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Research ArticlePediatrics

Volumetric Brain MRI Study in Fetuses with Intrauterine Growth Restriction Using a Semiautomated Method

R. Peretz, T. Halevy, M. Gafner, S. Fried, Y. Revesz, A. Mayer and E. Katorza
American Journal of Neuroradiology November 2022, 43 (11) 1674-1679; DOI: https://doi.org/10.3174/ajnr.A7665
R. Peretz
aFrom the Sackler School of Medicine (R.P., M.G., S.F., Y.R., A.M., E.K.), Tel Aviv University, Tel Aviv, Israel
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T. Halevy
bSheba Medical Center (T.H., Y.R.), Tel-Hashomer, Israel
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M. Gafner
aFrom the Sackler School of Medicine (R.P., M.G., S.F., Y.R., A.M., E.K.), Tel Aviv University, Tel Aviv, Israel
cDepartment of Pediatrics B (M.G.), Schneider Children’s Medical Center of Israel, Petach Tikva, Israel
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S. Fried
aFrom the Sackler School of Medicine (R.P., M.G., S.F., Y.R., A.M., E.K.), Tel Aviv University, Tel Aviv, Israel
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Y. Revesz
aFrom the Sackler School of Medicine (R.P., M.G., S.F., Y.R., A.M., E.K.), Tel Aviv University, Tel Aviv, Israel
bSheba Medical Center (T.H., Y.R.), Tel-Hashomer, Israel
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A. Mayer
aFrom the Sackler School of Medicine (R.P., M.G., S.F., Y.R., A.M., E.K.), Tel Aviv University, Tel Aviv, Israel
fDepartment of Diagnostic Radiology (A.M.), Sheba Medical Center, Tel-Hashomer, Israel
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E. Katorza
aFrom the Sackler School of Medicine (R.P., M.G., S.F., Y.R., A.M., E.K.), Tel Aviv University, Tel Aviv, Israel
dDepartment of Obstetrics and Gynecology (E.K.), Gertner Institute for Epidemiology
eHealth Policy Research (E.K.)
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Article Figures & Data

Figures

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  • FIG 1.
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    FIG 1.

    Examples of anatomic boundaries. A, ST. B, CER.

  • FIG 2.
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    FIG 2.

    Distribution of MR images according to GA in the study and control groups.

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    FIG 3.

    Comparison of the mean percentile of brain structures between the 2 groups.

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    FIG 4.

    Mean percentile of brain structures by birth weight percentiles in the study group.

Tables

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    Table 1:

    Characteristics of the control population alongside the study population expressed as mean (SD) or frequency and percentage and level of significance

    Study Group (n = 26)Control Group (n = 66)P Value
    Mothers’ characteristics
     Maternal age at pregnancy (yr)32.38 (SD, 5.26)33.03 (SD, 4.66).57
     Thyroid disorders3/26 (11.5%)4/66 (6%).40
     Anemia1/26 (3.8%)5/66 (7.5%).67
     Blood clotting disorders1/26 (3.8%)7/66 (10.6%).43
     Hypertension1/26 (3.8%)2/66 (3%)1
     Pregestational diabetes1/26 (3.8%)0.28
    Pregnancy characteristics
     Spontaneous conception21/26 (80%)57/65a (88%).51
     Fetal sexMale 15/26 (57%)Male 32/66 (48%).43
    Female 11/26 (42%)Female 34/66 (52%)
     GA at MR imaging examination33.3 (SD, 2.79)34.1 (SD, 2.58).20
    Neonate characteristics
     Type of birthVaginal 4/25a (16%)Vaginal 43/64a (67%)<.001
     Cesarean 21/25a (84%)Cesarean 21/64a (33%)<.001
     Week of birth35.04 (SD, 2.66)38.52 (SD, 1.27)<.001
    • ↵a There are some cases in which the data are not documented in our records.

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    Table 2:

    Mean volume of brain structures (mL), ratio (CER/ST), and SD in the study group compared with the control group and level of significance

    Brain AreaStudy GroupControl GroupP Value
    ST179.93 (SD, 45.71)210.66 (SD, 48.99).006
    RH88.43 (SD, 22.02)105.34 (SD, 24.59).003
    LH88.76 (SD, 22.68)105.22 (SD, 24.82).004
    CER10.25 (SD, 3.5)12.16 (SD, 3.27).015
    CER/ST0.056 (SD, 0.01)0.058 (SD, 0.01).39
    • View popup
    Table 3:

    Mean percentile of the brain structures or ratio (CER/ST), the SD in the research group compared with the control group, and the level of significance for the difference between them

    Brain AreaStudy GroupControl GroupP Value
    ST15.57 (SD, 23.4)40.78 (SD, 37.24)<.001
    RH15.25 (SD, 23.03)41.76 (SD, 37.22)<.001
    LH14.52 (SD, 22.64)41.86 (SD, 37.7)<.001
    CER30.82 (SD, 30.24)46.62 (SD, 34.39).04
    CER/ST57.58 (SD, 34.04)60.17 (SD, 31.72).73
    • View popup
    Table 4:

    Mean birth weight and birth weight percentile and SD in the study group compared with the control group and level of significance

    Study Group (n = 25)aControl Group(n = 63)aP Value
    Birth weight (g)1639.16 (SD, 543.70)3209.4286 (SD, 456.93)<.001
    Birth weight percentile4.04 (SD, 3.29)54.09 (SD, 26.76)<.001
    • ↵a There are some cases in which the birth weight and birth weight percentile are not documented in our records.

    • View popup
    Table 5:

    Mean percentile of brain structures by birth weight percentiles in the study group and level of significance for the difference between thema

    Brain Area<3% (n = 16)3%–10% (n = 9)P Value
    ST12.84 (SD, 25.27)22.11 (SD, 20.55).36
    RH13.53 (SD, 24.89)19.89 (SD, 20.98).52
    LH12.81 (SD, 25.15)19.11 (SD, 18.99).52
    CER35.68 (SD, 32.56)25.56 (SD, 25.99).43
    • ↵a There is 1 case in which the weight percentile is not documented in our records.

    • View popup
    Table 6:

    Intraobserver and interobserver reliability of measurements expressed as ICC and 95% CI

    Brain AreaIntraobserverInterobserver
    ICC95% CIICC95% CI
    ST10.999–10.9980.992–1
    RH0.9990.997–10.9980.993–1
    LH0.9970.988–0.9990.9960.985–0.999
    CER0.9990.995–10.9980.993–1
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American Journal of Neuroradiology: 43 (11)
American Journal of Neuroradiology
Vol. 43, Issue 11
1 Nov 2022
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Cite this article
R. Peretz, T. Halevy, M. Gafner, S. Fried, Y. Revesz, A. Mayer, E. Katorza
Volumetric Brain MRI Study in Fetuses with Intrauterine Growth Restriction Using a Semiautomated Method
American Journal of Neuroradiology Nov 2022, 43 (11) 1674-1679; DOI: 10.3174/ajnr.A7665

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Fetal Brain MRI in Intrauterine Growth Restriction
R. Peretz, T. Halevy, M. Gafner, S. Fried, Y. Revesz, A. Mayer, E. Katorza
American Journal of Neuroradiology Nov 2022, 43 (11) 1674-1679; DOI: 10.3174/ajnr.A7665
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  • Fetal brain development in fetal growth restriction using MRI: a systematic review
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