Brain 3D-echographic early predictors of neuro-behavioral disorders in infants : a prospective observational study

BACKGROUND: Prematurity, low birth weight (LBW), very low birth weight (VLBW), and intrauterine growth restriction (IUGR) are risk factors of long-term poor neuro-development outcomes and associate with reduction of regional brain volumes.

OBJECTIVE: To evaluate the possible role of 3D ultrasound sonography (3DUS) regional brain volumes, measured at 30-40 days of postnatal period, as early predictors of long-term risk of neuro-behavioral disorders.

METHODS: A highly selected population, which included: full-term, preterm, IUGR, and preterm-IUGR born individuals, was followed longitudinally from 30 to 40 days of postnatal period to the second year of life. The population was mostly composed of bichorionic twins to ensure a, theoretically, major intracategory homogeneity. Preterm and IUGR subjects were characterized by a gestational age (GA) and birth weight (BW)>32 weeks and >1500 g, respectively, whereas the full-term neonates were of 37 weeks GA. At enrollment, the assessment of the volumetric measurements was performed using the 3DUS. The evaluation of neuro-development was performed at 2 years using the Griffiths Mental Development Scales.

RESULTS: The 3DUS measurements of whole brain, thalamus, frontal cortex, and cerebellum volumes, assessed at 30-40 days of postnatal period, were significantly reduced in infants characterized by negative outcome. In addition, the respective areas of the ROC curves, made by comparing values of normal and abnormal neuro-development groups, were indicative of a strong diagnostic accuracy.

CONCLUSION: Data found suggest that the 3DUS regional brain volumes may assume a significant role as early indicators of neonates at major risk of neuro-behavioral disorders in later life. Further and larger studies in this direction are needed to validate this significant perspective.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians - 35(2022), 4 vom: 02. Feb., Seite 642-650

Sprache:

Englisch

Beteiligte Personen:

Aisa, Maria Cristina [VerfasserIn]
Barbati, Antonella [VerfasserIn]
Gerli, Sandro [VerfasserIn]
Clerici, Graziano [VerfasserIn]
Nikolova, Natasha [VerfasserIn]
Giardina, Irene [VerfasserIn]
Babucci, Giulia [VerfasserIn]
De Rosa, Francesca [VerfasserIn]
Cappuccini, Benito [VerfasserIn]

Links:

Volltext

Themen:

3D-echography
Abnormal neuro-development
Cerebral volumes
IUGR
Journal Article
Observational Study
Preterm
Thalamus

Anmerkungen:

Date Completed 01.02.2022

Date Revised 30.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14767058.2020.1730323

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM307270556