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Research ArticlePediatric Neuroimaging
Open Access

White Matter Characteristics and Cognition in Prenatally Opiate- and Polysubstance-Exposed Children: A Diffusion Tensor Imaging Study

K.B. Walhovd, L.T. Westlye, V. Moe, K. Slinning, P. Due-Tønnessen, A. Bjørnerud, A. van der Kouwe, A.M. Dale and A.M. Fjell
American Journal of Neuroradiology May 2010, 31 (5) 894-900; DOI: https://doi.org/10.3174/ajnr.A1957
K.B. Walhovd
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L.T. Westlye
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V. Moe
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K. Slinning
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P. Due-Tønnessen
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A. Bjørnerud
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A. van der Kouwe
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A.M. Dale
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A.M. Fjell
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    Fig 1.

    Clusters of voxels (≥ 100) with significant (P < .05) group differences in FA are shown in red-yellow as they appear in the WM skeleton shown in green. For all clusters, FA was lower in the prenatally substance-exposed children.

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    Fig 2.

    Group mean values and standard errors of the mean in the 10 identified clusters for FA, DA, and DR in substance-exposed and control children.

Tables

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    Table 1:

    Sample characteristics of the 2 groups

    CharacteristicsExposed Group (7 F/ 7 M)Control Group (5 F/ 9 M)
    MeanSDRangeMeanSDRange
    Age at scanninga11.31.78.6–13.99.80.39.0–10.2
    Birth weight (g)a29996802015–430038644263100–4615
    Birth length (cm)a,b47.63.044–5251.51.449–54
    Birth head circumferencea34.12.031.0–37.036.11.134.0–38.0
    Gestational age (weeks)a38.12.731–4040.71.139–42
    Abstinences at birthc2.11.10–3–––
    SES3.90.72.5–5.04.10.92.5–5.0
    McCarthy GCI, 4 years108.415.387–136116.19.4100–128
    McCarthy PPS,a 4 years50.99.339–6462.98.449–78
    WISC-R IQ,a,d 9 years98.99.884–117114.414.993–145
    FFDa,e27.64.817–3434.94.924–40
    • a Significant differences across groups (1-way ANOVA).

    • b Obtained for 12 substance-exposed children and 13 controls.

    • c At a rating scale where 0 = none, 1 = mild, 2 = moderate, and 3 = severe.

    • d WISC-R scores were obtained for 13 substance-exposed children and all controls. As seen, the scores of the exposed children are close to population mean. These scores are based on norms from 1974, and the normed scores here are likely elevated compared with present norms. The same is true for the McCarthy scores, which are based on norms from 1973.

    • e From the WISC-R.

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    Table 2:

    Results for group differences in FA, DA, and DR from a GLM analysis, with age and gender entered as covariates

    ClusterFADADR
    FPValueFPValueFPValue
    A) R occipital/lingual gyrus (ILF/Fmaj)14.648.0019.168.00614.141.001
    B) L deep temporal (ILF)22.878.0006.545.01717.704.000
    C) R deep temporal (ILF)16.351.0005.480.0289.974.004
    D) L lateral occipital/angular19.558.00013.898.00111.170.003
    E) L inferior temporal gyrus (SLF)19.275.000.559.46217.117.000
    F) R occipital fusiform temporal gyrus (ILF)14.092.0016.296.0194.164.052
    G) L middle temporal gyrus (ILF/UF)18.849.000.793.38213.493.001
    H) R postcentral/supramarginal gyrus15.210.0016.604.0177.944.010
    I) L projection from splenium CC (Fmaj)19.797.000.129.72313.230.001
    J) R frontal pole (Fmin)17.104.0002.045.1667.486.012
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American Journal of Neuroradiology: 31 (5)
American Journal of Neuroradiology
Vol. 31, Issue 5
1 May 2010
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K.B. Walhovd, L.T. Westlye, V. Moe, K. Slinning, P. Due-Tønnessen, A. Bjørnerud, A. van der Kouwe, A.M. Dale, A.M. Fjell
White Matter Characteristics and Cognition in Prenatally Opiate- and Polysubstance-Exposed Children: A Diffusion Tensor Imaging Study
American Journal of Neuroradiology May 2010, 31 (5) 894-900; DOI: 10.3174/ajnr.A1957

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White Matter Characteristics and Cognition in Prenatally Opiate- and Polysubstance-Exposed Children: A Diffusion Tensor Imaging Study
K.B. Walhovd, L.T. Westlye, V. Moe, K. Slinning, P. Due-Tønnessen, A. Bjørnerud, A. van der Kouwe, A.M. Dale, A.M. Fjell
American Journal of Neuroradiology May 2010, 31 (5) 894-900; DOI: 10.3174/ajnr.A1957
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