Evidence map›Paper›PMID 38994701›Full record

ArticleJournal of magnetic resonance imaging : JMRI2025

T2*-Relaxometry MRI to Assess Third Trimester Placental and Fetal Brain Oxygenation and Placental Characteristics in Healthy Fetuses and Fetuses With Congenital Heart Disease.

Daniel Cromb, Johannes Steinweg, Jordina Aviles Verdera, Milou P M van Poppel, Alexandra F Bonthrone, David F A Lloyd, Kuberan Pushparajah, John Simpson, Reza Razavi, Mary Rutherford and 2 more

Abstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Characterizing fetoplacental response to acute maternal hyperoxygenation in suspected coarctation of aorta using fetal cardiac MRI.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Article
  5. Review
  6. 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

12 authors.

Daniel CrombCentre for the Developing Brain, School of Biomedical and Engineering Sciences, King's College London, London, UK.ORCID https://orcid.org/0000-0002-9814-8841
Johannes SteinwegDepartment of Cardiovascular Imaging, School of Biomedical Engineering & Imaging Science, King's College London, London, UK.ORCID https://orcid.org/0000-0002-3366-0932
Jordina Aviles VerderaCentre for the Developing Brain, School of Biomedical and Engineering Sciences, King's College London, London, UK.
Milou P M van PoppelDepartment of Cardiovascular Imaging, School of Biomedical Engineering & Imaging Science, King's College London, London, UK.
Alexandra F BonthroneCentre for the Developing Brain, School of Biomedical and Engineering Sciences, King's College London, London, UK.
David F A LloydCentre for the Developing Brain, School of Biomedical and Engineering Sciences, King's College London, London, UK.
Kuberan PushparajahDepartment of Cardiovascular Imaging, School of Biomedical Engineering & Imaging Science, King's College London, London, UK.
John SimpsonDepartment of Cardiovascular Imaging, School of Biomedical Engineering & Imaging Science, King's College London, London, UK.
Reza RazaviBiomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Mary RutherfordCentre for the Developing Brain, School of Biomedical and Engineering Sciences, King's College London, London, UK.
Serena J CounsellCentre for the Developing Brain, School of Biomedical and Engineering Sciences, King's College London, London, UK.
Jana HutterCentre for the Developing Brain, School of Biomedical and Engineering Sciences, King's College London, London, UK.ORCID https://orcid.org/0000-0003-3476-3500

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
Deutsche Forschungsgemeinschaft 502024488Medical Research Council MR/V002465/1National Institute for Health Research (NIHR) Biomedical Research CentreNICHD NIH HHS U01 HD087202NIH Human Placenta Project grant U01HD087202UK Research and Innovation MR/T018119/1Wellcome EPSRC Centre for Medical Engineering WT 203148/Z/16/ZWellcome TrustWellcome Trust 102431Wellcome Trust 201374/Z/16/Z
6 · The paper itself

Abstract

backgroundCongenital heart disease (CHD) has been linked to impaired placental and fetal brain development. Assessing the placenta and fetal brain in parallel may help further our understanding of the relationship between development of these organs. HYPOTHESIS: 1) Placental and fetal brain oxygenation are correlated, 2) oxygenation in these organs is reduced in CHD compared to healthy controls, and 3) placental structure is altered in CHD. STUDY TYPE: Retrospective case-control. POPULATION: Fifty-one human fetuses with CHD (32 male; median [IQR] gestational age [GA] = 32.0 [30.9-32.9] weeks) and 30 from uncomplicated pregnancies with normal birth outcomes (18 male; median [IQR] GA = 34.5 [31.9-36.7] weeks). FIELD STRENGTH/SEQUENCE: 1.5 T single-shot multi-echo-gradient-echo echo-planar imaging. ASSESSMENT: Masking was performed using an automated nnUnet model. Mean brain and placental T2* and quantitative measures of placental texture, volume, and morphology were calculated. STATISTICAL TESTS: Spearman's correlation coefficient for determining the association between brain and placental T2*, and between brain and placental characteristics with GA. P-values for comparing brain T2*, placenta T2*, and placental characteristics between groups derived from ANOVA. Significance level P < 0.05.

resultsThere was a significant positive association between placental and fetal brain T2* (⍴ = 0.46). Placental and fetal brain T2* showed a significant negative correlation with GA (placental T2* ⍴ = -0.65; fetal brain T2* ⍴ = -0.32). Both placental and fetal brain T2* values were significantly reduced in CHD, after adjusting for GA (placental T2*: control = 97 [±24] msec, CHD = 83 [±23] msec; brain T2*: control = 218 [±26] msec, CHD = 202 [±25] msec). Placental texture and morphology were also significantly altered in CHD (Texture: control = 0.84 [0.83-0.87], CHD = 0.80 [0.78-0.84]; Morphology: control = 9.9 [±2.2], CHD = 10.8 [±2.0]). For all fetuses, there was a significant positive association between placental T2* and placental texture (⍴ = 0.46).

conclusionPlacental and fetal brain T2* values are associated in healthy fetuses and those with CHD. Placental and fetal brain oxygenation are reduced in CHD. Placental appearance is significantly altered in CHD and shows associations with placental oxygenation, suggesting altered placental development and function may be related. EVIDENCE LEVEL: 3 TECHNICAL EFFICACY: Stage 3.

Indexed as

BrainFetusHeart Defects, CongenitalMagnetic Resonance ImagingOxygenPlacentaAdultCase-Control StudiesFemaleGestational AgeHumansMalePregnancyPregnancy Trimester, ThirdRetrospective StudiesOxygencongenital heart diseasefetal brain MRIplacental MRIT2*T2‐relaxometry

Identifiers

PMID38994701
PMCPMC11803691

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.