Evidence map›Paper›PMID 42126681›Full record

ArticleCerebellum (London, England)2026

Posterior Fossa Malformations in a Cohort of 116 Fetuses: A Retrospective Analysis of Imaging Characteristics, Postnatal Imaging Concordance, Pregnancy Outcomes and Yield of Genetic Testing.

Maisa Malta, Olivier Fortin, Braeden Badner, Daniel Charouf, Nassima Addour-Boudrahem, Olivier Beaudet-Leclair, Emmanouil Rampakakis, David S Rosenblatt, Atanas Angelov Nedelchev, Roberta Shear and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Cerebellum (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Maisa Malta *Research Institute of the McGill University Health Centre, Montreal, QC, Canada.
Olivier Fortin *Department of Pediatrics, Division of Pediatric Neurology, McGill University, Montreal, Canada.
Braeden BadnerResearch Institute of the McGill University Health Centre, Montreal, QC, Canada.
Daniel CharoufDepartment of Pediatrics, Division of Pediatric Neurology, McGill University, Montreal, Canada.
Nassima Addour-BoudrahemResearch Institute of the McGill University Health Centre, Montreal, QC, Canada.
Olivier Beaudet-LeclairDepartment of Specialized Medicine, Division of Medical Genetics, Jewish General Hospital, Montreal, QC, Canada.
Emmanouil RampakakisDepartment of Pediatrics, Division of General Pediatrics, McGill University, Montreal, Canada.
David S RosenblattResearch Institute of the McGill University Health Centre, Montreal, QC, Canada.
Atanas Angelov NedelchevDepartment of Obstetrics and Gynecology, St. Mary's Hospital Center, Montreal, Canada.
Roberta ShearDepartment of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, QC, Canada.
Lucia CarpinetaDepartment of Radiology, McGill University Health Centre, Montreal, Québec, Canada.
Myriam SrourResearch Institute of the McGill University Health Centre, Montreal, QC, Canada. Myriam.srour@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The posterior fossa is a critical anatomical region housing the cerebellum and brainstem. Posterior fossa malformations are a heterogeneous group of conditions challenging to diagnose and prognosticate prenatally. Fetal magnetic resonance imaging (MRI) plays an important role in their assessment. This retrospective study examined the clinical and radiological data from 115 maternal-fetal dyads (116 fetuses) with posterior fossa malformations on fetal MRI, assessed concordance with postnatal imaging, and investigated MRI features associated with adverse outcomes. Fetal posterior fossa malformations were heterogenous: 66% (76/116) were structural and 34% (40/116) involved only CSF-containing lesions. Cerebellar hypoplasia was the most frequent posterior fossa malformation, observed in 33% (38/116). 78% (91/116) of posterior fossa malformations were "complex" (with additional central nervous system and/or extraneural anomalies). Concordance between fetal MRI and postnatal imaging was 51% (27/53), which improved to 69% (20/29) when CSF-containing lesions were excluded. Among terminated pregnancies who underwent autopsy, the fetal MRI diagnosis was confirmed in 75% (12/16). Chiari-II malformations, pontocerebellar hypoplasia and cerebellar asymmetry were consistently confirmed on postnatal imaging. Four fetuses with cerebellar hypoplasia had normal postnatal imaging. Structural and "complex" posterior fossa malformations were more likely to have poor pregnancy outcomes (i.e., termination, fetal demise, or neonatal death) than CSF-only and isolated anomalies. Genetic testing was positive in 24% (19/80) of tested cases, and 16% (19/116) of the overall cohort. Fetal MRI has an important role in the accurate diagnosis and management of posterior fossa malformations, particularly for structural anomalies which are associated with poor pregnancy outcomes.

Indexed as

Cranial Fossa, PosteriorFetusAdultCerebellumCohort StudiesDevelopmental DisabilitiesFemaleGenetic TestingHumansMagnetic Resonance ImagingNervous System MalformationsPregnancyPregnancy OutcomePrenatal DiagnosisRetrospective StudiesCerebellar hypoplasiaCerebellumFetal imagingGenetic testingMagnetic Resonance ImagingPregnancy OutcomesRetrospective study

Identifiers

What OpenQuestion holds

Textmetadata
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.