Aycan, NurArslan, HarunYurekturk, EyyupBasaranoglu, MuratAtes, AliKaraman, SerapAycan, Abdurrahman2025-10-302025-10-3020251019-514910.5137/1019-5149.JTN.49103-25.22-s2.0-105017250859https://doi.org/10.5137/1019-5149.JTN.49103-25.2https://hdl.handle.net/20.500.14720/28773AIM: To evaluate whether transfontanel ultrasonography could serve as a practical and less complex alternative to brain magnetic resonance imaging in infants with hydrocephalus. MATERIAL and METHODS: In this prospective study, 54 infants diagnosed with hydrocephalus underwent both transfontanel ultrasonography and brain magnetic resonance imaging. A neonatologist and a radiologist independently assessed ventricular measurements, including the Evans index, frontooccipital horn ratio, bilateral ventricular index, anterior horn width, thalamooccipital distance, callosal angle, and corpus callosum length. RESULTS: Among the 54 infants, 48 (88.9%) received a ventriculoperitoneal shunt. A strong correlation was found between transfontanel ultrasonography and magnetic resonance imaging for most ventricular measurements: Evans index (r=0.875, r=0.937, right r=0.944; p=0.0001 for both), bilateral anterior horn width (left r=0.918, right r=0.908; p=0.0001 for both), and bilateral thalamooccipital distance (left r=0.956, right r=0.919; p=0.0001 for both). The correlation for corpus callosum length was statistically CONCLUSION: Our study emphasizes that transfontanel ultrasonography-which achieves better results in experienced hands- should be widespread and an excellent alternative to unnecessary and repeated imaging methods.eninfo:eu-repo/semantics/closedAccessHydrocephalusMagnetic Resonance ImagingTransfontanel UltrasonographyInfantNeuroimagingArticle355Q3Q369470040920094WOS:001588170700003