Magnetic resonance imaging and tractography of sensorimotor tracts in fetuses with intraventricular hemorrhage: feasibility and added prognostic value
ABSTRACT Objectives To assess the feasibility, characteristics and prognostic value of prenatal visualization of the corticospinal tracts (CSTs) using diffusion‐weighted magnetic resonance imaging (MRI)‐based tractography in fetuses with intraventricular hemorrhage (IVH). Methods This was a retrospe...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2024-11, Vol.64 (5), p.626-634 |
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| creator | Hadi, E. Dorittke, T. Kienast, P. Binder, J. Glatter, S. Hershko‐Klement, A. Lerman‐Sagie, T. Prayer, D. Kasprian, G. |
| description | ABSTRACT
Objectives
To assess the feasibility, characteristics and prognostic value of prenatal visualization of the corticospinal tracts (CSTs) using diffusion‐weighted magnetic resonance imaging (MRI)‐based tractography in fetuses with intraventricular hemorrhage (IVH).
Methods
This was a retrospective single‐center cohort study of singleton fetuses diagnosed with IVH on MRI from January 2011 to December 2018. The left and right CSTs were reconstructed according to an in‐utero diffusion tensor imaging sequence using a multi‐region of interest (ROI) deterministic tractography approach. The CSTs were segmented by two polygonal ROI: at the level of the posterior limb of the internal capsule and the crus cerebri. The morphology and integrity of the CSTs were assessed visually. Internal capsule and crus cerebri apparent diffusion coefficient and fractional anisotropy values were measured. Postnatal motor function data were obtained from the parents using the functional status scale.
Results
A total of 35 fetuses with IVH (mean ± SD gestational age, 29.1 ± 5.1 (range, 19.9–38.9) weeks) were included in the analysis. Parenchymal involvement on T2‐weighted sequences was demonstrated in 19 (54%) of the cohort. CST involvement correlated significantly with the presence of parenchymal damage on T2‐weighted imaging (P = 0.02). Among liveborn cases, the rate of motor impairment was 14% (1/7) in children with intact CSTs compared with 100% (5/5) in cases in which the CSTs were impaired (P = 0.015).
Conclusions
Fetal corticospinal tractography is feasible technically and offers valuable prognostic information. It enhances parental counseling by providing insights into potential motor outcome, underscoring its utility in complementing fetal neurosonography in cases of prenatal IVH. © 2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology. |
| doi_str_mv | 10.1002/uog.29109 |
| format | Article |
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Objectives
To assess the feasibility, characteristics and prognostic value of prenatal visualization of the corticospinal tracts (CSTs) using diffusion‐weighted magnetic resonance imaging (MRI)‐based tractography in fetuses with intraventricular hemorrhage (IVH).
Methods
This was a retrospective single‐center cohort study of singleton fetuses diagnosed with IVH on MRI from January 2011 to December 2018. The left and right CSTs were reconstructed according to an in‐utero diffusion tensor imaging sequence using a multi‐region of interest (ROI) deterministic tractography approach. The CSTs were segmented by two polygonal ROI: at the level of the posterior limb of the internal capsule and the crus cerebri. The morphology and integrity of the CSTs were assessed visually. Internal capsule and crus cerebri apparent diffusion coefficient and fractional anisotropy values were measured. Postnatal motor function data were obtained from the parents using the functional status scale.
Results
A total of 35 fetuses with IVH (mean ± SD gestational age, 29.1 ± 5.1 (range, 19.9–38.9) weeks) were included in the analysis. Parenchymal involvement on T2‐weighted sequences was demonstrated in 19 (54%) of the cohort. CST involvement correlated significantly with the presence of parenchymal damage on T2‐weighted imaging (P = 0.02). Among liveborn cases, the rate of motor impairment was 14% (1/7) in children with intact CSTs compared with 100% (5/5) in cases in which the CSTs were impaired (P = 0.015).
Conclusions
Fetal corticospinal tractography is feasible technically and offers valuable prognostic information. It enhances parental counseling by providing insights into potential motor outcome, underscoring its utility in complementing fetal neurosonography in cases of prenatal IVH. © 2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.</description><identifier>ISSN: 0960-7692</identifier><identifier>ISSN: 1469-0705</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.29109</identifier><identifier>PMID: 39410711</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Anisotropy ; Cerebral Intraventricular Hemorrhage - diagnostic imaging ; Cohort Studies ; corticospinal tract ; Diffusion coefficient ; diffusion tensor imaging ; Diffusion Tensor Imaging - standards ; disruption ; Feasibility Studies ; fetal brain ; Fetal Diseases - diagnostic imaging ; fetal MRI ; Fetuses ; Gestational age ; Gynecology ; Hemorrhage ; Humans ; Image processing ; Magnetic resonance imaging ; Obstetrics ; Prenatal Diagnosis - instrumentation ; Prenatal Diagnosis - methods ; Prenatal Diagnosis - standards ; Prognosis ; Pyramidal tracts ; Retrospective Studies ; Sensorimotor Cortex - diagnostic imaging ; Sensorimotor system ; Tensors ; tractography ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Ultrasound in obstetrics & gynecology, 2024-11, Vol.64 (5), p.626-634</ispartof><rights>2024 The Author(s). published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.</rights><rights>2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2789-64aa8a7b502d3d737e7dbfa28c423695be9263e35a0f560423317f510b3f908a3</cites><orcidid>0000-0002-5678-6802 ; 0000-0001-6407-9561 ; 0000-0003-3858-3347 ; 0000-0002-5725-9270</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fuog.29109$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fuog.29109$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39410711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hadi, E.</creatorcontrib><creatorcontrib>Dorittke, T.</creatorcontrib><creatorcontrib>Kienast, P.</creatorcontrib><creatorcontrib>Binder, J.</creatorcontrib><creatorcontrib>Glatter, S.</creatorcontrib><creatorcontrib>Hershko‐Klement, A.</creatorcontrib><creatorcontrib>Lerman‐Sagie, T.</creatorcontrib><creatorcontrib>Prayer, D.</creatorcontrib><creatorcontrib>Kasprian, G.</creatorcontrib><title>Magnetic resonance imaging and tractography of sensorimotor tracts in fetuses with intraventricular hemorrhage: feasibility and added prognostic value</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>ABSTRACT
Objectives
To assess the feasibility, characteristics and prognostic value of prenatal visualization of the corticospinal tracts (CSTs) using diffusion‐weighted magnetic resonance imaging (MRI)‐based tractography in fetuses with intraventricular hemorrhage (IVH).
Methods
This was a retrospective single‐center cohort study of singleton fetuses diagnosed with IVH on MRI from January 2011 to December 2018. The left and right CSTs were reconstructed according to an in‐utero diffusion tensor imaging sequence using a multi‐region of interest (ROI) deterministic tractography approach. The CSTs were segmented by two polygonal ROI: at the level of the posterior limb of the internal capsule and the crus cerebri. The morphology and integrity of the CSTs were assessed visually. Internal capsule and crus cerebri apparent diffusion coefficient and fractional anisotropy values were measured. Postnatal motor function data were obtained from the parents using the functional status scale.
Results
A total of 35 fetuses with IVH (mean ± SD gestational age, 29.1 ± 5.1 (range, 19.9–38.9) weeks) were included in the analysis. Parenchymal involvement on T2‐weighted sequences was demonstrated in 19 (54%) of the cohort. CST involvement correlated significantly with the presence of parenchymal damage on T2‐weighted imaging (P = 0.02). Among liveborn cases, the rate of motor impairment was 14% (1/7) in children with intact CSTs compared with 100% (5/5) in cases in which the CSTs were impaired (P = 0.015).
Conclusions
Fetal corticospinal tractography is feasible technically and offers valuable prognostic information. It enhances parental counseling by providing insights into potential motor outcome, underscoring its utility in complementing fetal neurosonography in cases of prenatal IVH. © 2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.</description><subject>Anisotropy</subject><subject>Cerebral Intraventricular Hemorrhage - diagnostic imaging</subject><subject>Cohort Studies</subject><subject>corticospinal tract</subject><subject>Diffusion coefficient</subject><subject>diffusion tensor imaging</subject><subject>Diffusion Tensor Imaging - standards</subject><subject>disruption</subject><subject>Feasibility Studies</subject><subject>fetal brain</subject><subject>Fetal Diseases - diagnostic imaging</subject><subject>fetal MRI</subject><subject>Fetuses</subject><subject>Gestational age</subject><subject>Gynecology</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Image processing</subject><subject>Magnetic resonance imaging</subject><subject>Obstetrics</subject><subject>Prenatal Diagnosis - instrumentation</subject><subject>Prenatal Diagnosis - methods</subject><subject>Prenatal Diagnosis - standards</subject><subject>Prognosis</subject><subject>Pyramidal tracts</subject><subject>Retrospective Studies</subject><subject>Sensorimotor Cortex - diagnostic imaging</subject><subject>Sensorimotor system</subject><subject>Tensors</subject><subject>tractography</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>0960-7692</issn><issn>1469-0705</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kUFv1DAQhS0EokvhwB9AlrjAIe3YTuw1t6oqBamoF3qOJskk6yqxFztptX-E31u3KRyQuIw1fp-en_wYey_gRADI0yUMJ9IKsC_YRpTaFmCgesk2YDUURlt5xN6kdAsAulT6NTtSthRghNiw3z9w8DS7lkdKwaNvibsJB-cHjr7jc8R2DkPE_e7AQ88T-RSim8Ic4iom7jzvaV4SJX7v5l3es3BHebp2GTHyHU0hxh0O9CWTmFzjRjcfnh7ArqOO72MYfEiPOe5wXOgte9XjmOjd83nMbr5e_Dz_VlxdX34_P7sqWmm2ttAl4hZNU4HsVGeUIdM1PcptW0qlbdWQlVqRqhD6SkO-VML0lYBG9Ra2qI7Zp9U3B_i1UJrryaWWxhE9hSXVSggDxuhKZPTjP-htWKLP6TIl5VYaUFWmPq9UG0NKkfp6n38L46EWUD-WVeey6qeyMvvh2XFpJur-kn_aycDpCty7kQ7_d6pvri9Xywf7GqEM</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Hadi, E.</creator><creator>Dorittke, T.</creator><creator>Kienast, P.</creator><creator>Binder, J.</creator><creator>Glatter, S.</creator><creator>Hershko‐Klement, A.</creator><creator>Lerman‐Sagie, T.</creator><creator>Prayer, D.</creator><creator>Kasprian, G.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5678-6802</orcidid><orcidid>https://orcid.org/0000-0001-6407-9561</orcidid><orcidid>https://orcid.org/0000-0003-3858-3347</orcidid><orcidid>https://orcid.org/0000-0002-5725-9270</orcidid></search><sort><creationdate>202411</creationdate><title>Magnetic resonance imaging and tractography of sensorimotor tracts in fetuses with intraventricular hemorrhage: feasibility and added prognostic value</title><author>Hadi, E. ; Dorittke, T. ; Kienast, P. ; Binder, J. ; Glatter, S. ; Hershko‐Klement, A. ; Lerman‐Sagie, T. ; Prayer, D. ; Kasprian, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2789-64aa8a7b502d3d737e7dbfa28c423695be9263e35a0f560423317f510b3f908a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anisotropy</topic><topic>Cerebral Intraventricular Hemorrhage - diagnostic imaging</topic><topic>Cohort Studies</topic><topic>corticospinal tract</topic><topic>Diffusion coefficient</topic><topic>diffusion tensor imaging</topic><topic>Diffusion Tensor Imaging - standards</topic><topic>disruption</topic><topic>Feasibility Studies</topic><topic>fetal brain</topic><topic>Fetal Diseases - diagnostic imaging</topic><topic>fetal MRI</topic><topic>Fetuses</topic><topic>Gestational age</topic><topic>Gynecology</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Image processing</topic><topic>Magnetic resonance imaging</topic><topic>Obstetrics</topic><topic>Prenatal Diagnosis - instrumentation</topic><topic>Prenatal Diagnosis - methods</topic><topic>Prenatal Diagnosis - standards</topic><topic>Prognosis</topic><topic>Pyramidal tracts</topic><topic>Retrospective Studies</topic><topic>Sensorimotor Cortex - diagnostic imaging</topic><topic>Sensorimotor system</topic><topic>Tensors</topic><topic>tractography</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hadi, E.</creatorcontrib><creatorcontrib>Dorittke, T.</creatorcontrib><creatorcontrib>Kienast, P.</creatorcontrib><creatorcontrib>Binder, J.</creatorcontrib><creatorcontrib>Glatter, S.</creatorcontrib><creatorcontrib>Hershko‐Klement, A.</creatorcontrib><creatorcontrib>Lerman‐Sagie, T.</creatorcontrib><creatorcontrib>Prayer, D.</creatorcontrib><creatorcontrib>Kasprian, G.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hadi, E.</au><au>Dorittke, T.</au><au>Kienast, P.</au><au>Binder, J.</au><au>Glatter, S.</au><au>Hershko‐Klement, A.</au><au>Lerman‐Sagie, T.</au><au>Prayer, D.</au><au>Kasprian, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnetic resonance imaging and tractography of sensorimotor tracts in fetuses with intraventricular hemorrhage: feasibility and added prognostic value</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2024-11</date><risdate>2024</risdate><volume>64</volume><issue>5</issue><spage>626</spage><epage>634</epage><pages>626-634</pages><issn>0960-7692</issn><issn>1469-0705</issn><eissn>1469-0705</eissn><abstract>ABSTRACT
Objectives
To assess the feasibility, characteristics and prognostic value of prenatal visualization of the corticospinal tracts (CSTs) using diffusion‐weighted magnetic resonance imaging (MRI)‐based tractography in fetuses with intraventricular hemorrhage (IVH).
Methods
This was a retrospective single‐center cohort study of singleton fetuses diagnosed with IVH on MRI from January 2011 to December 2018. The left and right CSTs were reconstructed according to an in‐utero diffusion tensor imaging sequence using a multi‐region of interest (ROI) deterministic tractography approach. The CSTs were segmented by two polygonal ROI: at the level of the posterior limb of the internal capsule and the crus cerebri. The morphology and integrity of the CSTs were assessed visually. Internal capsule and crus cerebri apparent diffusion coefficient and fractional anisotropy values were measured. Postnatal motor function data were obtained from the parents using the functional status scale.
Results
A total of 35 fetuses with IVH (mean ± SD gestational age, 29.1 ± 5.1 (range, 19.9–38.9) weeks) were included in the analysis. Parenchymal involvement on T2‐weighted sequences was demonstrated in 19 (54%) of the cohort. CST involvement correlated significantly with the presence of parenchymal damage on T2‐weighted imaging (P = 0.02). Among liveborn cases, the rate of motor impairment was 14% (1/7) in children with intact CSTs compared with 100% (5/5) in cases in which the CSTs were impaired (P = 0.015).
Conclusions
Fetal corticospinal tractography is feasible technically and offers valuable prognostic information. It enhances parental counseling by providing insights into potential motor outcome, underscoring its utility in complementing fetal neurosonography in cases of prenatal IVH. © 2024 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>39410711</pmid><doi>10.1002/uog.29109</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5678-6802</orcidid><orcidid>https://orcid.org/0000-0001-6407-9561</orcidid><orcidid>https://orcid.org/0000-0003-3858-3347</orcidid><orcidid>https://orcid.org/0000-0002-5725-9270</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anisotropy Cerebral Intraventricular Hemorrhage - diagnostic imaging Cohort Studies corticospinal tract Diffusion coefficient diffusion tensor imaging Diffusion Tensor Imaging - standards disruption Feasibility Studies fetal brain Fetal Diseases - diagnostic imaging fetal MRI Fetuses Gestational age Gynecology Hemorrhage Humans Image processing Magnetic resonance imaging Obstetrics Prenatal Diagnosis - instrumentation Prenatal Diagnosis - methods Prenatal Diagnosis - standards Prognosis Pyramidal tracts Retrospective Studies Sensorimotor Cortex - diagnostic imaging Sensorimotor system Tensors tractography Ultrasonic imaging Ultrasound |
| title | Magnetic resonance imaging and tractography of sensorimotor tracts in fetuses with intraventricular hemorrhage: feasibility and added prognostic value |
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