Evidence map›Paper›PMID 38857593›Full record

Observational studyFetal diagnosis and therapy2024

The Fetal Spleen in Low-Risk Pregnancies and prior to Preterm Birth: Observational Study of the Role of Anatomical and Functional Magnetic Resonance Imaging.

Megan Hall, Alena Uus, Megan Preston, Natalie Suff, Deena Gibbons, Mary Rutherford, Andrew Shennan, Jana Hutter, Lisa Story

Abstract readObservational Study
In one paragraph

Observational study in Fetal diagnosis and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Megan HallDepartment of Women and Children's Health, St Thomas' Hospital, King's College London, London, UK.
Alena UusDepartment of Women and Children's Health, St Thomas' Hospital, King's College London, London, UK.
Megan PrestonDepartment of Women and Children's Health, St Thomas' Hospital, King's College London, London, UK.
Natalie SuffDepartment of Women and Children's Health, St Thomas' Hospital, King's College London, London, UK.
Deena GibbonsPeter Gorer Department of Immunobiology, Guy's Hospital, King's College London, London, UK.
Mary RutherfordDepartment of Perinatal Imaging, St Thomas' Hospital, King's College London, London, UK.
Andrew ShennanDepartment of Women and Children's Health, St Thomas' Hospital, King's College London, London, UK.
Jana HutterDepartment of Perinatal Imaging, St Thomas' Hospital, King's College London, London, UK.
Lisa StoryDepartment of Women and Children's Health, St Thomas' Hospital, King's College London, London, UK.

Funding

Structure and function of the placenta from implantation to delivery: a next generation MRI approachU01HD087202 · NICHD · KING'S COLLEGE LONDON · PI ALEXANDER, DANIEL, ALJABAR, PAUL · 2015 to 2015
$3.2M
NICHD NIH HHS U01 HD087202Wellcome Trust
6 · The paper itself

Abstract

introductionSpontaneous preterm birth complicates ∼7% of pregnancies and causes morbidity and mortality. Although infection is a common etiology, our understanding of the fetal immune system in vivo is limited. This study aimed to utilize T2-weighted imaging and T2* relaxometry (which is a proxy of tissue oxygenation) of the fetal spleen in uncomplicated pregnancies and in fetuses that were subsequently delivered spontaneously prior to 32 weeks.

methodsWomen underwent imaging including T2-weighted fetal body images and multi-eco gradient echo single-shot echo planar sequences on a Phillips Achieva 3T system. Previously described postprocessing techniques were applied to obtain T2- and T2*-weighted imaging of the fetal spleen and T2-weighted fetal body volumes.

resultsAmong 55 women with uncomplicated pregnancies, an increase in fetal splenic volume, splenic:body volume, and a decrease in splenic T2* signal intensity was demonstrated across gestation. Compared to controls, fetuses who were subsequently delivered prior to 32 weeks' gestation (n = 19) had a larger spleen when controlled for the overall size of the fetus (p = 0.027), but T2* was consistent (p = 0.76).

conclusionThese findings provide evidence of a replicable method of studying the fetal immune system and give novel results on the impact of impending preterm birth on the spleen. While T2* decreases prior to preterm birth in other organs, preservation demonstrated here suggests preferential sparing of the spleen.

Indexed as

Magnetic Resonance ImagingPremature BirthSpleenAdultFemaleFetusGestational AgeHumansPregnancyChorioamnionitisFetal immunityInfectionMagnetic resonance imagingPreterm deliveryPreterm rupture of membranes

Identifiers

PMID38857593
PMCPMC11446336

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.