A Prospective Multi-Institutional Study Comparing the Brain Development in the Third Trimester between Opioid-Exposed and Nonexposed Fetuses Using Advanced Fetal MR Imaging Techniques

Hyuk Jin Yun, Usha D. Nagaraj, P. Ellen Grant, Stephanie L. Merhar, Xiawei Ou, Weili Lin, Ashley Acheson, Karen Grewen, Beth M. Kline-Fath and Kiho Im

Article Figures & Data

Figures

  • FIG 1.

    Statistical results of the regional analysis of surface area between OE and UE fetuses. A, Statistical t-map. Red indicates that surface area in OE is smaller than UE fetuses. Blue indicates that surface area in OE is larger than UE fetuses. B, FDR q-map. Red-yellow indicates regions showing statistically different surface area (q <0.05).

  • FIG 2.

    Statistical results of the regional analysis of sulcal depth between OE and UE. A, Statistical t-map. Red indicates that sulcal depth in OE is shallower than UE fetuses. Blue surface area in OE is deeper than UE fetuses. B, FDR q-map. Red-yellow indicates regions showing statistically different sulcal depth (q <0.05).

Tables

  • Table 1:

    Description of cohort

    OE Fetuses (n = 14)UE Control Fetuses (n= 15)P Value
    Maternal age (yr)28.5 ± 5.328.6 ± 6.5.93
    Gestational age (wk)31.43 ± 2.3431.39 ± 2.35.96
    Sex (% male)62% (9/14)67% (10/15).9
    Nicotine exposure50% (7/14)6.7% (1/15)<.01
    Other illicit drug exposurea50% (7/14)6.7% (1/15)<.01
     Site (A/C/N)b4/7/35/8/2NA
    • a Illicit drug exposure inquiries included: marijuana, cocaine, amphetamine or methamphetamine, barbiturates, and benzodiazepines.

    • b A: University of Arkansas for Medical Sciences; C: Cincinnati Children’s Hospital Medical Center; N: University of North Carolina at Chapel Hill.

  • Table 2:

    Statistical comparisons of whole brain volume and surface measures between OE and UE control fetuses

    MeasuresUE (mean ± SD)OE (mean ± SD)tP ValueCohen d Effect Size
    Brain volume (mm3)196,083 ± 46,338180,496 ± 41,0025.22<.0010.3555
    CP volume (mm3)62,081 ± 20,42656,797 ± 16,7564.24<.0010.2818
    Surface area (mm2)306,930 ± 814727,313 ± 72555.25<.0010.4373
    Sulcal depth (mm)2.152 ± 0.5711.893 ± 0.5174.96<.0010.4739
    Mean curvature0.145 ± 0.0310.135 ± 0.0314.83<.0010.3120
    GI1.404 ± 0.1601.331 ± 0.1454.41<.0010.4801
    • Note:— Positive t: UE > OE.

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