Evidence map›Paper›PMID 34792623›Full record

SynthesisNeuroradiology2022

What brain abnormalities can magnetic resonance imaging detect in foetal and early neonatal spina bifida: a systematic review.

Nada Mufti, Adalina Sacco, Michael Aertsen, Fred Ushakov, Sebastian Ourselin, Dominic Thomson, Jan Deprest, Andrew Melbourne, Anna L David

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Interhemispheric fissure distortion in fetal open spina bifida: an under-recognized prenatal ultrasound finding.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Article
  2. Cranial magnetic resonance imaging findings in 167 patients with spina bifida aperta: a retrospective study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Review
  3. TMagnetic resonance in medicine · 2025
    Article
  4. Article
  5. Review
  6. A qualitative analysis of patient and caregiver experiences with myelomeningocele through online discussion boards.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  7. Article
  8. Article
  9. Assessment of longitudinal brain development using super-resolution magnetic resonance imaging following fetal surgery for open spina bifida.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Article
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 5 institutions in 2 countries.

Nada MuftiElizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-9839-8085
Adalina SaccoElizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.
Michael AertsenDepartment of Radiology, University Hospitals Katholieke Universiteit (KU) Leuven, Leuven, Belgium.
Fred UshakovFetal Medicine Unit, University College London Hospital NHS Foundation Trust, London, UK.
Sebastian OurselinSchool of Biomedical Engineering and Imaging Sciences (BMEIS), King's College London, London, UK.
Dominic ThomsonPaediatric Neurosurgery Department, Great Ormond Street Hospital for Children, London, UK.
Jan DeprestElizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.
Andrew MelbourneSchool of Biomedical Engineering and Imaging Sciences (BMEIS), King's College London, London, UK.
Anna L DavidElizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.
University College Hospital · GBKing's College London · GBGreat Ormond Street Hospital · GBKU Leuven · BEUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Wellcome Trustwellcome trust and engineering and physical sciences research council (epsrc) [203148/Z/16/Z; 203145Z/16/Z; WT101957] and[NS/A000049/1; NS/A000050/1; NS/A000027/1; EP/L016478/1]
6 · The paper itself

Abstract

purposeOpen spina bifida (OSB) encompasses a wide spectrum of intracranial abnormalities. With foetal surgery as a new treatment option, robust intracranial imaging is important for comprehensive preoperative evaluation and prognostication. We aimed to determine the incidence of infratentorial and supratentorial findings detected by magnetic resonance imaging (MRI) alone and MRI compared to ultrasound.

methodsTwo systematic reviews comparing MRI to ultrasound and MRI alone were conducted on MEDLINE, EMBASE, and Cochrane databases identifying studies of foetal OSB from 2000 to 2020. Intracranial imaging findings were analysed at ≤ 26 or > 26 weeks gestation and neonates (≤ 28 days). Data was independently extracted by two reviewers and meta-analysis was performed where possible.

resultsThirty-six studies reported brain abnormalities detected by MRI alone in patients who previously had an ultrasound. Callosal dysgenesis was identified in 4/29 cases (2 foetuses ≤ 26 weeks, 1 foetus under any gestation, and 1 neonate ≤ 28 days) (15.1%, CI:5.7-34.3%). Heterotopia was identified in 7/40 foetuses ≤ 26 weeks (19.8%, CI:7.7-42.2%), 9/36 foetuses > 26 weeks (25.3%, CI:13.7-41.9%), and 64/250 neonates ≤ 28 days (26.9%, CI:15.3-42.8%). Additional abnormalities included aberrant cortical folding and other Chiari II malformation findings such as lower cervicomedullary kink level, tectal beaking, and hypoplastic tentorium. Eight studies compared MRI directly to ultrasound, but due to reporting inconsistencies, it was not possible to meta-analyse.

conclusionMRI is able to detect anomalies hitherto underestimated in foetal OSB which may be important for case selection. In view of increasing prenatal OSB surgery, further studies are required to assess developmental consequences of these findings.

Indexed as

Spinal DysraphismUltrasonography, PrenatalBrainFemaleFetusHumansInfant, NewbornMagnetic Resonance ImagingPregnancyFoetal surgeryIntracranial anomalyMRISpina bifidaSystematic review

Identifiers

PMID34792623
PMCPMC8789702
OpenAlexW3213385048

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.