Assessment of microvascularization is a reliable diagnostic criterion for cerebral ischemia in preterm newborns with oxidative-stress-related conditons

MVI enables early, noninvasive detection of microvascular changes related to oxidative stress, reflecting endothelial injury. Basal ganglia perfusion remained preserved due to anastomoses, while periventricular white matter, a watershed region, was more vulnerable. Integrating MVI into neurosonography improves diagnostic precision, informs individualized management, and supports neuroprotective strategies in preterm infants with asphyxia and RDS.