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Research ArticlePediatric Neuroimaging
Open Access

DTI of Opioid-Exposed Fetuses Using ComBat Harmonization: A Bi-Institutional Study

J.A. Dudley, U.D. Nagaraj, S. Merhar, F.T. Mangano, B.M. Kline-Fath, X. Ou, A. Acheson and W. Yuan
American Journal of Neuroradiology August 2023, DOI: https://doi.org/10.3174/ajnr.A7951
J.A. Dudley
aFrom the Department of Radiology and Medical Imaging (J.A.D., U.D.N., B.M.K.-F., W.Y.)
dUniversity of Cincinnati College of Medicine (J.A.D., U.D.N., S.M., F.T.M., B.M.K.-F., W.Y.), Cincinnati, Ohio
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U.D. Nagaraj
aFrom the Department of Radiology and Medical Imaging (J.A.D., U.D.N., B.M.K.-F., W.Y.)
dUniversity of Cincinnati College of Medicine (J.A.D., U.D.N., S.M., F.T.M., B.M.K.-F., W.Y.), Cincinnati, Ohio
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S. Merhar
bPerinatal Institute, Division of Neonatology (S.M.)
dUniversity of Cincinnati College of Medicine (J.A.D., U.D.N., S.M., F.T.M., B.M.K.-F., W.Y.), Cincinnati, Ohio
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F.T. Mangano
cDepartment of Neurosurgery (F.T.M.), Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
dUniversity of Cincinnati College of Medicine (J.A.D., U.D.N., S.M., F.T.M., B.M.K.-F., W.Y.), Cincinnati, Ohio
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B.M. Kline-Fath
aFrom the Department of Radiology and Medical Imaging (J.A.D., U.D.N., B.M.K.-F., W.Y.)
dUniversity of Cincinnati College of Medicine (J.A.D., U.D.N., S.M., F.T.M., B.M.K.-F., W.Y.), Cincinnati, Ohio
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  • ORCID record for B.M. Kline-Fath
X. Ou
eDepartments of Radiology (X.O.)
fPediatrics (X.O.)
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A. Acheson
gPsychiatry (A.A.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
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W. Yuan
aFrom the Department of Radiology and Medical Imaging (J.A.D., U.D.N., B.M.K.-F., W.Y.)
dUniversity of Cincinnati College of Medicine (J.A.D., U.D.N., S.M., F.T.M., B.M.K.-F., W.Y.), Cincinnati, Ohio
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    FIG 1.

    Illustration of atlas-based WM regions outlined in coronal, axial, and sagittal directions. The examples of the brain regions include the following: 1) middle cerebellar peduncle; 2) genu, body, and splenium of the corpus callosum; and 3) bilateral anterior and posterior limbs of the internal capsule.

  • FIG 2.
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    FIG 2.

    Plots of FA, adjusted for age, by group in 8 deep WM structures showing opioid-exposed fetuses with higher FA compared with controls.

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    FIG 3.

    Plots of AD, adjusted for age, by group in 11 deep WM structures showing opioid-exposed fetuses with higher AD compared with controls.

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  • Demographic information and additional substance exposure

    Controls (n = 15)Opioid-Exposed (n = 11)P Value
    Maternal age (mean) (yr)28. 5 (SD, 4.9)27.8 (SD, 6.1).73
    GA (mean) (wk)31.77 (SD, 1.68)32.61 (SD, 2.35).3
    Sex (% male)80% (12/15)54.5% (6/11).18
    Nicotine exposure0%40% (4/10)a
    Other illicit drug exposureb0%40% (4/10)a
    Both0%20% (2/10)a
    • ↵a One patient in the opioid-exposed group preferred not to answer these questions.

    • ↵b Illicit drug exposure inquiries included marijuana, cocaine, amphetamine or methamphetamine, barbiturates, and benzodiazepines.

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J.A. Dudley, U.D. Nagaraj, S. Merhar, F.T. Mangano, B.M. Kline-Fath, X. Ou, A. Acheson, W. Yuan
DTI of Opioid-Exposed Fetuses Using ComBat Harmonization: A Bi-Institutional Study
American Journal of Neuroradiology Aug 2023, DOI: 10.3174/ajnr.A7951

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DTI of Opioid-Exposed Fetuses Using ComBat Harmonization: A Bi-Institutional Study
J.A. Dudley, U.D. Nagaraj, S. Merhar, F.T. Mangano, B.M. Kline-Fath, X. Ou, A. Acheson, W. Yuan
American Journal of Neuroradiology Aug 2023, DOI: 10.3174/ajnr.A7951
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