Evidence map›Paper›PMID 34674999›Full record

Observational studyAJNR. American journal of neuroradiology2021

A Uniform Description of Perioperative Brain MRI Findings in Infants with Severe Congenital Heart Disease: Results of a European Collaboration.

R Stegeman, M Feldmann, N H P Claessens, N J G Jansen, J M P J Breur, L S de Vries, T Logeswaran, B Reich, W Knirsch, R Kottke and 11 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 36 citations in OpenAlex.

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  9. The "Heart-and-Brain Interaction" in Newborns with Complex Congenital Heart Disease.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  10. Cord blood levels of insulin-like growth factor-1 and insulin-like growth factor binding protein-3 correlate with perinatal brain development in fetal congenital heart disease.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Observational
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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

21 authors at 10 institutions in 8 countries.

R StegemanFrom the Departments of Neonatology (R.S., N.H.P.C., L.S.d.V., M.J.N.L.B.).ORCID 0000-0001-9874-5470
M FeldmannChild Development Center (M.F., B.L.).ORCID 0000-0002-6616-3510
N H P ClaessensFrom the Departments of Neonatology (R.S., N.H.P.C., L.S.d.V., M.J.N.L.B.).ORCID 0000-0002-4221-2779
N J G JansenPediatric Intensive Care (R.S., N.H.P.C., N.J.G.J.).ORCID 0000-0003-3106-3824
J M P J BreurPediatric Cardiology (R.S., N.H.P.C., J.M.P.J.B.), Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, the Netherlands.ORCID 0000-0001-8009-8869
L S de VriesFrom the Departments of Neonatology (R.S., N.H.P.C., L.S.d.V., M.J.N.L.B.).ORCID 0000-0002-7282-8304
T LogeswaranPediatric Heart Center (T.L., B.R.), University Hospital Giessen, Justus-Liebig-University Giessen, Giessen, Germany.ORCID 0000-0003-4007-0751
B ReichPediatric Heart Center (T.L., B.R.), University Hospital Giessen, Justus-Liebig-University Giessen, Giessen, Germany.ORCID 0000-0001-6308-115X
W KnirschDivision of Pediatric Cardiology (W.K.), Pediatric Heart Center.ORCID 0000-0002-8741-3929
R KottkeDepartment of Diagnostic Imaging (R.K.).ORCID 0000-0003-0166-2770
C HagmannDepartment of Neonatology and Pediatric Intensive Care (C.H.), University Children's Hospital Zurich, Zurich, Switzerland.ORCID 0000-0003-2647-9809
B LatalChild Development Center (M.F., B.L.).ORCID 0000-0003-1309-4790
J SimpsonDepartment of Pediatric Cardiology (J.S., K.P.), Evelina Children's Hospital London, London, UK.ORCID 0000-0002-9773-7441
K PushparajahDepartment of Pediatric Cardiology (J.S., K.P.), Evelina Children's Hospital London, London, UK.ORCID 0000-0003-1541-1155
A F BonthroneCentre for the Developing Brain (K.P., A.F.B., C.J.K., S.A., M.A.R., S.J.C.), School of Biomedical Engineering and Imaging Sciences, King.s College London, London, UK.ORCID 0000-0001-5487-5564
C J KellyCentre for the Developing Brain (K.P., A.F.B., C.J.K., S.A., M.A.R., S.J.C.), School of Biomedical Engineering and Imaging Sciences, King.s College London, London, UK.ORCID 0000-0002-1246-844X
S ArulkumaranCentre for the Developing Brain (K.P., A.F.B., C.J.K., S.A., M.A.R., S.J.C.), School of Biomedical Engineering and Imaging Sciences, King.s College London, London, UK.ORCID 0000-0002-4510-1767
M A RutherfordCentre for the Developing Brain (K.P., A.F.B., C.J.K., S.A., M.A.R., S.J.C.), School of Biomedical Engineering and Imaging Sciences, King.s College London, London, UK.ORCID 0000-0003-3361-1337
S J CounsellCentre for the Developing Brain (K.P., A.F.B., C.J.K., S.A., M.A.R., S.J.C.), School of Biomedical Engineering and Imaging Sciences, King.s College London, London, UK.ORCID 0000-0002-8033-5673
M J N L BendersFrom the Departments of Neonatology (R.S., N.H.P.C., L.S.d.V., M.J.N.L.B.) M.Benders@umcutrecht.nl.ORCID 0000-0001-5491-9168
European Association Brain in Congenital Heart Disease Consortium
King's College London · GBUtrecht University · NLChild Development Center · QAIntensive Care Foundation · AUJustus-Liebig-Universität Gießen · DEEvelina London Children's Healthcare · GBHeart Foundation · USImaging Center · USUniversity Children's Hospital Zurich · CHUniversity Medical Center Utrecht · NL

Funding

British Heart Foundation FS/15/55/31649Medical Research Council MR/L011530/1Medical Research Council MR/V002465/1Wellcome Trust 203148/Z/16/ZWellcome Trust WT 203148/Z/16/Z
6 · The paper itself

Abstract

background and purposeA uniform description of brain MR imaging findings in infants with severe congenital heart disease to assess risk factors, predict outcome, and compare centers is lacking. Our objective was to uniformly describe the spectrum of perioperative brain MR imaging findings in infants with congenital heart disease. MATERIALS AND

methodsProspective observational studies were performed at 3 European centers between 2009 and 2019. Brain MR imaging was performed preoperatively and/or postoperatively in infants with transposition of the great arteries, single-ventricle physiology, or left ventricular outflow tract obstruction undergoing cardiac surgery within the first 6 weeks of life. Brain injury was assessed on T1, T2, DWI, SWI, and MRV. A subsample of images was assessed jointly to reach a consensus.

resultsA total of 348 MR imaging scans (180 preoperatively, 168 postoperatively, 146 pre- and postoperatively) were obtained in 202 infants. Preoperative, new postoperative, and cumulative postoperative white matter injury was identified in 25%, 30%, and 36%; arterial ischemic stroke, in 6%, 10%, and 14%; hypoxic-ischemic watershed injury in 2%, 1%, and 1%; intraparenchymal cerebral hemorrhage, in 0%, 4%, and 5%; cerebellar hemorrhage, in 6%, 2%, and 6%; intraventricular hemorrhage, in 14%, 6%, and 13%; subdural hemorrhage, in 29%, 17%, and 29%; and cerebral sinovenous thrombosis, in 0%, 10%, and 10%, respectively.

conclusionsA broad spectrum of perioperative brain MR imaging findings was found in infants with severe congenital heart disease. We propose an MR imaging protocol including T1-, T2-, diffusion-, and susceptibility-weighted imaging, and MRV to identify ischemic, hemorrhagic, and thrombotic lesions observed in this patient group.

Indexed as

Heart Defects, CongenitalTransposition of Great VesselsBrainHumansInfantMagnetic Resonance ImagingNeuroimaging

Identifiers

PMID34674999
PMCPMC8583253
OpenAlexW3205418166

What OpenQuestion holds

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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.