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Research ArticlePEDIATRICS

Early Assessment of Brain Maturation by MR Imaging Segmentation in Neonates and Premature Infants

A. Zacharia, S. Zimine, K.O. Lovblad, S. Warfield, H. Thoeny, C. Ozdoba, E. Bossi, R. Kreis, C. Boesch, G. Schroth and P.S. Hüppi
American Journal of Neuroradiology May 2006, 27 (5) 972-977;
A. Zacharia
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S. Zimine
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K.O. Lovblad
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S. Warfield
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H. Thoeny
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C. Ozdoba
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E. Bossi
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R. Kreis
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C. Boesch
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G. Schroth
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P.S. Hüppi
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    Fig 1.

    Segmentation. Reconstructed coronal T2-weighted image on the left compared with the segmented image (on the right) by using the Slicer software. On the segmented image, gray matter is gray, CSF is blue, the BG are yellow, unmyelinated white matter is red, and myelinated white matter is white.

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    Fig 2.

    Total intracranial volume. The preterm newborns at birth had a lower intracranial volume, but at term, they had a volume similar to that of the term neonates.

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    Fig 3.

    Volume of cortical gray matter. The preterm infants at birth had a lower volume of cortical gray matter, but at term, they had a volume similar to that of the term neonates.

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    Fig 4.

    Volume of unmyelinated white matter. The preterm neonates at birth had a lower volume of unmyelinated white matter, but at term, they had a volume similar to that of the term neonates.

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    Fig 5.

    The relative volume of myelinated white matter showed no difference between preterms, preterms at term, and full-term infants

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    Fig 6.

    The relative volume of BG was highest in preterms. Preterm infants at term and full-term infants had similar relative volumes of basal ganglia.

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  • Results in newborns and premature babies

    PT (n = 11)PTT (n = 13)FT (n = 12)P (ANOVA, PT vs PTT vs FT)P (ANOVA, PT vs PTT)
    Absolute Units (cm3)Relative to ICV (%)Absolute Units (cm3)Relative to ICV (%)Absolute Units (cm3)Relative to ICV (%)P Absolute UnitsP Relative to ICVP Absolute UnitsP Relative to ICV
    ICV269.8 ± 36.5431.7 ± 70.0427.4 ± 53.8F = 31.0P < .001F = 47.6 P < .001
    Total brain volume246.5 ± 32.3391 ± 66.1395 ± 49.2F = 30.2 P < .001F = 43.5 P < .001
    CGM83.5 ± 22.230.6 ± 5.1179 ± 41.541.0 ± 5.4181.4 ± 29.342.4 ± 4.1F = 33.6 P < .001F = 23.1 P < .001F = 46.6 P < .001F = 23.1 P < .001
    UMWM142.4 ± 15.053.1 ± 4.8185.3 ± 30.843.2 ± 5.1183.4 ± 27.443.0 ± 4.4F = 10.1 P < .001F = 16.8 P < .001F = 17.6 P < .001F = 23.7 P < .001
    MWM6.1 ± 1.82.2 ± 0.510.7 ± 3.02.5 ± 0.810.72 ± 4.632.5 ± 1.0F = 7.0 P = .003F = 0.4 P > .1F = 18.8 P < .001F = 1.0 P > .1
    BG14.2 ± 4.25.4 ± 1.715.7 ± 5.73.7 ± 1.117.14 ± 4.394.0 ± 0.9F = 1.0 P > .1F = 5.8 P = .007F = 0.5 P > .1F = 8.6 P = .008
    CSF23.3 ± 9.68.6 ± 3.040.7 ± 21.29.5 ± 4.332.4 ± 11.07.5 ± 2.3F = 3.8 P = .03F = 1.0 P > .1F = 6.2 P = .02F = 0.4 P > .1
    • Note:—Fifteen premature babies had 2 MRIs, one after birth (PT) and one at 40 wks (PTT); 12 newborns had an MRI at 40 wks (FT). ICV indicates intracranial volume; CGM, cortical gray matter; UMWM, ummyelinated white matter; MWM, myelinated white matter; BG, basal ganglia; CSF, cerebrospinal fluid.

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American Journal of Neuroradiology: 27 (5)
American Journal of Neuroradiology
Vol. 27, Issue 5
May 2006
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Cite this article
A. Zacharia, S. Zimine, K.O. Lovblad, S. Warfield, H. Thoeny, C. Ozdoba, E. Bossi, R. Kreis, C. Boesch, G. Schroth, P.S. Hüppi
Early Assessment of Brain Maturation by MR Imaging Segmentation in Neonates and Premature Infants
American Journal of Neuroradiology May 2006, 27 (5) 972-977;

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Early Assessment of Brain Maturation by MR Imaging Segmentation in Neonates and Premature Infants
A. Zacharia, S. Zimine, K.O. Lovblad, S. Warfield, H. Thoeny, C. Ozdoba, E. Bossi, R. Kreis, C. Boesch, G. Schroth, P.S. Hüppi
American Journal of Neuroradiology May 2006, 27 (5) 972-977;
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