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MRI 评估孤立性脑室扩大胎儿枕叶脑回体积发育变化与婴儿期和幼儿期神经发育相关。

Volume development changes in the occipital lobe gyrus assessed by MRI in fetuses with isolated ventriculomegaly correlate with neurological development in infancy and early childhood.

机构信息

Department of Radiology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangdong Provincial Clinical Research Center for Child Health, Guangzhou, China.

Department of Radiology, Hexian Memorial Hospital of PanYu District, Guangzhou, China.

出版信息

J Perinatol. 2024 Aug;44(8):1178-1185. doi: 10.1038/s41372-024-02012-3. Epub 2024 May 27.

Abstract

OBJECTIVE

This study was to systematically assess the occipital lobe gray and white matter volume of isolated ventriculomegaly (IVM) fetuses with MRI and to follow up the neurodevelopment of participants.

METHOD

MRI was used to evaluate 37 IVM fetuses and 37 control fetuses. The volume of gray and white matter in each fetal occipital gyrus was manually segmented and compared, and neurodevelopment was followed up and assessed in infancy and early childhood.

RESULT

Compared with the control group, the volume of gray matter in occipital lobe increased in the IVM group, and the incidence of neurodevelopmental delay increased.

CONCLUSION

We tested the hypothesis that prenatal diagnosis IVM represents a biological marker for development in fetal occipital lobe. Compared with the control group, the IVM group showed differences in occipital gray matter development and had a higher risk of neurodevelopmental delay.

摘要

目的

本研究旨在通过 MRI 系统评估孤立性脑室扩大(IVM)胎儿的枕叶灰质和白质体积,并对参与者的神经发育进行随访。

方法

使用 MRI 评估 37 例 IVM 胎儿和 37 例对照组胎儿。手动分割并比较每个胎儿枕叶回的灰质和白质体积,并在婴儿期和幼儿期进行神经发育随访和评估。

结果

与对照组相比,IVM 组枕叶灰质体积增加,神经发育迟缓的发生率增加。

结论

我们验证了产前诊断 IVM 代表胎儿枕叶发育的生物学标志物这一假设。与对照组相比,IVM 组在枕叶灰质发育方面存在差异,神经发育迟缓的风险更高。

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