Evidence map›Paper›PMID 32557916›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging2020

The Influence of Various Cerebral and Extracerebral Pathologies on Apparent Diffusion Coefficient Values in the Fetal Brain.

Nadja Schönberg, Christian Weisstanner, Roland Wiest, Harald M Bonél, Eike I Piechowiak, Jennifer L Cullmann, Luigi Raio, Manuela Pastore-Wapp, Nedelina Slavova

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 3 institutions in 1 country.

Nadja SchönbergDepartment of Radiology and Nuclear Medicine, Winterthur Canton Hospital, Winterthur, Switzerland.
Christian WeisstannerInstitute of Diagnostic and Interventional Neuroradiology, Bern University Hospital, Bern, Switzerland.
Roland WiestInstitute of Diagnostic and Interventional Neuroradiology, Bern University Hospital, Bern, Switzerland.
Harald M BonélDepartment of Diagnostic, Interventional and Paediatric Radiology, Bern University Hospital, Bern, Switzerland.
Eike I PiechowiakInstitute of Diagnostic and Interventional Neuroradiology, Bern University Hospital, Bern, Switzerland.
Jennifer L CullmannDepartment of Diagnostic, Interventional and Paediatric Radiology, Bern University Hospital, Bern, Switzerland.
Luigi RaioDepartment of Obstetrics and Gynaecology, Bern University Hospital, Bern, Switzerland.
Manuela Pastore-WappSupport Centre for Advanced Neuroimaging (SCAN), Institute of Diagnostic and Interventional Neuroradiology, Bern University Hospital, Bern, Switzerland.ORCID 0000-0003-2603-8915
Nedelina SlavovaInstitute of Diagnostic and Interventional Neuroradiology, Bern University Hospital, Bern, Switzerland.
University of Bern · CHUniversity Hospital of Bern · CHKantonsspital Winterthur · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe changing MRI signal accompanying brain maturation in fetal brains can be quantified on apparent diffusion coefficient (ADC) maps. Deviations from the natural course of ADC values may reflect structural pathology. The purpose of this study was to determine the influence of fetal pathologies on the ADC values in different regions of the fetal brain and their evolution with increasing gestational age.

methodsThis was a retrospective study of 291 fetuses evaluated between the 14th and the 40th week of gestation using diffusion-weighted imaging (DWI). Fetuses with normal MRI findings but sonographically suspected pathology or fetuses with abnormalities not affecting the brain were analyzed in the control group and compared to fetuses suffering from different pathologies like hydrocephalus/ventriculomegaly, brain malformations, infections, ischemia/hemorrhage, diaphragmatic hernias, and congenital heart disease. Pairwise ADC measurements in each side of the white matter (WM) of the frontal, parietal, and occipital lobes, in the basal ganglia and the cerebellum, as well as a single measurement in the pons were performed and were plotted against gestational age.

resultsIn the control group, brain maturation followed a defined gradient, resulting in lower ADC values in the most mature regions. Each disorder group experienced abnormal patterns of evolution of the ADC values over time deviating from the expected course.

conclusionsThe ADC values in different regions of the fetal brain and their evolution with increasing gestational age are influenced by pathologies compromising the cerebral maturation.

Indexed as

Gestational AgeBrainDiffusion Magnetic Resonance ImagingFetal DevelopmentHumansHydrocephalusMagnetic Resonance ImagingRetrospective StudiesStrokeADCbraincerebral pathologiesfetal MRImaturation

Identifiers

PMID32557916
PMCPMC7383773
OpenAlexW3036662640

What OpenQuestion holds

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LicenceCC BY-NC
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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.