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Volume 355:2373-2375 November 30, 2006 Number 22
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Neonatal MRI and Neurodevelopmental Outcomes

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 by Woodward, L. J.
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To the Editor: Magnetic resonance imaging (MRI) is expensive and time-consuming, and it involves risks. From a Bayesian perspective,1 the use of MRI at term equivalent in preterm infants, as reported by Woodward et al. (Aug. 17 issue),2 is useful only if the results lead to revision of the pretest probability of neurodevelopmental impairment to a level above or below the threshold for follow-up or early intervention in infants at high risk.

The inclusion criteria and the 28% prevalence of neurodevelopmental impairment (the pretest probability) indicate that the study patients were already above the accepted risk threshold for follow-up3 and . . . [Full Text of this Article]




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