{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T05:05:39Z","timestamp":1768712739530,"version":"3.49.0"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,25]],"date-time":"2024-02-25T00:00:00Z","timestamp":1708819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Despite strong evidence for its utility in clinical management and diagnosis of intracranial hemorrhage (ICH), the use of neonatal cranial point\u2010of\u2010care ultrasound (POCUS) has not been standardized in neonatal intensive care units (NICUs) in the United States. The primary aim of this study was to evaluate the feasibility of training NICU providers to perform cranial POCUS by tracking the quality of image acquisition following training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Observational single\u2010center cohort study of cranial POCUS images obtained by trained neonatal practitioners (attendings, fellows, and advanced practice providers) using a protocol developed by a radiologist and neonatologist. Exams were performed on infants born \u22641250\u2009g and\/or \u226430\u2009weeks gestation within the first 3\u2009days after birth. A survey to assess attitudes regarding cranial POCUS was given before each of three training sessions. Demographic and clinical data collection were portrayed with descriptive statistics. Metrics of image quality were assessed by a radiologist and sonographer independently. Analysis of trends in quality of POCUS images over time was performed using a multinomial Cochran\u2010Armitage test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010two cranial POCUS scans were performed over a 2\u2010year period. Infant median age at exam was 14\u2009hours (IQR 7\u201322\u2009hours). Metrics of image quality depicted quarterly demonstrated a significant improvement in depth (<jats:italic>P<\/jats:italic>\u2009=\u2009.01), gain (<jats:italic>P<\/jats:italic>\u2009=\u2009.048), and quality of anatomy images captured (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) over time. Providers perceived increased utility and safety of cranial POCUS over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cranial POCUS image acquisition improved significantly following care team training, which may enable providers to diagnose ICH at the bedside.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16437","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T07:11:20Z","timestamp":1708931480000},"page":"1089-1097","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cranial Point\u2010of\u2010Care Ultrasound for Neonatal Providers"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1397-8430","authenticated-orcid":false,"given":"Sarah E.","family":"Kolnik","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology University of Washington\/Seattle Children's Hospital  Seattle 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Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7847-5204","authenticated-orcid":false,"given":"Mihai","family":"Puia\u2010Dumitrescu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology University of Washington\/Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrike","family":"Mietzsch","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology University of Washington\/Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manjiri","family":"Dighe","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janessa B.","family":"Law","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology University of Washington\/Seattle Children's Hospital  Seattle Washington 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