

This study demonstrates the ability of MR imaging to show progression of myelination in 64 infants and young children (ages 4 days to 36 months). T2-weighted spin-echo pulse sequences, frequently used for routine screening of intracranial disease, were used. Gray-white matter differentiation was seen in all patients, and changes occurring with age were documented. Three distinct patterns were seen, and age ranges were established for each pattern in developmentally normal children: (1) infantile (birth-6 months); (2) isointense (8-12 months); and (3) early adult (10 months onward). There was a statistically significant difference between the age ranges of the normal and developmentally delayed children showing all three patterns. These data should be helpful for identifying and following sequentially both infants with clinically suspected developmental delay and those with dysmyelinating or demyelinating disease.
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