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Published in: Pediatric Radiology 4/2016

01-04-2016 | Original Article

Size of the intracranial optic nerve and optic tract in neonates at term-equivalent age at magnetic resonance imaging

Authors: Jun Oyama, Kouichi Mori, Masatoshi Imamura, Yukiko Mizushima, Ukihide Tateishi

Published in: Pediatric Radiology | Issue 4/2016

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Abstract

Background

The expected MRI-based dimensions of the intracranial optic nerve and optic tract in neonates are unknown.

Objective

To evaluate the sizes of the intracranial optic nerve and optic tract in neonates at term-equivalent age using MRI.

Materials and methods

We retrospectively analyzed brain MRI examinations in 62 infants (28 boys) without intracranial abnormalities. The images were obtained in infants at term-equivalent age with a 1.5-tesla MRI scanner. We measured the widths and heights of the intracranial optic nerve and optic tract and calculated the cross-sectional areas using the formula for an ellipse.

Results

The means ± standard deviation of the width, height and cross-sectional area of the intracranial optic nerve were 2.7 ± 0.2 mm, 1.7 ± 0.2 mm and 3.5 ± 0.5 mm2, respectively. The width, height and cross-sectional area of the optic tract were 1.5 ± 0.1 mm, 1.6 ± 0.1 mm and 2.0 ± 0.2 mm2, respectively. Using univariate and multivariate analyses, we found that postmenstrual age showed independent intermediate positive correlations with the width (r = 0.48, P < 0.01) and cross-sectional area (r = 0.40, P < 0.01) of the intracranial optic nerve. The lower bounds of the 95% prediction intervals for the width and cross-sectional area of the intracranial optic nerve were 0.07 × (postmenstrual age in weeks) – 0.46 mm, and 0.17 × (postmenstrual age in weeks) – 4.0 mm2, respectively.

Conclusion

We identified the sizes of the intracranial optic nerve and optic tract in neonates at term-equivalent age. The postmenstrual age at MRI independently positively correlated with the sizes.
Literature
1.
go back to reference Siatkowski RM, Sanchez JC, Andrade R et al (1997) The clinical, neuroradiographic, and endocrinologic profile of patients with bilateral optic nerve hypoplasia. Ophthalmology 104:493–496CrossRefPubMed Siatkowski RM, Sanchez JC, Andrade R et al (1997) The clinical, neuroradiographic, and endocrinologic profile of patients with bilateral optic nerve hypoplasia. Ophthalmology 104:493–496CrossRefPubMed
2.
go back to reference Ramakrishnaiah RH, Shelton JB, Glasier CM et al (2014) Reliability of magnetic resonance imaging for the detection of hypopituitarism in children with optic nerve hypoplasia. Ophthalmology 121:387–391CrossRefPubMed Ramakrishnaiah RH, Shelton JB, Glasier CM et al (2014) Reliability of magnetic resonance imaging for the detection of hypopituitarism in children with optic nerve hypoplasia. Ophthalmology 121:387–391CrossRefPubMed
3.
go back to reference Brodsky MC, Glasier CM (1993) Optic nerve hypoplasia. Clinical significance of associated central nervous system abnormalities on magnetic resonance imaging. Arch Ophthalmol 111:66–74CrossRefPubMed Brodsky MC, Glasier CM (1993) Optic nerve hypoplasia. Clinical significance of associated central nervous system abnormalities on magnetic resonance imaging. Arch Ophthalmol 111:66–74CrossRefPubMed
6.
go back to reference Garcia-Filion P, Borchert M (2013) Prenatal determinants of optic nerve hypoplasia: review of suggested correlates and future focus. Surv Ophthalmol 58:610–619CrossRefPubMed Garcia-Filion P, Borchert M (2013) Prenatal determinants of optic nerve hypoplasia: review of suggested correlates and future focus. Surv Ophthalmol 58:610–619CrossRefPubMed
8.
go back to reference Brodsky MC, Glasier CM, Pollock SC et al (1990) Optic nerve hypoplasia. Identification by magnetic resonance imaging. Arch Ophthalmol 108:1562–1567CrossRefPubMed Brodsky MC, Glasier CM, Pollock SC et al (1990) Optic nerve hypoplasia. Identification by magnetic resonance imaging. Arch Ophthalmol 108:1562–1567CrossRefPubMed
9.
go back to reference Hellström A, Wiklund LM, Svensson E (1999) The clinical and morphologic spectrum of optic nerve hypoplasia. J AAPOS 3:212–220CrossRefPubMed Hellström A, Wiklund LM, Svensson E (1999) The clinical and morphologic spectrum of optic nerve hypoplasia. J AAPOS 3:212–220CrossRefPubMed
10.
go back to reference Birkebaek NH, Patel L, Wright NB et al (2004) Optic nerve size evaluated by magnetic resonance imaging in children with optic nerve hypoplasia, multiple pituitary hormone deficiency, isolated growth hormone deficiency, and idiopathic short stature. J Pediatr 145:536–541CrossRefPubMed Birkebaek NH, Patel L, Wright NB et al (2004) Optic nerve size evaluated by magnetic resonance imaging in children with optic nerve hypoplasia, multiple pituitary hormone deficiency, isolated growth hormone deficiency, and idiopathic short stature. J Pediatr 145:536–541CrossRefPubMed
11.
go back to reference Lenhart PD, Desai NK, Bruce BB et al (2014) The role of magnetic resonance imaging in diagnosing optic nerve hypoplasia. Am J Ophthalmol 158:1164.e2–1171.e2CrossRef Lenhart PD, Desai NK, Bruce BB et al (2014) The role of magnetic resonance imaging in diagnosing optic nerve hypoplasia. Am J Ophthalmol 158:1164.e2–1171.e2CrossRef
12.
go back to reference Magoon EH, Robb RM (1981) Development of myelin in human optic nerve and tract. A light and electron microscopic study. Arch Ophthalmol 99:655–659CrossRefPubMed Magoon EH, Robb RM (1981) Development of myelin in human optic nerve and tract. A light and electron microscopic study. Arch Ophthalmol 99:655–659CrossRefPubMed
13.
go back to reference Kandasamy Y, Smith R, Wright IM et al (2012) Optic disc measurements in full term infants. Br J Ophthalmol 96:662–664CrossRefPubMed Kandasamy Y, Smith R, Wright IM et al (2012) Optic disc measurements in full term infants. Br J Ophthalmol 96:662–664CrossRefPubMed
14.
go back to reference Plaisier A, Govaert P, Lequin MH et al (2014) Optimal timing of cerebral MRI in preterm infants to predict long-term neurodevelopmental outcome: a systematic review. AJNR Am J Neuroradiol 35:841–847CrossRefPubMed Plaisier A, Govaert P, Lequin MH et al (2014) Optimal timing of cerebral MRI in preterm infants to predict long-term neurodevelopmental outcome: a systematic review. AJNR Am J Neuroradiol 35:841–847CrossRefPubMed
15.
go back to reference Kim MR, Park SE, Oh SY (2006) Clinical feature analysis of congenital optic nerve abnormalities. Jpn J Ophthalmol 50:250–255CrossRefPubMed Kim MR, Park SE, Oh SY (2006) Clinical feature analysis of congenital optic nerve abnormalities. Jpn J Ophthalmol 50:250–255CrossRefPubMed
16.
go back to reference Gravendeel J, Rosendahl K (2010) Cerebral biometry at birth and at 4 and 8 months of age. A prospective study using US. Pediatr Radiol 40:1651–1656CrossRefPubMed Gravendeel J, Rosendahl K (2010) Cerebral biometry at birth and at 4 and 8 months of age. A prospective study using US. Pediatr Radiol 40:1651–1656CrossRefPubMed
17.
go back to reference Samarawickrama C, Huynh SC, Liew G et al (2009) Birth weight and optic nerve head parameters. Ophthalmology 116:1112–1118CrossRefPubMed Samarawickrama C, Huynh SC, Liew G et al (2009) Birth weight and optic nerve head parameters. Ophthalmology 116:1112–1118CrossRefPubMed
18.
go back to reference Hellström A (1999) Optic nerve morphology may reveal adverse events during prenatal and perinatal life — digital image analysis. Surv Ophthalmol 44:S63–S73CrossRefPubMed Hellström A (1999) Optic nerve morphology may reveal adverse events during prenatal and perinatal life — digital image analysis. Surv Ophthalmol 44:S63–S73CrossRefPubMed
19.
go back to reference Ley D, Marsal K, Dahlgren J et al (2004) Abnormal retinal optic nerve morphology in young adults after intrauterine growth restriction. Pediatr Res 56:139–143CrossRefPubMed Ley D, Marsal K, Dahlgren J et al (2004) Abnormal retinal optic nerve morphology in young adults after intrauterine growth restriction. Pediatr Res 56:139–143CrossRefPubMed
20.
go back to reference Rimmer S, Keating C, Chou T et al (1993) Growth of the human optic disk and nerve during gestation, childhood, and early adulthood. Am J Ophthalmol 116:748–753CrossRefPubMed Rimmer S, Keating C, Chou T et al (1993) Growth of the human optic disk and nerve during gestation, childhood, and early adulthood. Am J Ophthalmol 116:748–753CrossRefPubMed
21.
go back to reference Altman DG (1991) Practical statistics for medical research, 1st edn. Chapman and Hall, London Altman DG (1991) Practical statistics for medical research, 1st edn. Chapman and Hall, London
22.
go back to reference Lagrèze WA, Lazzaro A, Weigel M et al (2007) Morphometry of the retrobulbar human optic nerve: comparison between conventional sonography and ultrafast magnetic resonance sequences. Invest Ophthalmol Vis Sci 48:1913–1917CrossRefPubMed Lagrèze WA, Lazzaro A, Weigel M et al (2007) Morphometry of the retrobulbar human optic nerve: comparison between conventional sonography and ultrafast magnetic resonance sequences. Invest Ophthalmol Vis Sci 48:1913–1917CrossRefPubMed
23.
go back to reference Ali BH, Logani S, Kozlov KL et al (1994) Progression of retinal nerve fiber myelination in childhood. Am J Ophthalmol 118:515–517CrossRefPubMed Ali BH, Logani S, Kozlov KL et al (1994) Progression of retinal nerve fiber myelination in childhood. Am J Ophthalmol 118:515–517CrossRefPubMed
24.
go back to reference Jean-Louis G, Katz BJ, Digre KB et al (2000) Acquired and progressive retinal nerve fiber layer myelination in an adolescent. Am J Ophthalmol 130:361–362CrossRefPubMed Jean-Louis G, Katz BJ, Digre KB et al (2000) Acquired and progressive retinal nerve fiber layer myelination in an adolescent. Am J Ophthalmol 130:361–362CrossRefPubMed
25.
go back to reference Peeters LL, Sheldon RE, Jones MD Jr et al (1979) Blood flow to fetal organs as a function of arterial oxygen content. Am J Obstet Gynecol 135:637–646PubMed Peeters LL, Sheldon RE, Jones MD Jr et al (1979) Blood flow to fetal organs as a function of arterial oxygen content. Am J Obstet Gynecol 135:637–646PubMed
26.
go back to reference Hellström A, Hård AL, Svensson E et al (2000) Ocular fundus abnormalities in children born before 29 weeks of gestation: a population-based study. Eye 14:324–329CrossRefPubMed Hellström A, Hård AL, Svensson E et al (2000) Ocular fundus abnormalities in children born before 29 weeks of gestation: a population-based study. Eye 14:324–329CrossRefPubMed
27.
go back to reference Wikstrand MH, Hård AL, Niklasson A et al (2010) Birth weight deviation and early postnatal growth are related to optic nerve morphology at school age in children born preterm. Pediatr Res 67:325–329CrossRefPubMed Wikstrand MH, Hård AL, Niklasson A et al (2010) Birth weight deviation and early postnatal growth are related to optic nerve morphology at school age in children born preterm. Pediatr Res 67:325–329CrossRefPubMed
28.
go back to reference Hellström A, Hård AL, Chen Y et al (1997) Ocular fundus morphology in preterm children. Influence of gestational age, birth size, perinatal morbidity, and postnatal growth. Invest Ophthalmol Vis Sci 38:1184–1192 Hellström A, Hård AL, Chen Y et al (1997) Ocular fundus morphology in preterm children. Influence of gestational age, birth size, perinatal morbidity, and postnatal growth. Invest Ophthalmol Vis Sci 38:1184–1192
29.
go back to reference Birkebaek NH, Patel L, Wright NB et al (2003) Endocrine status in patients with optic nerve hypoplasia: relationship to midline central nervous system abnormalities and appearance of the hypothalamic-pituitary axis on magnetic resonance imaging. J Clin Endocrinol Metab 88:5281–5286CrossRefPubMed Birkebaek NH, Patel L, Wright NB et al (2003) Endocrine status in patients with optic nerve hypoplasia: relationship to midline central nervous system abnormalities and appearance of the hypothalamic-pituitary axis on magnetic resonance imaging. J Clin Endocrinol Metab 88:5281–5286CrossRefPubMed
31.
Metadata
Title
Size of the intracranial optic nerve and optic tract in neonates at term-equivalent age at magnetic resonance imaging
Authors
Jun Oyama
Kouichi Mori
Masatoshi Imamura
Yukiko Mizushima
Ukihide Tateishi
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 4/2016
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-015-3495-5

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