Evidence map›Paper›PMID 30381845›Full record

ArticleUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2019

Increased Sylvian fissure angle as early sonographic sign of malformation of cortical development.

R K Pooh, M Machida, T Nakamura, K Uenishi, H Chiyo, K Itoh, J Yoshimatsu, H Ueda, K Ogo, P Chaemsaithong and 1 more

Abstract read
In one paragraph

Article in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
  2. Deep learning assessment of fetal brain maturation on 3D ultrasound volumes in early-onset fetal growth restriction.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Observational
  3. Doppler Assessment of the Fetal Brain Circulation.Diagnostics (Basel, Switzerland) · 2026
    Review
  4. Article
  5. Article
  6. Article
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  8. Article
  9. Review
  10. Review
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  14. Review
  15. Validation of a semiautomated volumetric approach for fetal neurosonography using 5DCNS+ in clinical data from > 1100 consecutive pregnancies.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

R K PoohCRIFM Clinical Research Institute of Fetal Medicine Pooh Maternity Clinic, Osaka, Japan.
M MachidaCRIFM Clinical Research Institute of Fetal Medicine Pooh Maternity Clinic, Osaka, Japan.
T NakamuraCRIFM Clinical Research Institute of Fetal Medicine Pooh Maternity Clinic, Osaka, Japan.
K UenishiCRIFM Clinical Research Institute of Fetal Medicine Pooh Maternity Clinic, Osaka, Japan.
H ChiyoCRIFM Clinical Research Institute of Fetal Medicine Pooh Maternity Clinic, Osaka, Japan.
K ItohDepartment of Pathology and Applied Neurobiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
J YoshimatsuDepartment of Obstetrics and Gynecology, National Cerebral and Cardiovascular Center, Osaka, Japan.
H UedaDepartment of Pathology, National Cerebral and Cardiovascular Center, Osaka, Japan.
K OgoDepartment of Pathology, National Cerebral and Cardiovascular Center, Osaka, Japan.
P ChaemsaithongDepartment of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.ORCID https://orcid.org/0000-0002-4368-0494
L C PoonDepartment of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.ORCID https://orcid.org/0000-0002-3944-4130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate Sylvian fissure development by assessing Sylvian fissure angles in fetuses with malformation of cortical development (MCD).

methodsThis was a retrospective study of 22 fetuses with MCD. Cases with a stored three-dimensional (3D) brain volume acquired at 18 + 0 to 30 + 6 weeks of gestation at an ultrasound-based research clinic between January 2010 and December 2017 were identified through a database. Of the 22 fetuses, seven had an extracranial abnormality, such as cardiac, renal, gastrointestinal and/or digital anomalies, and five had a minor abnormality such as micrognathia, low-set ears and/or single umbilical artery. To confirm the final clinical diagnosis of brain abnormality, postmortem histological findings or prenatal or postnatal magnetic resonance images were used. For measurement of Sylvian fissure angle, an anterior coronal plane of the fetal brain on transvaginal 3D volume multiplanar imaging was visualized as a single image from the three orthogonal views. The right and left Sylvian fissure angles were measured between a horizontal reference line (0°) and a line drawn along the upper side of the respective Sylvian fissure. The Sylvian fissure angle on both sides was plotted on the graphs of the reference ranges for gestational age in weeks.

resultsIn 21 (95.5%; 95% CI, 86.8-100.0%) of 22 fetuses with MCD, the Sylvian fissure angle on one or both sides was larger than the 90

conclusionsThis study has shown that the Sylvian fissures, as defined by the Sylvian fissure angle, have delayed development in most MCD cases prior to the diagnosis of the condition. The Sylvian fissure angle may potentially be a strong indicator for the subsequent development of cortical malformation, before the time point at which the gyri and sulci become obvious on the fetal brain surface. Further research is required to validate these findings. © 2018 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of the International Society of Ultrasound in Obstetrics and Gynecology.

Indexed as

AutopsyBrainCerebral CortexCongenital AbnormalitiesFemaleFetal DevelopmentFetusGestational AgeHumansImaging, Three-DimensionalMagnetic Resonance ImagingMalformations of Cortical DevelopmentPregnancyPregnancy Trimester, SecondPregnancy Trimester, ThirdReference Values3D transvaginal ultrasoundmalformations of cortical developmentneuronal migration disorderneurosonographySylvian fissure angle

Identifiers

PMID30381845
PMCPMC6772089

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LicenceCC BY-NC-ND
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Registered trials

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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.