Evidence map›Paper›PMID 32796100›Full record

ArticleAJNR. American journal of neuroradiology2020

MRI Findings at Term-Corrected Age and Neurodevelopmental Outcomes in a Large Cohort of Very Preterm Infants.

S Arulkumaran, N Tusor, A Chew, S Falconer, N Kennea, P Nongena, J V Hajnal, S J Counsell, M A Rutherford, A D Edwards

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.2field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
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  6. Opioid exposure on the preterm brain: qualitative and quantitative MRI analysis.Intensive care medicine. Paediatric and neonatal · 2026
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  14. On Behalf of Serial Imaging in Preterm Infants.AJNR. American journal of neuroradiology · 2024
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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

10 authors at 3 institutions in 1 country.

S ArulkumaranFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK sg-baker@doctors.org.uk.ORCID 0000-0002-4510-1767
N TusorFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK.ORCID 0000-0002-3664-7397
A ChewFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK.ORCID 0000-0002-4344-2015
S FalconerFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK.ORCID 0000-0002-3359-4736
N KenneaNeonatal Unit (N.K.), St. George's Hospital, London, UK.ORCID 0000-0001-6150-2686
P NongenaDivision of Clinical Sciences (P.N.), Imperial College London, London, UK.ORCID 0000-0002-9256-270X
J V HajnalFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK.ORCID 0000-0002-2690-5495
S J CounsellFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK.ORCID 0000-0002-8033-5673
M A RutherfordFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK.ORCID 0000-0003-3361-1337
A D EdwardsFrom the Centre for the Developing Brain (S.A., N.T., A.C., S.F., J.V.H., S.J.C., M.A.R., A.D.E.), School of Biomedical engineering and Imaging Sciences, King's College London and Evelina London Children's Hospital, London, UK.ORCID 0000-0003-4801-7066
King's College London · GBNIHR Imperial Biomedical Research Centre · GBSt George's Hospital · GB

Funding

Department of Health RP-PG-0707-10154Medical Research Council MR/K006355/1Medical Research Council MR/N026063/1Wellcome Trust
6 · The paper itself

Abstract

background and purposeBrain MR imaging at term-equivalent age is a useful tool to define brain injury in preterm infants. We report pragmatic clinical radiological assessment of images from a large unselected cohort of preterm infants imaged at term and document the spectrum and frequency of acquired brain lesions and their relation to outcomes at 20 months. MATERIALS AND

methodsInfants born at <33 weeks' gestation were recruited from South and North West London neonatal units and imaged in a single center at 3T at term-equivalent age. At 20 months' corrected age, they were invited for neurodevelopmental assessment. The frequency of acquired brain lesions and the sensitivity, specificity, and negative and positive predictive values for motor, cognitive, and language outcomes were calculated, and corpus callosal thinning and ventricular dilation were qualitatively assessed.

resultsFive hundred four infants underwent 3T MR imaging at term-equivalent age; 477 attended for assessment. Seventy-six percent of infants had acquired lesions, which included periventricular leukomalacia, hemorrhagic parenchymal infarction, germinal matrix-intraventricular hemorrhage, punctate white matter lesions, cerebellar hemorrhage, and subependymal cysts. All infants with periventricular leukomalacia, and 60% of those with hemorrhagic parenchymal infarction had abnormal motor outcomes. Routine 3T MR imaging of the brain at term-equivalent age in an unselected preterm population that demonstrates no focal lesion is 45% sensitive and 61% specific for normal neurodevelopment at 20 months and 17% sensitive and 94% specific for a normal motor outcome.

conclusionsAcquired brain lesions are common in preterm infants routinely imaged at term-equivalent age, but not all predict an adverse neurodevelopmental outcome.

Indexed as

Brain DiseasesCohort StudiesDevelopmental DisabilitiesFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureInfant, Premature, DiseasesMagnetic Resonance ImagingMale

Identifiers

PMID32796100
PMCPMC7658865
OpenAlexW3046397271

What OpenQuestion holds

Textmetadata
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.