Holland Scott K, Altaye Mekibib, Robertson Sara, Byars Anna W, Plante Elena, Szaflarski Jerzy P
Pediatric Neuroimaging Research Consortium, Cincinnati Children's Research Foundation, Cincinnati, OH, USA ; Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Pediatric Neuroimaging Research Consortium, Cincinnati Children's Research Foundation, Cincinnati, OH, USA ; Department of Pediatrics, Division of Biostatistics and Epidemiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Neuroimage Clin. 2014 Feb 9;4:526-30. doi: 10.1016/j.nicl.2014.01.013. eCollection 2014.
To address the question of the safety of MRI for research in normal, healthy children. We examined MRI, neurocognitive and biometric data collected in a group of healthy, normally developing children who have participated in a 10 year longitudinal fMRI study.
Thirty-one healthy children ranging in age from 5 to 7 years were enrolled between 2000 and 2002 and were tested yearly as part of a longitudinal study of normal language development. Twenty-eight of these children have completed multiple neuroimaging, neurocognitive and biometric exams. These children ranged in age from 5 to 18 years during the course of the study and were exposed to up to 10 annual MRI scans. Linear regression of the IQ (WISC-III) (Wechsler, 1991), executive function (BRIEF) (Gioia et al., 2002), and language (OWLS) (Carrow-Woolfolk, 1995) measures was performed against the number of years of exposure to MRI in the study. Body mass index (BMI) (Ogden et al., 2006) was also examined as a function of years and compared with normative values.
The WISC-III Full Scale (FSIQ) in our longitudinal cohort was higher than the average at baseline. There was no significant change over time in mean FSIQ p = 0.80, OWLS p = 0.16, or BRIEF p = 0.67. Similarly, over 10 years there were no significant changes in the Coding subtest of WISC III and height and body mass index did not deviate from norms (50th percentile).
Examination of neurocognitive and biometric data from a decade-long, longitudinal fMRI study of normal language development in this small, longitudinal sample of healthy children in the age range of 5 to 18 years, who received up to 10 MRI scans, provides scientific evidence to support the belief that MRI poses minimal risk for use in research with healthy children.
探讨磁共振成像(MRI)用于正常健康儿童研究的安全性问题。我们研究了一组参与为期10年的功能性磁共振成像(fMRI)纵向研究的健康、正常发育儿童所收集的MRI、神经认知和生物特征数据。
2000年至2002年招募了31名年龄在5至7岁的健康儿童,作为正常语言发育纵向研究的一部分,每年对他们进行测试。其中28名儿童完成了多项神经影像学、神经认知和生物特征检查。在研究过程中,这些儿童的年龄在5至18岁之间,接受了多达10次年度MRI扫描。针对研究中接触MRI的年数,对智商(韦氏儿童智力量表第三版(WISC-III))(韦克斯勒,1991年)、执行功能(行为评定执行功能问卷(BRIEF))(乔亚等人,2002年)和语言(口语语言量表(OWLS))(卡罗-伍尔福克,1995年)测量值进行线性回归分析。还将体重指数(BMI)(奥格登等人,2006年)作为年份的函数进行检查,并与标准值进行比较。
我们纵向队列中的韦氏儿童智力量表第三版全量表智商(FSIQ)在基线时高于平均水平。平均FSIQ(p = 0.80)、OWLS(p = 0.16)或BRIEF(p = 0.67)随时间没有显著变化。同样,在10年期间,韦氏儿童智力量表第三版的编码子测试没有显著变化,身高和体重指数也未偏离标准(第50百分位数)。
在这个年龄范围为5至18岁、接受了多达10次MRI扫描的健康儿童的小型纵向样本中,对长达十年的正常语言发育功能性磁共振成像纵向研究中的神经认知和生物特征数据进行检查,提供了科学证据,支持MRI在健康儿童研究中使用风险极小的观点。