Evidence map›Paper›PMID 41810192›Full record

ArticleTranslational pediatrics2026

Diagnostic performance of serum neuron-specific enolase for cranial ultrasound-detected brain injury in preterm neonates.

Boban Banjac, Milica Martinović, Marina Jakšić, Mira Perović, Lidija Banjac

Abstract read
In one paragraph

Article in Translational pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Boban BanjacCenter for Imaging Diagnostics, Clinical Center of Montenegro, Podgorica, Montenegro.
Milica MartinovićFaculty of Medicine, University of Montenegro, Podgorica, Montenegro.
Marina JakšićFaculty of Medicine, University of Montenegro, Podgorica, Montenegro.
Mira PerovićCenter for Neonatology, Institute for Children's Diseases, Clinical Center of Montenegro, Podgorica, Montenegro.
Lidija BanjacFaculty of Medicine, University of Montenegro, Podgorica, Montenegro.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neurological complications remain the most common cause of long-term disability among preterm infants despite progress made in neonatal intensive care. Cranial ultrasound (CUS) is the first-line imaging modality for early diagnosis of periventricular leukomalacia (PVL) and peri-/intraventricular hemorrhage (PIVH), but is less sensitive in the detection of subtle damage in the white matter. Consequently, there is increasing interest in the role of biochemical biomarkers that could be useful to complement bedside neuroimaging for early diagnosis of brain injury in preterm infants. Neuron-specific enolase (NSE), a neuronal cytoplasmic enzyme released after neuronal damage, has been proposed as a potential biomarker of neonatal brain injury. However, the exact role of NSE for the diagnosis of brain injury in preterm newborns has still to be explored. The objective of this study was to evaluate the association between early serum NSE levels and CUS-detected brain injury, and to assess the diagnostic accuracy of NSE in identifying PVL and/or PIVH in preterm infants. Methods: In this prospective cohort study, 55 preterm neonates (<37 weeks gestation) admitted to a tertiary neonatology center were enrolled. NSE concentrations were measured using chemiluminescent microparticle immunoassay, and serial CUS examinations were used to classify brain injury. Mann-Whitney Results: NSE values were significantly higher in infants with abnormal CUS findings compared with those with normal CUS (median 78.9 Conclusions: Serum NSE measured on day 3 of life was associated with CUS-detected brain injury (PVL or PIVH) in preterm infants. In this single-center cohort, NSE demonstrated promising diagnostic accuracy for identifying ultrasound-detectable brain injury. The proposed cut-off is exploratory and requires validation in larger, preferably multicenter cohorts before clinical application.

Indexed as

cranial ultrasound (CUS)intraventricular hemorrhage (IVH)neuron-specific enolase (NSE)periventricular leukomalacia (PVL)Preterm infants

Identifiers

PMID41810192
PMCPMC12969154

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.