Evidence map›Paper›PMID 33238909›Full record

ArticleBMC medical imaging2020

Association of gestational age with MRI-based biometrics of brain development in fetuses.

Yuequan Shi, Yunjing Xue, Chunxia Chen, Kaiwu Lin, Zuofu Zhou

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 24 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

5 authors at 2 institutions in 1 country.

Yuequan ShiDepartment of Radiology, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian, China.
Yunjing XueDepartment of Radiology, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Chunxia ChenDepartment of Radiology, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian, China.
Kaiwu LinDepartment of Radiology, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian, China.
Zuofu ZhouDepartment of Radiology, Fujian Maternity and Child Health Hospital, Fuzhou, Fujian, China. fzzzf1968@163.com.ORCID 0000-0002-4860-9777
Fuzhou Maternity and Child Health Care Hospital · CNFujian Medical University · CN

Funding

Fujian Provincial Department of Science and Technology (CN) 2018Y9025Young and Middle-aged Health Talents Training Program of Fujian Province 2019-ZQN-26
6 · The paper itself

Abstract

backgroundReported date of last menstrual period and ultrasonography measurements are the most commonly used methods for determining gestational age in antenatal life. However, the mother cannot always determine the last menstrual period with certainty, and ultrasonography measurements are accurate only in the first trimester. We aimed to assess the ability of various biometric measurements on magnetic resonance imaging (MRI) in determining the accurate gestational age of an individual fetus in the second half of gestation.

methodsWe used MRI to scan a total of 637 fetuses ranging in age from 22 to 40 gestational weeks. We evaluated 9 standard fetal 2D biometric parameters, and regression models were fitted to assess normal fetal brain development. A stepwise linear regression model was constructed to predict gestational age, and measurement accuracy was determined in a held-out, unseen test sample (n = 49).

resultsA second-order polynomial regression model was found to be the best descriptor of biometric measures including brain bi-parietal diameter, head circumference, and fronto-occipital diameter in relation to normal fetal growth. Normal fetuses showed divergent growth patterns for the cerebrum and cerebellum, where the cerebrum undergoes rapid growth in the second trimester, while the cerebellum undergoes rapid growth in the third trimester. Moreover, a linear model based on biometrics of brain bi-parietal diameter, length of the corpus callosum, vermis area, transverse cerebellar diameter, and cerebellar area accurately predicted gestational age in the second and third trimesters (cross-validation R

conclusionsThese results support the use of MRI biometry charts to improve MRI evaluation of fetal growth and suggest that MRI biometry measurements offer a potential estimation model of fetal gestational age in the second half of gestation, which is vital to any assessment of pregnancy, fetal development, and neonatal care.

Indexed as

Fetal DevelopmentGestational AgeMagnetic Resonance ImagingAnthropometryBrainFemaleHumansImage Processing, Computer-AssistedMalePregnancyRegression AnalysisSex CharacteristicsFetal brain maturityGestational ageMagnetic resonance imaging

Identifiers

PMID33238909
PMCPMC7689975
OpenAlexW3110641146

What OpenQuestion holds

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LicenceCC BY
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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.