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Research ArticlePediatric Neuroimaging

Diffusion Tensor Brain Imaging Findings At Term-equivalent Age May Predict Neurologic Abnormalities in Low Birth Weight Preterm Infants

Y. Arzoumanian, M. Mirmiran, P.D. Barnes, K. Woolley, R.L. Ariagno, M.E. Moseley, B.E. Fleisher and S.W. Atlas
American Journal of Neuroradiology September 2003, 24 (8) 1646-1653;
Y. Arzoumanian
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M. Mirmiran
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P.D. Barnes
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K. Woolley
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R.L. Ariagno
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M.E. Moseley
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B.E. Fleisher
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S.W. Atlas
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  • Fig 1
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    Fig 1

    Images show region of interest placement for the posterior limb of the internal capsule. B0, image without diffusion weighting; DWI, diffusion-weighted image; FA, fractional anisotropy image; ADC, apparent diffusion coefficient map.

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    Fig 2

    Average FA histograms by clinical subgroup. N, normal neurologic outcome; AN abnormal neurologic outcome.

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    Fig 3

    Average ADC histograms by clinical subgroup. N, normal neurologic outcome; AN abnormal neurologic outcome.

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    TABLE 1:

    Study population MR imaging and neurologic follow-up

    GA ≤ 33 weeks Birthweight < 1800 gInitial populationn = 137
    Age at time of MR imaging, with 34–42 weeks
    30 with incomplete follow-upsOutcome analysisn = 107
    17 with category > 2DTI populationn = 90
    27 with incomplete DTIDTI study groupnc = 63
    • Note.—GA indicates gestational age; DTI, diffusion tensor imaging.

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    TABLE 2:

    Neurologic outcome and conventional MR imaging category for 63 infants fully studied

    MR Imaging CategoryNormalAN
    13211
    2182
    • Note.—Normal indicates normal neurologic outcome; AN, abnormal neurologic outcome; Category 1, no abnormality; category 2, minimal subependymal hemorrhage or mineralization.

    • View popup
    TABLE 3:

    Region of interest fractional anisotropy values by pooled clinical subgroup

    FAMeanSDRangeP Value
    Corpus callosum genuN.449.082.255–.621.98
    AN.448.078.332–.580
    Corpus callosum spleniumN.451.079.273–.616.16
    AN.416.075.238–.519
    Internal capsule anterior LN.259.054.153–.381.14
    AN.230.026.197–.267
    Internal capsule anterior RN.267.054.148–.384.91
    AN.265.079.171–.411
    Internal capsule posterior LN.397.059.280–.539.08
    AN.365.049.305–.488
    Internal capsule posterior RN.411.046.284–.509.0002
    AN.351.061.259–.499
    Cerebral white matter LN.188.041.028–.277.13
    AN.169.030.113–.208
    Cerebral white matter RN.184.033.114–.290.16
    AN.170.031.120–.220
    • Note.—FA indicates fractional anisotropy; N, normal neurologic outcome; AN, abnormal neurologic outcome; L, left; R, right.

    • View popup
    TABLE 4:

    Region of interest apparent diffusion coefficient (μ mm2/s) values by pooled clinical subgroup

    ADCMeanSDRangeP Value
    Corpus callosum genuN1.312.1321.024–1.7030.84
    AN1.320.1221.100–1.499
    Corpus callosum spleniumN1.268.1451.050–2.0550.09
    AN1.340.0711.211–1.461
    Internal capsule anterior LN1.216.0921.039–1.4260.10
    AN1.122.3200.359–1.376
    Internal capsule anterior RN1.209.1081.001–1.4290.33
    AN1.248.0881.126–1.363
    Internal capsule posterior LN1.095.0710.970–1.3290.51
    AN1.080.0570.983–1.200
    Internal capsule posterior RN1.091.0750.893–1.2890.92
    AN1.093.0680.965–1.208
    Cerebral white matter LN1.413.1171.186–1.6870.23
    AN1.458.1301.287–1.741
    Cerebral white matter RN1.424.1341.205–1.8180.20
    AN1.478.1351.274–1.736
    • Note.—ADC indicates apparent diffusion coefficient; N, normal neurologic outcome; AN, abnormal neurologic outcome; L, left; R, right.

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American Journal of Neuroradiology: 24 (8)
American Journal of Neuroradiology
Vol. 24, Issue 8
1 Sep 2003
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Y. Arzoumanian, M. Mirmiran, P.D. Barnes, K. Woolley, R.L. Ariagno, M.E. Moseley, B.E. Fleisher, S.W. Atlas
Diffusion Tensor Brain Imaging Findings At Term-equivalent Age May Predict Neurologic Abnormalities in Low Birth Weight Preterm Infants
American Journal of Neuroradiology Sep 2003, 24 (8) 1646-1653;

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Diffusion Tensor Brain Imaging Findings At Term-equivalent Age May Predict Neurologic Abnormalities in Low Birth Weight Preterm Infants
Y. Arzoumanian, M. Mirmiran, P.D. Barnes, K. Woolley, R.L. Ariagno, M.E. Moseley, B.E. Fleisher, S.W. Atlas
American Journal of Neuroradiology Sep 2003, 24 (8) 1646-1653;
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