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Published in: Pediatric Radiology 5/2013

01-05-2013 | Original Article

Radiologic differences in white matter maturation between preterm and full-term infants: TBSS study

Authors: Ah Young Lee, Sung Ho Jang, Eunsil Lee, Sang Ho Ahn, Hee Kyung Cho, Hae Min Jo, Su Min Son

Published in: Pediatric Radiology | Issue 5/2013

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Abstract

Background

Widespread white matter (WM) pathology in preterm children has been proposed.

Objective

The purpose of this study was to investigate maturational differences of WM between preterm infants with thinning of the corpus callosum and full-term infants.

Materials and methods

A total of 18 preterm children and 18 full-term children were divided into three subgroups according to the corrected age at the time of diffusion tensor imaging scanning. Tract-based spatial statistics was used for assessing differences in fractional anisotropy (FA) between preterm and full-term children, and between each age-related subgroup in preterm and in full-term children.

Results

In the preterm group, FA values of overall WM showed an increase with age. This trend indicates that WM maturation is a gradual occurrence during a child’s first 2 years. In the full-term group, most WM structures had reached maturation at around 1 year of age; however, centrum semiovale level showed sustained maturation during the first 2 years.

Conclusion

Results of our study demonstrate radiologic maturational differences of WM and provide evidence of the need for therapeutic intervention within 2 years of birth to prevent specific functional impairment and to improve clinical outcome in preterm children.
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Metadata
Title
Radiologic differences in white matter maturation between preterm and full-term infants: TBSS study
Authors
Ah Young Lee
Sung Ho Jang
Eunsil Lee
Sang Ho Ahn
Hee Kyung Cho
Hae Min Jo
Su Min Son
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 5/2013
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-012-2545-5

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