Evidence map›Paper›PMID 37698481›Full record

ArticlePrenatal diagnosis2023

Biometric magnetic resonance imaging analysis of fetal brain development in Down syndrome.

Rie Kitano, Neel Madan, Takahisa Mikami, Rajeevi Madankumar, Brian G Skotko, Stephanie Santoro, Steven J Ralston, Diana W Bianchi, Tomo Tarui

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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  5. Review
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.

Rie KitanoObstetrics and Gynecology, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.
Neel MadanRadiology, Tufts Medical Center, Boston, Massachusetts, USA.
Takahisa MikamiDepartment of Neurology, Tufts Medical Center, Boston, Massachusetts, USA.
Rajeevi MadankumarObstetrics and Gynecology, Long Island Jewish Medical Center, New Hyde Park, New York, USA.
Brian G SkotkoDown Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-5232-9882
Stephanie SantoroDown Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, USA.
Steven J RalstonObstetrics and Gynecology, The University of Maryland, Baltimore, Maryland, USA.
Diana W BianchiSection on Prenatal Genomics and Fetal Therapy, Center for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0001-9270-5267
Tomo TaruiMother Infant Research Institute, Tufts Medical Center, Boston, Massachusetts, USA.ORCID 0000-0003-3860-7062

Funding

Prenatal Treatment of Down Syndrome to Improve Brain Development and NeurocognitionZIAHG200399 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIANCHI, DIANA · 2017 to 2025
$11.1M
Prenatal diagnosis of brain malformations: Improving assessment of prognosisK23HD079605 · NICHD · TUFTS MEDICAL CENTER · PI TARUI, TOMO · 2015 to 2019
$767k
Intramural NIH HHS ZIA HG200399NICHD NIH HHS K23 HD079605
6 · The paper itself

Abstract

objectivesTo assess brain development in living fetuses with Down syndrome (DS) by biometric measurements on fetal brain magnetic resonance images (MRI).

methodsWe scanned 10 MRIs of fetuses with confirmed trisomy 21 at birth and 12 control fetal MRIs without any detected anomalies. Fetal brain MRIs were analyzed using 14 fetal brain and skull biometric parameters. We compared measures between DS and controls in both raw MRIs and motion-corrected and anterior-posterior commissure-aligned images.

resultsIn the reconstructed images, the measured values of the height of the cerebellar vermis (HV) and anteroposterior diameter of the cerebellar vermis (APDV) were significantly smaller, and the anteroposterior diameter of the fourth ventricle (APDF) was significantly larger in fetuses with DS than controls. In the raw MRIs, the measured values of the right lateral ventricle were significantly larger in fetuses with DS than in controls. Logistic regression analyses revealed that a new parameter, the cerebellar-to-fourth-ventricle ratio (i.e., (APDV * Height of the vermis)/APDF), was significantly smaller in fetuses with DS than controls and was the most predictive to distinguish between fetuses with DS and controls.

conclusionsThe study revealed that fetuses with DS have smaller cerebellums and larger fourth ventricles compared to the controls.

Indexed as

Down SyndromeBiometryBrainFemaleFetusGestational AgeHumansInfant, NewbornMagnetic Resonance Imaging

Identifiers

PMID37698481
PMCPMC11742279

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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.