Evidence map›Paper›PMID 40582695›Full record

ArticleThe Journal of pediatrics2025

Retinopathy of Prematurity and Risk of Structural Brain Abnormalities on Magnetic Resonance Imaging at Term Among Infants Born at Less Than or Equal to 32 Weeks of Gestation.

Shalini Roy, Laura Peterson, Beth Kline-Fath, Nehal A Parikh, Cincinnati Infant Neurodevelopment Early Prediction Study (CINEPS) Investigators

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2025. 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

5 authors.

Shalini RoyThe Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH.
Laura PetersonThe Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH.
Beth Kline-FathNeurodevelopmental Disorders Prevention Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH.
Nehal A ParikhThe Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH; Neurodevelopmental Disorders Prevention Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Electronic address: Nehal.Parikh@cchmc.org.
Cincinnati Infant Neurodevelopment Early Prediction Study (CINEPS) Investigators

Funding

A New Model to Identify Preterm Neonates at High-Risk for Cognitive Impairments and School ReadinessR01NS094200 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI NEHAL A. PARIKH · 2016 to 2026
$6.7M
Trajectories of Regional Cardiopulmonary Structure and Function in A Longitudinal Cohort of Extremely Preterm InfantsR01HL164420 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI Erik Bradford Hysinger, NEHAL A. PARIKH · 2023 to 2026
$3.1M
Early Prediction of Cerebral Palsy in Premature Infants using Advanced MRI BiomarkersR01NS096037 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI PARIKH, NEHAL A. · 2016 to 2020
$2.2M
MRI and Deep Learning for Early Prediction of Neurodevelopmental Deficits in Very Preterm InfantsR01EB029944 · NIBIB · CINCINNATI CHILDRENS HOSP MED CTR · PI HE, LILI · 2020 to 2023
$2.1M
NHLBI NIH HHS R01 HL164420NIBIB NIH HHS R01 EB029944NINDS NIH HHS R01 NS094200NINDS NIH HHS R01 NS096037
6 · The paper itself

Abstract

objectiveTo determine if retinopathy of prematurity (ROP) is associated with brain abnormalities on structural magnetic resonance imaging at term-equivalent age in infants born preterm. STUDY

designWe prospectively recruited 395 infants born preterm born at ≤32 weeks of gestation from 5 regional Cincinnati neonatal intensive care units. Eligible infants underwent routine ROP screening and diagnosis per international screening guidelines at 31 weeks postmenstrual age or 5-6 weeks of age (whichever came later). We obtained nonsedated structural magnetic resonance imaging at 39-44 weeks postmenstrual age. Brain injury/maturational abnormality was quantified using the validated Kidokoro global brain abnormality score by a single neuroradiologist. We performed multiple linear regressions to determine the association between ROP and brain abnormality score while adjusting for several known confounders.

resultsOf the regional sample of 395 infants born preterm, 134 (33.9%) developed ROP. Among those infants with ROP, 19 (14.2%) developed severe ROP (stage 3 or requiring treatment). In multiple linear regression analyses, ROP (any severity) (β = 1.5 [95% CI: 0.3, 2.8]) and severe ROP (β = 2.3 [0.1, 4.5]) remained significantly associated with global brain abnormality score, independent of multiple confounders. In secondary analyses, ROP was significantly associated with cerebellar and deep nuclear gray matter but not white matter or cortical gray matter abnormalities.

conclusionsIn our regional cohort of infants born preterm, ROP, especially severe ROP, was significantly associated with global brain abnormalities at term. Such abnormalities are likely the structural correlates of later functional visual and neurodevelopmental impairments commonly attributed to ROP diagnosis.

Indexed as

BrainMagnetic Resonance ImagingRetinopathy of PrematurityFemaleGestational AgeHumansInfant, NewbornInfant, PrematureMaleProspective StudiesRisk Factorsbrain MRIneonatologyretinopathy of prematurityvery preterm

Identifiers

PMID40582695
PMCPMC12795299

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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.