Quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational study
Abstract Non-cystic white matter (WM) injury has become prevalent among preterm newborns and is associated with long-term neurodevelopmental impairment. Magnetic resonance is the gold-standard for diagnosis; however, cranial ultrasound (CUS) is more easily available but limited by subjective interpr...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-44083-w |
| _version_ | 1797559772688416768 |
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| author | Gianluigi Laccetta Maria Di Chiara Maria Chiara De Nardo Monica Tagliabracci Elisa Travaglia Benedetta De Santis Caterina Spiriti Lucia Dito Daniela Regoli Barbara Caravale Raffaella Cellitti Pasquale Parisi Gianluca Terrin |
| author_facet | Gianluigi Laccetta Maria Di Chiara Maria Chiara De Nardo Monica Tagliabracci Elisa Travaglia Benedetta De Santis Caterina Spiriti Lucia Dito Daniela Regoli Barbara Caravale Raffaella Cellitti Pasquale Parisi Gianluca Terrin |
| author_sort | Gianluigi Laccetta |
| collection | DOAJ |
| description | Abstract Non-cystic white matter (WM) injury has become prevalent among preterm newborns and is associated with long-term neurodevelopmental impairment. Magnetic resonance is the gold-standard for diagnosis; however, cranial ultrasound (CUS) is more easily available but limited by subjective interpretation of images. To overcome this problem, we enrolled in a prospective observational study, patients with gestational age at birth < 32 weeks with normal CUS scans or grade 1 WM injury. Patients underwent CUS examinations at 0–7 days of life (T0), 14–35 days of life (T1), 370/7–416/7 weeks’ postmenstrual age (T2), and 420/7–520/7 weeks’ postmenstrual age (T3). The echogenicity of parieto-occipital periventricular WM relative to that of homolateral choroid plexus (RECP) was calculated on parasagittal scans by means of pixel brightness intensity and its relationship with Bayley-III assessment at 12 months’ corrected age was evaluated. We demonstrated that: (1) Left RECP values at T1 negatively correlated with cognitive composite scores; (2) Right RECP values at T2 and T3 negatively correlated with language composite scores; (3) Left RECP values at T1 and T2 negatively correlated with motor composite scores. Thus, this technique may be used as screening method to early identify patients at risk of neurodevelopmental issues and promptly initiate preventive and therapeutic interventions. |
| first_indexed | 2024-03-10T17:50:05Z |
| format | Article |
| id | doaj.art-97a1dd2abc7c44248ab12f49ce20970d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-10T17:50:05Z |
| publishDate | 2023-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-97a1dd2abc7c44248ab12f49ce20970d2023-11-20T09:23:22ZengNature PortfolioScientific Reports2045-23222023-10-0113111010.1038/s41598-023-44083-wQuantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational studyGianluigi Laccetta0Maria Di Chiara1Maria Chiara De Nardo2Monica Tagliabracci3Elisa Travaglia4Benedetta De Santis5Caterina Spiriti6Lucia Dito7Daniela Regoli8Barbara Caravale9Raffaella Cellitti10Pasquale Parisi11Gianluca Terrin12Department of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Developmental and Social Psychology, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeDepartment of Neuroscience, Mental Health and Sense Organs (NESMOS), Faculty of Medicine and Psychology, Sant’Andrea University Hospital, Sapienza University of RomeDepartment of Maternal Infantile and Urological Sciences, Sapienza University of RomeAbstract Non-cystic white matter (WM) injury has become prevalent among preterm newborns and is associated with long-term neurodevelopmental impairment. Magnetic resonance is the gold-standard for diagnosis; however, cranial ultrasound (CUS) is more easily available but limited by subjective interpretation of images. To overcome this problem, we enrolled in a prospective observational study, patients with gestational age at birth < 32 weeks with normal CUS scans or grade 1 WM injury. Patients underwent CUS examinations at 0–7 days of life (T0), 14–35 days of life (T1), 370/7–416/7 weeks’ postmenstrual age (T2), and 420/7–520/7 weeks’ postmenstrual age (T3). The echogenicity of parieto-occipital periventricular WM relative to that of homolateral choroid plexus (RECP) was calculated on parasagittal scans by means of pixel brightness intensity and its relationship with Bayley-III assessment at 12 months’ corrected age was evaluated. We demonstrated that: (1) Left RECP values at T1 negatively correlated with cognitive composite scores; (2) Right RECP values at T2 and T3 negatively correlated with language composite scores; (3) Left RECP values at T1 and T2 negatively correlated with motor composite scores. Thus, this technique may be used as screening method to early identify patients at risk of neurodevelopmental issues and promptly initiate preventive and therapeutic interventions.https://doi.org/10.1038/s41598-023-44083-w |
| spellingShingle | Gianluigi Laccetta Maria Di Chiara Maria Chiara De Nardo Monica Tagliabracci Elisa Travaglia Benedetta De Santis Caterina Spiriti Lucia Dito Daniela Regoli Barbara Caravale Raffaella Cellitti Pasquale Parisi Gianluca Terrin Quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational study Scientific Reports |
| title | Quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational study |
| title_full | Quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational study |
| title_fullStr | Quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational study |
| title_full_unstemmed | Quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational study |
| title_short | Quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle-term neurodevelopment: a prospective observational study |
| title_sort | quantitative ultrasonographic examination of cerebral white matter by pixel brightness intensity as marker of middle term neurodevelopment a prospective observational study |
| url | https://doi.org/10.1038/s41598-023-44083-w |
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