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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v15i2.1531</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-1604</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group></article-categories><title-group><article-title>Роль диффузионной тензорной магнитно-резонансной томографии и трактографии в диагностике структурных повреждений головного мозга у детей с церебральными параличами</article-title><trans-title-group xml:lang="en"><trans-title>The Role of Diffusion-Tensor Magnetic Resonance Imaging and Tractography in the Diagnosis of Structural Brain Disorders in Children with Cerebral Palsy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ермолина</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ermolina</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант отделения восстановительного лечения детей с болезнями нервной системы НИИ педиатрии Научного центра здоровья детей, Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 3, тел.: +7 (499) 134-02-76</p></bio><email xlink:type="simple">ermolina_jv@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>L. S.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мамедьяров</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Mamedyarov</surname><given-names>A. M.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аникин</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Anikin</surname><given-names>A. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маслова</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Maslova</surname><given-names>O. I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр здоровья детей, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Centre of Children’s Health, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научный центр здоровья детей, Москва, Российская Федерация&#13;
&#13;
Первый Московский государственный медицинский университет им. И.М. Сеченова, Москва, Российская Федерация&#13;
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Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Centre of Children’s Health, Moscow, Russian Federation&#13;
&#13;
Pirogov Russian National Research Medical University, Moscow, Russian Federation&#13;
&#13;
I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>01</day><month>06</month><year>2016</year></pub-date><volume>15</volume><issue>2</issue><fpage>141</fpage><lpage>147</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ермолина Ю.В., Намазова-Баранова Л.С., Мамедьяров А.М., Аникин А.В., Маслова О.И., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Ермолина Ю.В., Намазова-Баранова Л.С., Мамедьяров А.М., Аникин А.В., Маслова О.И.</copyright-holder><copyright-holder xml:lang="en">Ermolina Y.V., Namazova-Baranova L.S., Mamedyarov A.M., Anikin A.V., Maslova O.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/1604">https://vsp.spr-journal.ru/jour/article/view/1604</self-uri><abstract><p>В течение последних десятилетий благодаря активному внедрению в клиническую практику и научные исследования методов нейровизуализации стала возможной прижизненная оценка структурно-функционального состояния нервной системы у детей всех возрастов, начиная с внутриутробного периода развития. Данные, полученные при нейровизуализационных исследованиях, существенно дополнили традиционные представления, основанные на применении классических морфологических методов. С помощью диффузионной тензорной магнитно-резонансной томографии и трактографии стали возможными проведение комплексных структурно-функциональных исследований, изучение основных этапов созревания головного мозга в динамике, а также сопоставление морфологических данных с особенностями психоречевого и двигательного развития ребенка и клинико-нейровизуализационные сравнения. В статье описаны современные возможности диагностики микроструктурных повреждений головного мозга с помощью диффузионной тензорной трактографии у детей с постгипоксическими состояниями и церебральными параличами. Показано, что выявленные изменения коррелируют с клинической картиной заболевания.</p></abstract><trans-abstract xml:lang="en"><p>In the past few decades, the active introduction of neuroimaging methods into clinical practice and research allowed us to assess the in vivo structural and functional state of the nervous system in children of all ages, from prenatal period of the development. The data obtained during neuroimaging studies significantly complemented the traditional view, based on the application of classical morphological methods. Using diffusion-tensor magnetic resonance imaging and tractography, it became possible to conduct comprehensive structural and functional studies, to study the main stages of the brain maturation in dynamics, and to compare the morphological data with peculiarities of psycho-verbal and motor development of a child, as well as to conduct clinical and neuroimaging comparison. The article describes modern possibilities of diagnostics of microstructural damages of the brain using diffusion-tensor tractography in children with post-hypoxic conditions and cerebral palsy. It is shown that the revealed changes correlate with aspect of the disease.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>магнитно-резонансная томография</kwd><kwd>диффузионно-тензорная трактография</kwd><kwd>детский церебральный паралич</kwd><kwd>миелинизация</kwd><kwd>перивентрикулярные повреждения</kwd><kwd>фракционная анизотропия</kwd><kwd>структурные нарушения головного мозга</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>magnetic resonance imaging</kwd><kwd>diffusion-tensor tractography</kwd><kwd>infantile cerebral palsy</kwd><kwd>myelination</kwd><kwd>periventricular lesions</kwd><kwd>fractional anisotropy</kwd><kwd>structural brain disorders</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Акопян Т.А. 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