Quantifying myelin in neonates using magnetic resonance imaging: a systematic literature review

Nabila Hanem Arshad1,2, Hasyma Abu Hassan1, Nur Farhayu Omar1

  • 1Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.

PubMed

Insights

Synthetic MRI is recommended for quantifying neonatal white matter myelination. This advanced magnetic resonance imaging (MRI) technique offers advantages over other methods for assessing myelin development in newborns.

Area of Science:

  • Neuroimaging
  • Biomedical Engineering
  • Pediatric Radiology

Background:

  • Neonatal white matter myelination is crucial for neurodevelopment.
  • Accurate quantification of myelin is essential for diagnosing and monitoring neurological conditions.
  • Various quantitative magnetic resonance imaging (MRI) techniques exist, but their utility in neonates requires assessment.

Purpose of the Study:

  • To systematically review and evaluate quantitative MRI techniques for neonatal white matter myelination quantification.
  • To identify the most effective MRI methods for assessing myelin in newborns.
  • To provide recommendations for future research and clinical practice.

Main Methods:

  • A systematic literature search was conducted across Scopus, PubMed, and Web of Science databases.
  • Studies were selected based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement.
  • Included studies utilized quantitative MRI techniques to measure myelin in neonatal samples.

Main Results:

  • Twelve studies met the inclusion criteria.
  • Relaxometry was the most frequently validated MRI approach (83.33%) for myelin quantification in neonates.
  • Magnetization transfer imaging (8.33%) and a novel automatic segmentation technique (8.33%) were also explored.

Conclusions:

  • Synthetic MRI is a promising technique for quantifying neonatal white matter myelination.
  • Its advantages, including accuracy and efficiency, surpass its minor limitations.
  • Further validation and application of Synthetic MRI are recommended for neonatal neuroimaging.