Evidence map›Paper›PMID 41051325›Full record

ArticlePrenatal diagnosis2025

Placental and Fetal Brain Volumes in Congenital Heart Disease Are Smallest Among Fetuses With Genetic Abnormalities.

Sonali Ajwani, Erica L Jamro, Kaylin Taylor, Yong Wang, Kathryn Mangin-Heimos, Anthony O Odibo, Ali Gholipour, Erin O'Brien, Caroline K Lee, Joshua S Shimony and 2 more

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Prenatal serotonin reuptake inhibitor exposure and maternal depression symptoms are associated with altered fetal brain and placental development.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Observational
  2. Brain volumes in fetuses with congenital heart disease and placental vascular abnormalities.Journal of perinatology : official journal of the California Perinatal Association · 2026
    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.

Sonali AjwaniDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Erica L JamroData Science and Biostatistics, Institute for Informatics, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Kaylin TaylorDepartment of Neurology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Yong WangDepartment of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Kathryn Mangin-HeimosDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Anthony O OdiboDepartment of Obstetrics and Gynecology, University Health Truman Medical Center, Kansas City, Missouri, USA.ORCID 0000-0003-4340-450X
Ali GholipourDepartment of Radiological Sciences, University of California Irvine, Irvine, California, USA.
Erin O'BrienDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Caroline K LeeDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Joshua S ShimonyMallinkrodt Institute of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
James D QuirkMallinkrodt Institute of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Cynthia M OrtinauDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-0851-0796

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JOSEPH D DOUGHERTY, Natasha Marrus · 2020 to 2026
$15.5M
Physiologic and Genetic Contributions of Impaired Fetal Brain Development in Congenital Heart DiseaseK23HL141602 · NHLBI · WASHINGTON UNIVERSITY · PI ORTINAU, CYNTHIA MARIE · 2019 to 2022
$727k
Additional Ventures Single Ventricle Research FundChildren's Discovery Institute of Washington University and St. Louis Children's HospitalNational Institutes of Health/National Center for Advancing Translational Sciences UL1TR002345National Institutes of Health/National Heart, Lung, and Blood Institute K23HL141602NCATS NIH HHS UL1 TR002345NHLBI NIH HHS K23 HL141602NICHD NIH HHS P50 HD103525
6 · The paper itself

Abstract

objectiveTo compare placental volumes between pregnancies with and without fetal CHD, including fetuses with CHD and genetic abnormalities, and to investigate the association between placental volume and regional fetal brain volumes.

methodPregnant women carrying a fetus with critical CHD with or without a genetic abnormality (CHD Genetic or CHD Isolated) or a fetus without CHD (Control) had placental and fetal brain volumes measured from MRI. Mixed effects linear regression models examined the associations between study group and placental and fetal brain volumes.

resultsSeventy-one pregnant women/fetuses underwent 124 MRIs. In multivariate analysis, placental volume was 33% smaller among CHD Genetic males, 15% smaller among CHD Isolated males, and 7% smaller among CHD Genetic females compared to Control males. Adjusting for placental volume and confounders, CHD Genetic had smaller total and regional brain volumes compared to Controls. Fetal cortex was not smaller at baseline, but the difference grew over gestation. Reduced brain volumes were present, but less pronounced, for CHD Isolated. Placental volume was independently associated with subcortical gray matter, total brain, and intracranial volumes.

conclusionImpaired placental and fetal brain development are most prominent for CHD fetuses with genetic abnormalities.

Indexed as

BrainFetusHeart Defects, CongenitalPlacentaAdultCase-Control StudiesFemaleFetal DevelopmentHumansMagnetic Resonance ImagingMaleOrgan SizePregnancycongenital heart diseasefetal brainfetal magnetic resonance imagingplacenta

Identifiers

PMID41051325
PMCPMC13193182

What OpenQuestion holds

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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.