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Fetal magnetoencephalography: a non-invasive method for the assessment of fetal neuronal maturation
E Schleussner1, U Schneider, S Kausch
1Department of Obstetrics and Gynaecology, Friedrich Schiller University Jena, Germany.
Objective:
To assess the maturation of auditory evoked cortical responses in the human fetus using fetal magnetoencephalography.
Design:
Prospective case series over a three-year period.
Setting:
Antenatal clinics, university hospital.
Population:
Singleton pregnancies at 29-40 weeks of gestation.
Methods:
We used a 31-channel-SQUID-biomagnetometer in a magnetically-shielded room to perform fetal magnetoencephalography. To record auditory evoked fields from the fetal brain we applied 500 monotonal bursts generated by a computerised sound generator directly to the maternal abdominal wall near the fetal head. The continuously recorded data sets were analysed stepwise using a specially developed heart artefact rejection software, Fourier filtering, principle component analysis and half split analysis of the averaged data.
Results:
In 36 of 64 examinations we detected signals of auditory evoked fields comparable to the P2m component in adults. The earliest recording succeeded in the 29th gestational week. The latencies of the auditory evoked responses declined during the third trimester from 300 ms to nearly 150 ms at term. The maturation of different components of the auditory evoked field could be demonstrated from the 31st gestational week onwards.
Conclusion:
The maturation of a fetal auditory cortical function using fetal magnetoencephalography could be assessed directly for the first time. We believe that this method will add information to current indirect methods of assessing the normal maturation of the human fetal brain.