Evidence map›Paper›PMID 38816019›Full record

ArticleAJNR. American journal of neuroradiology2024

Imaging Findings and MRI Patterns in a Cohort of 18q Chromosomal Abnormalities.

Prateek Malik, Helen Branson, Grace Yoon, Manohar Shroff, Susan Blaser, Pradeep Krishnan

Abstract read
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Article in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Prateek MalikFrom the Department of Diagnostic Imaging (P.M., H.B., M.S., S.B., P.K.), The Hospital for Sick Children, Toronto, Canada.ORCID 0000-0001-8746-6601
Helen BransonFrom the Department of Diagnostic Imaging (P.M., H.B., M.S., S.B., P.K.), The Hospital for Sick Children, Toronto, Canada.ORCID 0000-0002-7429-9012
Grace YoonDivision of Clinical and Metabolic Genetics (G.Y.), The Hospital for Sick Children, Toronto, Canada.
Manohar ShroffFrom the Department of Diagnostic Imaging (P.M., H.B., M.S., S.B., P.K.), The Hospital for Sick Children, Toronto, Canada.ORCID 0000-0002-3791-5920
Susan BlaserFrom the Department of Diagnostic Imaging (P.M., H.B., M.S., S.B., P.K.), The Hospital for Sick Children, Toronto, Canada.ORCID 0000-0001-8891-5106
Pradeep KrishnanFrom the Department of Diagnostic Imaging (P.M., H.B., M.S., S.B., P.K.), The Hospital for Sick Children, Toronto, Canada.ORCID 0000-0003-0598-091X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe abnormalities of the long arm of chromosome 18 (18q) constitute a complex spectrum. We aimed to systematically analyze their MR imaging features. We hypothesized that there would be variable but recognizable white matter and structural patterns in this cohort. MATERIALS AND

methodsIn this retrospective cohort study, we included pediatric patients with a proved abnormality of 18q between 2000-2022. An age- and sex-matched control cohort was also constructed.

resultsThirty-six cases, median MR imaging age 19.6 months (4.3-59.3), satisfied our inclusion criteria. Most were female (25, 69%, F:M ratio 2.2:1). Fifty MR imaging studies were analyzed, and 35 (70%) had delayed myelination. Two independent readers scored brain myelination with excellent interrater reliability. Three recognizable evolving MR imaging patterns with distinct age distributions and improving myelination scores were identified: Pelizaeus-Merzbacher disease-like (9.9 months, 37), intermediate (22 months, 48), and washed-out pattern (113.6 months, 53). Etiologically, MRIs were analyzed across 3 subgroups: 18q deletion (34, 69%), trisomy 18 (10, 21%), and ring chromosome 18 (5, 10%). Ring chromosome 18 had the highest myelination lag (27,

conclusionsIn this cohort of 18q chromosomal abnormalities, MR imaging revealed recognizable patterns correlating with improving brain myelination. Imaging findings appear to be on a continuum with more severe white matter abnormalities in ring chromosome 18 and greater prevalence of structural abnormalities of the pons and cerebellum in trisomy 18.

Indexed as

Chromosomes, Human, Pair 18Magnetic Resonance ImagingBrainChild, PreschoolChromosome DeletionChromosome DisordersCohort StudiesFemaleHumansInfantMaleRetrospective StudiesRing ChromosomesTrisomy 18 SyndromeWhite Matter

Identifiers

PMID38816019
PMCPMC11448982

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