Assessment of individualised cortical gyrification in infants with congenital heart disease

Motivation: Congenital heart disease (CHD) is common and associated with impaired early brain development. Goal(s): To assess whether preoperative cortical Gyrification Index (GI) in infants with CHD deviates from the normal trajectory. Approach: GI trajectories were normatively-modelled using reference control MRI data from 320 healthy infants, enabling calculation of GI Z-scores for the whole brain and frontal, occipital, parietal, temporal, cingulate and insular cortices for 130 infants with CHD, after accounting for sex, postmenstrual age at scan and days since birth at scan. Results: Mean GI Z-scores were significantly lower for the whole brain and all cortical regions in infants with CHD (All PFDR<0.018)Impact: Global and regional brain gyrification is reduced in infants with critical or severe CHD in the neonatal period, prior to cardiac surgery, and these individualised measures of cortical folding are significantly associated with cerebral oxygen delivery in the neonatal period.

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Publication Details

Journal
Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
Published
2024-11-26
DOI
https://doi.org/10.58530/2024/2387
Primary Topic
Cardiac Arrhythmias and Treatments
Type
article
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article

Assessment of individualised cortical gyrification in infants with congenital heart disease

A. David Edwards, Andrew Chew, Kuberan Pushparajah, Alexandra F. Bonthrone et al.
Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
Cardiac Arrhythmias and Treatments
article

Assessment of individualised cortical gyrification in infants with congenital heart disease

A. David Edwards, Andrew Chew, Kuberan Pushparajah, Alexandra F. Bonthrone, Manu Kumar, Siân Wilson, Paul Cawley, Christopher Kelly, Serena J. Counsell, Daniel Cromb, Jonathan O’Muircheartaigh, Ralica Dimitrova, Mary Rutherford, Joseph V. Hajnal, John Simpson
article en

Abstract

Motivation: Congenital heart disease (CHD) is common and associated with impaired early brain development. Goal(s): To assess whether preoperative cortical Gyrification Index (GI) in infants with CHD deviates from the normal trajectory. Approach: GI trajectories were normatively-modelled using reference control MRI data from 320 healthy infants, enabling calculation of GI Z-scores for the whole brain and frontal, occipital, parietal, temporal, cingulate and insular cortices for 130 infants with CHD, after accounting for sex, postmenstrual age at scan and days since birth at scan. Results: Mean GI Z-scores were significantly lower for the whole brain and all cortical regions in infants with CHD (All PFDR<0.018)Impact: Global and regional brain gyrification is reduced in infants with critical or severe CHD in the neonatal period, prior to cardiac surgery, and these individualised measures of cortical folding are significantly associated with cerebral oxygen delivery in the neonatal period.

Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
Good health and well-being
Openalex Percentile: Top 60%
Cardiac Arrhythmias and Treatments
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