Evidence map›Paper›PMID 32291477›Full record

ArticleClinical neuroradiology2021

Sequelae of Premature Birth in Young Adults : Incidental Findings on Routine Brain MRI.

Dennis M Hedderich, Tobias Boeckh-Behrens, Josef G Bäuml, Aurore Menegaux, Marcel Daamen, Claus Zimmer, Peter Bartmann, Lukas Scheef, Henning Boecker, Dieter Wolke and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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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

12 authors at 6 institutions in 2 countries.

Dennis M HedderichTUM-NIC Neuroimaging Center, Munich, Germany. dennis.hedderich@tum.de.
Tobias Boeckh-BehrensTUM-NIC Neuroimaging Center, Munich, Germany.
Josef G BäumlTUM-NIC Neuroimaging Center, Munich, Germany.
Aurore MenegauxTUM-NIC Neuroimaging Center, Munich, Germany.
Marcel DaamenFunctional Neuroimaging Group, Department of Radiology, University Hospital Bonn, Bonn, Germany.
Claus ZimmerDepartment of Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.
Peter BartmannDepartment of Neonatology, University Hospital Bonn, Bonn, Germany.
Lukas ScheefFunctional Neuroimaging Group, Department of Radiology, University Hospital Bonn, Bonn, Germany.
Henning BoeckerFunctional Neuroimaging Group, Department of Radiology, University Hospital Bonn, Bonn, Germany.
Dieter WolkeDepartment of Psychology, University of Warwick, Coventry, UK.
Christian SorgTUM-NIC Neuroimaging Center, Munich, Germany.
Judith E SpiroDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
University Hospital Bonn · DEHolsboerMaschmeyer NeuroChemie (Germany) · DEKlinikum rechts der Isar · DETechnical University of Munich · DELMU Klinikum · DEUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeQualitative studies about the abnormalities appreciated on routine magnetic resonance imaging (MRI) sequences in prematurely born adults are lacking. This article aimed at filling this knowledge gap by (1) qualitatively describing routine imaging findings in prematurely born adults, (2) evaluating measures for routine image interpretation and (3) investigating the impact of perinatal variables related to premature birth.

methodsIn this study two board-certified radiologists assessed T1-weighted and FLAIR-weighted images of 100 prematurely born adults born very preterm (VP <32 weeks) and/or at very low birth weight (VLBW <1500 g) and 106 controls born at full term (FT) (mean age 26.8 ± 0.7 years). The number of white matter lesions (WML) was counted according to localization. Lateral ventricle volume (LVV) was evaluated subjectively and by measurements of Evans' index (EI) and frontal-occipital-horn ratio (FOHR). Freesurfer-based volumetry served as reference standard. Miscellaneous incidental findings were noted as free text.

resultsThe LVV was increased in 24.7% of VP/VLBW individuals and significantly larger than in FT controls. This was best identified by measurement of FOHR (AUC = 0.928). Ventricular enlargement was predicted by low gestational age (odds ratio: 0.71, 95% CI 0.51-0.98) and presence of neonatal intracranial hemorrhage (odds ratio: 0.26, 95% CI 0.07-0.92). The numbers of deep and periventricular WML were increased while subcortical WMLs were not.

conclusionEnlargement of the LVV and deep and periventricular WMLs are typical sequelae of premature birth that can be appreciated on routine brain MRI. To increase sensitivity of abnormal LVV detection, measurement of FOHR seems feasible in clinical practice.

Indexed as

Premature BirthAdultBrainFemaleHumansIncidental FindingsInfant, NewbornInfant, Very Low Birth WeightMagnetic Resonance ImagingMalePregnancyDiagnostic imagingLateral ventriclesNeuroradiologyPreterm birthWhite matter diseases

Identifiers

PMID32291477
PMCPMC8211575
OpenAlexW3015297045

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.