“…19,25,26 Abnormal WM echogenicity (or periventricular echogenicity [PVE]) was a much more frequent finding but was reported heterogeneously: six studies used a severity score (classification by van Wezel-Meijler for four of those six studies), 19,24,[27][28][29][30] three studies classified PVE according to its duration (absent, transient (<7 days) or prolonged) 26,29,31 and four studies did not use any grading system. 20,23,25,32 Five of the six studies reporting on the severity of PVEs showed that more severe PVEs on HUS were predictive of more significant WM anomalies on MRI. 19,24,27,28,30 In contrast, in a prospective cohort of very preterm neonates with serial HUS and MRI at TEA, the presence of PVEs, regardless of severity and duration, was predictive of abnormal WM on MRI with a positive predictive value (PPV) above 70%, but with low negative predictive value (NPV).…”