Brain fetal magnetic resonance imaging to evaluate maturation of normal white matter during the third trimester of pregnancy.
Pediatr Radiol
; 51(10): 1826-1838, 2021 Sep.
Article
em En
| MEDLINE
| ID: mdl-34019102
ABSTRACT
BACKGROUND:
Quantitative magnetic resonance imaging (MRI) could improve the estimation of fetal brain maturation and the interpretation of white matter signal intensity in pathological conditions.OBJECTIVE:
To investigate T2-based and diffusion-weighted imaging (DWI) measurements for the evaluation of fetal brain maturation during the last trimester of pregnancy. MATERIALS ANDMETHODS:
One hundred sixty-eight fetal brain MRIs were retrospectively analyzed (age range 28-37 weeks of gestation) after ensuring that none of the children developed psychomotor or cognitive impairment (median follow-up 4.7 years). Bilateral regions of interest were drawn on the frontal, occipital, parietal and temporal lobes from T2-W imaging and DWI, when available, to evaluate signal intensity and apparent diffusion coefficient (ADC) values. Ratios were calculated with two references (pons or thalamus and cerebrospinal fluid) to standardize signal intensities. Reproducibility was evaluated with intraclass correlation coefficients (ICCs) and Bland-Altman plots. Correlations with gestational age were evaluated with univariate and multivariate linear regressions.RESULTS:
T2 measurements were achieved in all cases, and DWI was available in 37 cases. Measurements and ratios were reproducible in eight localizations (i.e. intra- and interobserver ICCs >0.5) frontal T2/thalamus, parietal T2/thalamus, occipital T2/pons, parietal ADC/thalamus, occipital ADC/pons, temporal ADC/pons, occipital ADC and temporal ADC. The frontal T2/thalamus and parietal T2/thalamus correlated with gestational age (P<0.0001 and P=0.014, respectively). In the multivariate modeling, frontal T2/thalamus remained an independent predictor of the gestational age (P<0.0001).CONCLUSION:
The frontal T2/thalamus ratio emerged as a potential additional biomarker of fetal brain maturation during the last trimester of pregnancy.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Substância Branca
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Child
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Female
/
Humans
/
Infant
/
Pregnancy
Idioma:
En
Revista:
Pediatr Radiol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
França