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Regional apparent diffusion coefficient values in 3rd trimester fetal brain.

Chen Hoffmann1, Boaz Weisz, Shlomo Lipitz

  • 1Department of Radiology, Sheba Medical Center, Tel Hashomer (affiliated to the Sackler School of Medicine), Tel Aviv University, Tel Aviv, Israel, chen.hoffmann@sheba.health.gov.il.

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Summary
This summary is machine-generated.

Apparent diffusion coefficient (ADC) values in normal fetal brains are stable in the third trimester and vary by region. These findings aid in diagnosing and predicting prenatal brain pathologies.

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Area of Science:

  • Neuroimaging
  • Fetal Medicine
  • Radiology

Background:

  • Apparent diffusion coefficient (ADC) values are crucial for diagnosing and prognosing prenatal brain pathologies.
  • Measuring regional ADC in normal fetal brains in utero is essential for establishing reference ranges.

Purpose of the Study:

  • To measure regional ADC values in a cohort of normal fetal brains during the third trimester.
  • To analyze the relationship between ADC values, brain region, and gestational age.
  • To investigate ADC changes in fetal CMV infection.

Main Methods:

  • Diffusion-weighted imaging (DWI) was performed on 48 fetuses in the third trimester with normal MRI scans.
  • ADC was measured in various brain regions: white matter, basal ganglia, thalamus, pons, and cerebellum.
  • Statistical analyses included one-way ANOVA and regression analysis; four cases of CMV infection were also examined.

Main Results:

  • ADC values showed significant regional variation, being highest in white matter and lowest in the thalamus and pons.
  • No significant changes in ADC values were observed with increasing gestational age across tested regions.
  • Fetal CMV infection was associated with a global decrease in ADC values.

Conclusions:

  • Fetal brain ADC values are stable during the third trimester and exhibit distinct regional patterns.
  • These established ADC values contribute to the early diagnosis and prognosis of fetal brain abnormalities.
  • Regional ADC measurements can serve as a biomarker for prenatal neurological conditions.