1 - Department of Paediatric Neurology, University Children´s Hospital, Tübingen, Germany
2 - Research Institute i+12, Hospital Universitario 12 de Octubre, DIMAS-SAMID, Madrid, Spain,
3 - Department of Pediatrics, Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,
4 - Regional Rehabilitation Centre, Queen Silvia Children’s Hospital, Gothenburg, Sweden,
5 - Portuguese Surveillance of Cerebral Palsy Program, Department of Epidemiology, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa, Portugal,
6 - Unidade Funcional de Neonatologia, Centro Hospitalar Universitário Lisboa Central, Lisboa, Portugal
- 35th EACD Annual Meeting - Ljubljana, Slovenia. Mini-Symposium.
Objectives: The aim of this mini-symposium is to introduce participants to a classification system for neonatal neuroimaging Results (cranial ultrasound and MRI) for CP registers indicating a risk for cerebral palsy (CP). By the end of the symposium, it is expected that participants will understand the need for such a classification, and how it was developed and evaluated. Implementation features that are described in a detailed companion manual will be illustrated in open discussion with the audience.
Summary: After having established a classification system for neuroimaging results in the older child with CP, MRICS, Surveillance of Cerebral Palsy in Europe (SCPE) aimed at extending the work with a classification system for neonatal neuroimaging results for use in CP registers. The neonatal neuroimaging classification system (NNICS) was developed with neonatal imaging experts and, as for MRICS, intended to describe pathogenic patterns occurring in different periods of brain development and to illustrate these patterns in a detailed manual. NNICS describes 5 main groups: brain maldevelopments, predominant white matter injury, predominant grey matter injury, miscellaneous and normal findings. An additional neonatal item concerning involvement of the posterior limb of the internal capsule was introduced. NNICS showed good inter-observer agreement, it was considered simple to use and its availability grew continuously to over 30% of children in CP registers.
Outline: NNICS, a classification system for neonatal neuroimaging Results(cranial ultrasound and MRI) for use in CP registers. Background and concept - Development of NNICS - Typical patterns, limitations - Application, availability
Relevance for users and families: The Surveillance of Cerebral Palsy in Europe collaboration (SCPE) has developed over time a common language to describe children with cerebral palsy in CP registers. Classification systems previously developed by SCPE on CP subtype and neuroimaging findings in the older child are widely used beyond CP registers and facilitate communication between professionals and with families. In the present work, SCPE developed and evaluated a classification system for neonatal neuroimaging Results indicating a risk for CP