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Research ArticlePediatric Neuroimaging
Open Access

Neonatal Tract-Based Spatial Statistics Findings and Outcome in Preterm Infants

B.J.M. van Kooij, L.S. de Vries, G. Ball, I.C. van Haastert, M.J.N.L. Benders, F. Groenendaal and S.J. Counsell
American Journal of Neuroradiology January 2012, 33 (1) 188-194; DOI: https://doi.org/10.3174/ajnr.A2723
B.J.M. van Kooij
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L.S. de Vries
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G. Ball
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I.C. van Haastert
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M.J.N.L. Benders
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F. Groenendaal
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S.J. Counsell
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    Fig 1.

    Diffusion parameters in relation to cognitive outcome. Mean FA skeleton (green) overlaid on the mean FA map in the axial, coronal, and sagittal planes. Regions of the mean FA skeleton in green voxels in which there is no correlation between FA and cognitive score. A, Voxels showing a significant correlation between FA and cognitive scores are shown in red-yellow. The graphs demonstrate the relationship between FA (R2 = 0.31, B), AD (R2 = 0.04, C), and RD (R2 = 0.13, D) and cognitive scaled scores from voxels in the CC (170 voxels), which showed a significant correlation between FA and cognitive score.

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    Fig 2.

    Diffusion parameters in relation to fine-motor scores. Mean FA skeleton (green) overlaid on the mean FA map in the axial, coronal, and sagittal planes. Regions of the mean FA skeleton in green represent voxels in which there is no correlation between FA and fine-motor score. A, Voxels showing a significant correlation between FA and fine-motor scores are in red-yellow. The graphs demonstrate the relationship between FA (R2 = 0.26, B), AD (R2 = 0.04, C), and RD (R2 = 0.28, D) and fine-motor scaled scores from voxels in the left PLIC (45 voxels), which showed a significant correlation between FA and fine-motor score.

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    Fig 3.

    Diffusion parameters in relation to gross-motor scores. Mean FA skeleton (green) overlaid on the mean FA map in the axial, coronal, and sagittal planes. Regions of the mean FA skeleton in green represent voxels where there was no correlation between FA and gross-motor score. A, Voxels showing a significant correlation between RD and gross-motor scores are in red-yellow. The graphs demonstrate the relationship between FA (R2 = 0.26, B), AD (R2 = 0.02, C), and RD (R2 = 0.22, D) and gross-motor scaled scores from voxels in the left PLIC (52 voxels), which showed a significant correlation between FA and gross-motor score.

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    Table 1:

    Characteristics of the neonates included in this study

    CharacteristicsTotal (n = 63)
    Gestational age, mean in weeks (range)28.7 ± 1.7 (25.1–30.9)
    Birth weight, mean in grams (range)1146 ± 335 (650–1910)
    Male, No. (%)36 (57.1)
    Birthset: singleton/twins, No. (%)51 (81.0)/12 (19.0)
    PPROM, no (%)a13 (20.6)
    Antenatal steroids, No. (%)b47 (74.6)
    Race, No. (%)
        Caucasian50 (79.4)
        Other12 (9.0)
        Mixed1 (1.6)
    Apgar at 5 minutes, median (range)9 (5–10)
    Late-onset sepsis positive blood culture, No. (%)23 (36.5)
    Days of ventilation, median (range)5 (0–23)
    IVH, No. (%)
        No IVH46 (73.0)
        IVH I5 (7.9)
        IVH II7 (11.1)
        IVH III4 (6.3)
        IVH IV1 (1.6)
    Educational level of mother, No. (%)c
        Low14 (22.2)
        Middle21 (33.3)
        High26 (41.3)
    Postmenstrual age, mean in weeks (range)d41.6 ± 1.0 (39.6–44.7)
    • ↵a PPROM indicates preterm prolonged rupture of membranes.

    • ↵b Two doses of steroids administered 24 hours before labor.

    • ↵c Education level according to the CBS (Statistics Netherlands, The Hague, The Netherlands; http://www.cbs.nl/en-GB/menu/home/default.htm).

    • ↵d Postmenstrual age at the time of the scanning.

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    Table 2:

    Cognitive and motor outcome on the BSITD-III at 2-year corrected age

    MedianRangeInfants with Scores ≤1 SD (No.)
    Cognition
        Scaled score corrected agea116–195
        Composite score corrected ageb,c10580–1455
        Composite score chronologic agec,d9575–13013
    Fine motor: scaled score corrected agea,b137–191
    Gross motor: scaled score corrected agea,b96–156
    Total motor
        Composite score corrected ageb,c10788–1330
        Composite score chronologic agec,d9782–1214
    • ↵a The mean scaled score in a normative population is 10 ± 3.

    • ↵b Corrected age indicates the score corrected for prematurity.

    • ↵c The mean composite score in a normative population is 100 ± 15.

    • ↵d Chronologic age indicates the score uncorrected for prematurity.

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American Journal of Neuroradiology: 33 (1)
American Journal of Neuroradiology
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Cite this article
B.J.M. van Kooij, L.S. de Vries, G. Ball, I.C. van Haastert, M.J.N.L. Benders, F. Groenendaal, S.J. Counsell
Neonatal Tract-Based Spatial Statistics Findings and Outcome in Preterm Infants
American Journal of Neuroradiology Jan 2012, 33 (1) 188-194; DOI: 10.3174/ajnr.A2723

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Neonatal Tract-Based Spatial Statistics Findings and Outcome in Preterm Infants
B.J.M. van Kooij, L.S. de Vries, G. Ball, I.C. van Haastert, M.J.N.L. Benders, F. Groenendaal, S.J. Counsell
American Journal of Neuroradiology Jan 2012, 33 (1) 188-194; DOI: 10.3174/ajnr.A2723
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