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Research ArticlePediatric Neuroimaging
Open Access

Brain Structural and Vascular Anatomy Is Altered in Offspring of Pre-Eclamptic Pregnancies: A Pilot Study

M.T. Rätsep, A. Paolozza, A.F. Hickman, B. Maser, V.R. Kay, S. Mohammad, J. Pudwell, G.N. Smith, D. Brien, P.W. Stroman, M.A. Adams, J.N. Reynolds, B.A. Croy and N.D. Forkert
American Journal of Neuroradiology May 2016, 37 (5) 939-945; DOI: https://doi.org/10.3174/ajnr.A4640
M.T. Rätsep
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
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  • ORCID record for M.T. Rätsep
A. Paolozza
bCentre for Neuroscience Studies (A.P., D.B., P.W.S., M.A.A., J.N.R.), Queen's University, Kingston, Ontario, Canada
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A.F. Hickman
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
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B. Maser
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
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V.R. Kay
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
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S. Mohammad
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
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J. Pudwell
cDepartment of Obstetrics and Gynecology (J.P., G.N.S.), Kingston General Hospital, Kingston, Ontario, Canada
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G.N. Smith
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
cDepartment of Obstetrics and Gynecology (J.P., G.N.S.), Kingston General Hospital, Kingston, Ontario, Canada
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D. Brien
bCentre for Neuroscience Studies (A.P., D.B., P.W.S., M.A.A., J.N.R.), Queen's University, Kingston, Ontario, Canada
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P.W. Stroman
bCentre for Neuroscience Studies (A.P., D.B., P.W.S., M.A.A., J.N.R.), Queen's University, Kingston, Ontario, Canada
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M.A. Adams
bCentre for Neuroscience Studies (A.P., D.B., P.W.S., M.A.A., J.N.R.), Queen's University, Kingston, Ontario, Canada
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J.N. Reynolds
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
bCentre for Neuroscience Studies (A.P., D.B., P.W.S., M.A.A., J.N.R.), Queen's University, Kingston, Ontario, Canada
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B.A. Croy
aFrom the Department of Biomedical and Molecular Sciences (M.T.R., A.F.H., B.M., V.R.K., S.M., G.N.S., J.N.R., B.A.C.)
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N.D. Forkert
dDepartment of Radiology and Hotchkiss Brain Institute (N.D.F.), University of Calgary, Calgary, Alberta, Canada.
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    Figure.

    Visual 3D representation of the vessel radii calculated for a segmented TOF-MRA dataset of a single female, 8-year-old PE-F1 participant who was born at 34 weeks of gestation.

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    Table 1:

    Study population characteristics

    Characteristics at TestingControl (n = 10)PE (n = 10)P Valueb
    Age (yr) (mean) (SD)9.79 (0.89)9.66 (1.07).769c
    Male sex (No.) (%)5 (50.0)5 (50.0)1.000d
    Height (m) (mean) (SD)1.37 (0.09)1.39 (0.14).644c
    Weight (kg) (mean) (SD)30.12 (5.68)30.66 (9.19).875c
    BMI (kg/m2) (mean) (SD)16.08 (1.93)16.17 (5.45).962c
    Caucasian (No.) (%)10 (100)10 (100)1.000d
    Household SESa (mean) (SD)49.15 (9.07)51.10 (9.10).637c
    Psychiatric disorder (No.) (%).303d
        Anxiety0 (0)2 (20)
        Depression0 (0)1 (10)
        ADHD1 (10)2 (20)
    Characteristics at birth
        Gestational age (wks) (mean) (SD)39.47 (1.38)37.16 (3.34).055c
        Birth weight (g) (mean) (SD)3419.9 (361.2)2665.2 (788.7).013c
        Length (cm) (mean) (SD)51.38 (3.39)48.50 (4.36).146c
        Head circumference (cm) (mean) (SD)34.31 (0.59)32.65 (3.01).120c
        Abdominal girth (cm) (mean) (SD)32.69 (2.22)29.81 (3.10).051c
    Delivery type (No.) (%).070d
        Vaginal8 (80)3 (30)
        Cesarean birth2 (20)7 (70)
    Maternal height (m) (mean) (SD)1.64 (0.07)1.65 (0.09).716c
    Maternal weight (kg) (mean) (SD)80.44 (14.31)84.80 (16.96).556c
    Maternal BMI (kg/m2) (mean) (SD)30.06 (6.26)30.99 (5.41).735c
    Maternal age (yr) (mean) (SD)32.27 (4.58)30.59 (3.23).355c
    • Note:—SES indicates socioeconomic status; ADHD, attention deficit/hyperactivity disorder; BMI, body mass index.

    • ↵a Calculated according to Hollingshead Four Factor Index of Social Status.

    • ↵b Bonferroni-corrected.

    • ↵c Student t test.

    • ↵d Fisher exact test.

    • View popup
    Table 2:

    Adjusted mean brain regional volumes (percentage of full intracranial volume)a

    Brain RegionControl (n = 10) (mean) (SE)PE (n = 10) (mean) (SE)P Valued
    Full intracranial volume (mL)1431.7 (33.6)1495.5 (33.6).201
    Cerebellumb8.72 (0.21)9.58 (0.21).010
    Frontal lobeb16.62 (0.39)17.08 (0.39).422
    Occipital lobeb6.25 (0.18)6.58 (0.18).213
    Parietal lobeb9.41 (0.26)9.75 (0.26).364
    Temporal lobeb8.98 (0.15)9.65 (0.15).007
    Left accumbensc0.03 (0.001)0.03 (0.001).993
    Right accumbensc0.03 (0.001)0.03 (0.001).986
    Left amygdalac0.09 (0.003)0.10 (0.003).023
    Right amygdalac0.11 (0.002)0.12 (0.002).012
    Brain stemc1.27 (0.04)1.40 (0.04).015
    Left caudatec0.20 (0.01)0.21 (0.01).843
    Right caudatec0.20 (0.01)0.21 (0.01).490
    Left cerebral cortexc23.25 (0.41)24.39 (0.41).071
    Right cerebral cortexc24.42 (0.46)25.39 (0.46).158
    Left cerebral white matterc13.42 (0.37)13.96 (0.37).320
    Right cerebral white matterc12.17 (0.33)12.85 (0.33).168
    Left hippocampusc0.21 (0.01)0.23 (0.01).166
    Right hippocampusc0.22 (0.01)0.23 (0.01).247
    Left lateral ventriclec0.34 (0.07)0.36 (0.07).873
    Right lateral ventriclec0.31 (0.05)0.32 (0.05).941
    Left pallidumc0.11 (0.004)0.12 (0.004).327
    Right pallidumc0.12 (0.004)0.12 (0.004).257
    Left putamenc0.31 (0.01)0.32 (0.01).446
    Right putamenc0.34 (0.01)0.34 (0.01).594
    Left thalamusc0.36 (0.01)0.38 (0.01).335
    Right thalamusc0.41 (0.01)0.42 (0.01).396
    • Note:—SE indicates standard error.

    • ↵a All means were adjusted for age (9.72 yr), height (1.38 m), and weight. (30.39 kg).

    • ↵b Derived from the Montreal Neurological Institute brain atlas.

    • ↵c Derived from the Harvard-Oxford subcortical atlas.

    • ↵d Bonferroni-corrected.

    • View popup
    Table 3:

    Adjusted mean brain regional vascular diameters (mm)a

    Brain RegionControl (n = 10) (mean) (SE)PE (n = 10) (mean) (SE)P Valued
    Cerebellumb0.56 (0.01)0.55 (0.01).417
    Frontal lobeb0.54 (0.01)0.52 (0.01).112
    Occipital lobeb0.50 (0.01)0.45 (0.01).004
    Parietal lobeb0.55 (0.01)0.52 (0.01).025
    Temporal lobeb0.63 (0.01)0.60 (0.01).128
    Cerebral cortexc0.57 (0.01)0.55 (0.01).085
    Cerebral white matterc0.44 (0.02)0.42 (0.02).454
    • ↵a All means were adjusted for age (9.72 yr), height (1.38 m), and weight (30.39 kg).

    • ↵b Derived from the Montreal Neurological Institute brain atlas.

    • ↵c Derived from the Harvard-Oxford subcortical atlas.

    • ↵d Bonferroni-corrected.

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M.T. Rätsep, A. Paolozza, A.F. Hickman, B. Maser, V.R. Kay, S. Mohammad, J. Pudwell, G.N. Smith, D. Brien, P.W. Stroman, M.A. Adams, J.N. Reynolds, B.A. Croy, N.D. Forkert
Brain Structural and Vascular Anatomy Is Altered in Offspring of Pre-Eclamptic Pregnancies: A Pilot Study
American Journal of Neuroradiology May 2016, 37 (5) 939-945; DOI: 10.3174/ajnr.A4640

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Brain Structural and Vascular Anatomy Is Altered in Offspring of Pre-Eclamptic Pregnancies: A Pilot Study
M.T. Rätsep, A. Paolozza, A.F. Hickman, B. Maser, V.R. Kay, S. Mohammad, J. Pudwell, G.N. Smith, D. Brien, P.W. Stroman, M.A. Adams, J.N. Reynolds, B.A. Croy, N.D. Forkert
American Journal of Neuroradiology May 2016, 37 (5) 939-945; DOI: 10.3174/ajnr.A4640
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