Evidence map›Paper›PMID 33395969›Full record

ArticleNeuroImage. Clinical2020

Automated brain morphometric biomarkers from MRI at term predict motor development in very preterm infants.

Julia E Kline, Venkata Sita Priyanka Illapani, Lili He, Nehal A Parikh

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Associations between neonatal brain structure and neurodevelopmental outcomes following very preterm birth.Journal of perinatology : official journal of the California Perinatal Association · 2026
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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

4 authors at 2 institutions in 1 country.

Julia E KlinePerinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Venkata Sita Priyanka IllapaniPerinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Lili HePerinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Nehal A ParikhPerinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States; Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, United States. Electronic address: Nehal.Parikh@cchmc.org.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · US

Funding

A New Model to Identify Preterm Neonates at High-Risk for Cognitive Impairments and School ReadinessR01NS094200 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI NEHAL A. PARIKH · 2016 to 2026
$6.7M
Early Prediction of Cerebral Palsy in Premature Infants using Advanced MRI BiomarkersR01NS096037 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI PARIKH, NEHAL A. · 2016 to 2020
$2.2M
Early Prediction of Cognitive Deficits in Very Preterm Infants using Machine Learning and Brain ConnectomeR21HD094085 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI HE, LILI · 2018 to 2019
$437k
NICHD NIH HHS R21 HD094085NINDS NIH HHS R01 NS094200NINDS NIH HHS R01 NS096037
6 · The paper itself

Abstract

Very preterm infants are at high risk for motor impairments. Early interventions can improve outcomes in this cohort, but they would be most effective if clinicians could accurately identify the highest-risk infants early. A number of biomarkers for motor development exist, but currently none are sufficiently accurate for early risk-stratification. We prospectively enrolled very preterm (gestational age ≤31 weeks) infants from four level-III NICUs. Structural brain MRI was performed at term-equivalent age. We used a established pipeline to automatically derive brain volumetrics and cortical morphometrics - cortical surface area, sulcal depth, gyrification index, and inner cortical curvature - from structural MRI. We related these objective measures to Bayley-III motor scores (overall, gross, and fine) at two-years corrected age. Lasso regression identified the three best predictive biomarkers for each motor scale from our initial feature set. In multivariable regression, we assessed the independent value of these brain biomarkers, over-and-above known predictors of motor development, to predict motor scores. 75 very preterm infants had high-quality T2-weighted MRI and completed Bayley-III motor testing. All three motor scores were positively associated with regional cortical surface area and subcortical volumes and negatively associated with cortical curvature throughout the majority of brain regions. In multivariable regression modeling, thalamic volume, curvature of the temporal lobe, and curvature of the insula were significant predictors of overall motor development on the Bayley-III, independent of known predictors. Objective brain morphometric biomarkers at term show promise in predicting motor development in very preterm infants.

Indexed as

Infant, PrematureMagnetic Resonance ImagingBiomarkersBrainGestational AgeHumansInfantInfant, NewbornInfant, Very Low Birth WeightBiomarkersBiomarkersMotor outcomesPrognosticationStructural MRIVery preterm

Identifiers

PMID33395969
PMCPMC7649646
OpenAlexW3094814483

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.