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Human Fetal Blood Flow Quantification with Magnetic Resonance Imaging and Motion Compensation
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Cross-Sectional Observational Study of Typical in utero Fetal Movements Using Machine Learning.

Lana Vasung1, Junshen Xu2, Esra Abaci-Turk1

  • 1Department of Pediatrics, Boston Children's Hospital, and Harvard Medical School, Boston, Massachusetts, USA.

Developmental Neuroscience
|December 20, 2022
PubMed
Summary
This summary is machine-generated.

Machine learning quantified fetal limb movement using MRI, revealing maternal hyperoxia and fetal development impact movement duration. This offers a new biomarker for fetal health and neuromuscular development.

Keywords:
Fetal movementIn utero fetal magnetic resonance imagingMaternal hyperoxia

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Area of Science:

  • Neuroscience
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Fetal movements indicate central nervous system development.
  • Current methods lack automatic quantification of complex 3D fetal motion in utero.

Purpose of the Study:

  • To use machine learning (ML) on in utero MRI for quantitative kinematic analysis of fetal limb movement.
  • To assess the impact of maternal, placental, and fetal factors on fetal limb movement.

Main Methods:

  • Utilized 76 fetal BOLD MRI scans (24-40 GW) from 52 women.
  • Employed a 3D convolutional neural network to track fetal key points and calculate absolute movement time (AMT).
  • Performed mixed-model ANOVA to identify factors associated with AMT.

Main Results:

  • Fetal limb movement duration was significantly longer during maternal hyperoxia.
  • A significant centrifugal increase in AMT was observed across limbs.
  • Upper extremities showed longer AMT <31 GW, while lower extremities showed longer AMT >35 GW.

Conclusions:

  • ML successfully quantified complex 3D fetal limb motion in utero.
  • Maternal hyperoxia, gestational age, and joint type significantly impact fetal movement.
  • Quantification of fetal motion via MRI is a potential biomarker for fetal health and neuromuscular development.