Evidence map›Paper›PMID 35410397›Full record

ArticleNeuroradiology2022

Thalamocortical functional connectivity in infants with prenatal opioid exposure correlates with severity of neonatal opioid withdrawal syndrome.

Rupa Radhakrishnan, Ramana V Vishnubhotla, Zoe Guckien, Yi Zhao, Gregory M Sokol, David M Haas, Senthilkumar Sadhasivam

Open access · greenAbstract read
In one paragraph

Article in Neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.9field-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

14 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Disrupted Brain Connectivity in Newborns Following Antenatal Opioid Exposure.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Observational
  3. Article
  4. Article
  5. Review
  6. Disentangled Hybrid Transformer for Identification of Infants with Prenatal Drug Exposure.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2024
    Article
  7. Article
  8. Article
  9. Trends in Drug Tests among Children: A 22-Year Retrospective Analysis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. 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

7 authors at 2 institutions in 1 country.

Rupa RadhakrishnanDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, 705 Riley Hospital Drive, Indianapolis, IN, 46202, USA. rradhak@iu.edu.ORCID http://orcid.org/0000-0001-5224-1891
Ramana V VishnubhotlaDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, 705 Riley Hospital Drive, Indianapolis, IN, 46202, USA.
Zoe GuckienIndiana University School of Medicine, Indianapolis, IN, USA.
Yi ZhaoDepartment of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, USA.
Gregory M SokolDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
David M HaasDepartment of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN, USA.
Senthilkumar SadhasivamDepartment of Anesthesia, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of MedicineIndiana University Hospital · US

Funding

Effects of Opioid Use Disorder in Pregnancy on Long-Term Maternal and Child OutcomesR01HD096800 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SADHASIVAM, SENTHILKUMAR · 2018 to 2022
$3.1M
American Roentgen Ray Society ARRS ScholarshipEunice Kennedy Shriver National Institute of Child Health and Human Development R01HD096800NICHD NIH HHS R01 HD096800RSNA Research and Education Foundation RSNA Seed grant
6 · The paper itself

Abstract

purposePrenatal opioid exposure (POE) is a growing public health concern due to its associated adverse outcomes including neonatal opioid withdrawal syndrome (NOWS). The aim of this study was to assess alterations in thalamic functional connectivity in neonates with POE using resting-state functional magnetic resonance imaging (rs-fMRI) and identify whether these altered connectivity measures were associated with NOWS severity.

methodsIn this prospective, IRB-approved study, we performed rs-fMRI in 19 infants with POE and 20 healthy control infants without POE. Following standard pre-processing, we performed seed-based functional connectivity analysis with the right and left thalamus as the regions of interest. We performed post hoc analysis in the prenatal opioid exposure group to identify associations of altered thalamocortical connectivity with severity of NOWS. P value of < .05 was considered statistically significant.

resultsThere were several regions of significantly altered thalamic to cortical functional connectivity in infants with POE compared to the healthy infants. Distinct regions of thalamocortical functional connectivity correlated with maximum modified Finnegan score. Association between thalamocortical connectivity and severity of NOWS was nominally modified by maternal psychological conditions and polysubstance use.

conclusionOur findings reveal prenatal opioid exposure-related alterations in thalamic functional connectivity in the infant brain that are correlated with severity of NOWS. Future studies may benefit from evaluation of thalamocortical resting state functional connectivity in infants with POE to help  stratify risk of long term neurodevelopmental outcomes.

Indexed as

Analgesics, OpioidThalamusFemaleHumansInfantInfant, NewbornMagnetic Resonance ImagingPregnancyProspective StudiesAnalgesics, OpioidBrain developmentMagnetic resonance imagingNASNOWSPrenatal opioid exposureRs-fMRI

Identifiers

PMID35410397
PMCPMC12784300
OpenAlexW4223512260

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.