Evidence map›Paper›PMID 25554820›Full record

Trial reportPediatrics2015

Neuroimaging and neurodevelopmental outcome in extremely preterm infants.

Susan R Hintz, Patrick D Barnes, Dorothy Bulas, Thomas L Slovis, Neil N Finer, Lisa A Wrage, Abhik Das, Jon E Tyson, David K Stevenson, Waldemar A Carlo and 24 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 5 pooled it
28.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 5 syntheses or guidelines pooled it, 254 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Thresholds for surfactant use in preterm neonates: a network meta-analysis.Archives of disease in childhood. Fetal and neonatal edition · 2023
    Pooled it
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  6. Trial
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  12. Article
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  15. Factors associated with abnormal screening for autism spectrum disorder among Extremely Preterm Children.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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  17. Review
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  20. Article

81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 1 country.

Susan R HintzDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, California; srhintz@stanford.edu.
Patrick D BarnesDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, California;
Dorothy BulasDepartment of Diagnostic Imaging and Radiology, Children's National Medical Center, Washington, District of Columbia;
Thomas L SlovisDepartment of Pediatric Imaging, Children's Hospital of Michigan, Wayne State School of Medicine, Detroit, Michigan;
Neil N FinerDepartments of Neonatology, and.
Lisa A WrageSocial, Statistical, and Environmental Sciences Unit, RTI International, Research Triangle Park, North Carolina;
Abhik DasSocial, Statistical, and Environmental Sciences Unit, RTI International, Rockville, Maryland;
Jon E TysonDepartment of Pediatrics, University of Texas Medical School-Houston, Houston, Texas;
David K StevensonDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, California;
Waldemar A CarloDivision of Neonatology, University of Alabama-Birmingham, Birmingham, Alabama;
Michele C WalshDepartment of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, Ohio;
Abbot R LaptookDepartment of Pediatrics, Women & Infants Hospital, Brown University, Providence, Rhode Island;
Bradley A YoderDivision of Neonatology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah;
Krisa P Van MeursDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, California;
Roger G FaixDivision of Neonatology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah;
Wade RichDepartments of Neonatology, and Pediatrics, University of California-San Diego, San Diego, California;
Nancy S NewmanDepartment of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, Ohio;
Helen ChengSocial, Statistical, and Environmental Sciences Unit, RTI International, Research Triangle Park, North Carolina;
Roy J HeyneDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas;
Betty R VohrDepartment of Pediatrics, Women & Infants Hospital, Brown University, Providence, Rhode Island;
Michael J AcarreguiDepartment of Pediatrics, University of Iowa, Iowa City, Iowa;
Yvonne E VaucherPediatrics, University of California-San Diego, San Diego, California;
Athina PappasDepartment of Pediatrics, Wayne State University, Detroit, Michigan;
Myriam Peralta-CarcelenDivision of Neonatology, University of Alabama-Birmingham, Birmingham, Alabama;
Deanne E Wilson-CostelloDepartment of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, Ohio;
Patricia W EvansDepartment of Pediatrics, University of Texas Medical School-Houston, Houston, Texas;
Ricki F GoldsteinDepartment of Pediatrics, Duke University, Durham, North Carolina;
Gary J MyersDepartment of Pediatrics, University of Rochester Medical Center, Rochester, New York;
Brenda B PoindexterDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana;
Elisabeth C McGowanDivision of Newborn Medicine, Department of Pediatrics, Floating Hospital for Children, Tufts Medical Center, Boston, Massachusetts;
Ira Adams-ChapmanDepartment of Pediatrics, Emory University School of Medicine, and Children's Healthcare of Atlanta, Atlanta, Georgia;
Janell FullerUniversity of New Mexico Health Sciences Center, Albuquerque, New Mexico; and.
Rosemary D HigginsEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
SUPPORT Study Group of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
Case Western Reserve University · USLucile Packard Children's Hospital · USRTI International · USBrown University · USUniversity of Alabama at Birmingham · USUniversity of California, San Diego · USUniversity of Utah · USChildren's Hospital of Michigan · USChildren's National · USDuke University · USEmory University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USIndiana University School of MedicineStanford University · USThe University of Texas Southwestern Medical Center · USTufts Medical Center · USUniversity of Iowa · USUniversity of New Mexico · USUniversity of Rochester Medical Center · USWayne State University · US

Funding

Neonatal Research Network Data Coordinating Center (DCC)U10HD036790 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI DAS, ABHIK · 2008 to 2017
$62.3M
WORKER PROTECTION AGAINST AIRBORNE INFLUENZA - A PILOT STUDYM01RR007122 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KOCH, KENNETH L · 1992 to 2010
$35.2M
UNIVERSITY OF IOWA CTSA FOR PEDIATRIC RESEARCHUL1RR024979 · NCRR · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2007 to 2011
$31.8M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
The University of Rochester's Clinical and Translational Science InstituteUL1TR000042 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$14.4M
Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
NICHD Cooperative Multicenter Neonatal Research NetworkU10HD021385 · NICHD · WAYNE STATE UNIVERSITY · PI SHANKARAN, SEETHA · 1991 to 2015
$8.7M
NICHD Cooperative Multicenter Neonatal Research NetworkU10HD027904 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI LAPTOOK, ABBOT R · 1991 to 2015
$8.7M
USE OF OXANDROLONE TO IMPROVE FUNCTION IN CHRONIC SCIM01RR016587 · NCRR · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ALEJANDRO, RODOLFO · 2002 to 2005
$6.8M
NCATS NIH HHS UL1 TR000042NCATS NIH HHS UL1 TR000371NCATS NIH HHS UL1 TR001108NCRR NIH HHS M01 RR007122NCRR NIH HHS M01 RR016587NCRR NIH HHS UL1 RR024979NCRR NIH HHS UL1 RR025008NCRR NIH HHS UL1 RR025744NICHD NIH HHS U10 HD021364NICHD NIH HHS U10 HD021373NICHD NIH HHS U10 HD021385NICHD NIH HHS U10 HD021397NICHD NIH HHS U10 HD027851NICHD NIH HHS U10 HD027856NICHD NIH HHS U10 HD027880NICHD NIH HHS U10 HD027904NICHD NIH HHS U10 HD034216NICHD NIH HHS U10 HD036790NICHD NIH HHS U10 HD040461NICHD NIH HHS U10 HD040492NICHD NIH HHS U10 HD040498NICHD NIH HHS U10 HD040521NICHD NIH HHS U10 HD040689NICHD NIH HHS U10 HD053089NICHD NIH HHS U10 HD053109NICHD NIH HHS U10 HD053119NICHD NIH HHS U10 HD053124NICHD NIH HHS UG1 HD027880NICHD NIH HHS UG1 HD040492NICHD NIH HHS UG1 HD053089NICHD NIH HHS UG1 HD087229
6 · The paper itself

Abstract

backgroundExtremely preterm infants are at risk for neurodevelopmental impairment (NDI). Early cranial ultrasound (CUS) is usual practice, but near-term brain MRI has been reported to better predict outcomes. We prospectively evaluated MRI white matter abnormality (WMA) and cerebellar lesions, and serial CUS adverse findings as predictors of outcomes at 18 to 22 months' corrected age.

methodsEarly and late CUS, and brain MRI were read by masked central readers, in a large cohort (n = 480) of infants <28 weeks' gestation surviving to near term in the Neonatal Research Network. Outcomes included NDI or death after neuroimaging, and significant gross motor impairment or death, with NDI defined as cognitive composite score <70, significant gross motor impairment, and severe hearing or visual impairment. Multivariable models evaluated the relative predictive value of neuroimaging while controlling for other factors.

resultsOf 480 infants, 15 died and 20 were lost. Increasing severity of WMA and significant cerebellar lesions on MRI were associated with adverse outcomes. Cerebellar lesions were rarely identified by CUS. In full multivariable models, both late CUS and MRI, but not early CUS, remained independently associated with NDI or death (MRI cerebellar lesions: odds ratio, 3.0 [95% confidence interval: 1.3-6.8]; late CUS: odds ratio, 9.8 [95% confidence interval: 2.8-35]), and significant gross motor impairment or death. In models that did not include late CUS, MRI moderate-severe WMA was independently associated with adverse outcomes.

conclusionsBoth late CUS and near-term MRI abnormalities were associated with outcomes, independent of early CUS and other factors, underscoring the relative prognostic value of near-term neuroimaging.

Indexed as

EchoencephalographyMagnetic Resonance ImagingNeuroimagingBrainDevelopmental DisabilitiesFemaleHumansInfantInfant, Extremely PrematureInfant, NewbornMaleProspective StudiesMRIneurodevelopmentalneuroimagingpreterm infantultrasound

Identifiers

PMID25554820
PMCPMC4279063
OpenAlexW2058340730

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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.