Predictive value of brain MRI at term-equivalent age in extremely preterm children on neurodevelopmental outcome at school-age.

Abstract

This study s objective was to correlate the abnormalities in brain MRIs performed at corrected-term age for minor or moderate neurocognitive disorders in children school-age born extremely premature (EPT) and without serious sequelae such as autism, cerebral palsy, mental impairment. Data were issued from a cross-sectional multicenter study (GP-Qol study, number NCT01675726). Clinical examination and psychometric assessments were performed when the children were between 7 and 10\xa0years old during a day-long evaluation. Term-equivalent age brain MRIs on EPT were analyzed with a standardized scoring system. There were 114 children included in the study. The mean age at the time of evaluation, was 8.47\xa0years old (±\u20090.70). 59% of children with at least one cognitive impairment and 53% who had a dysexecutive disorder. Only ten EPT (8.7%) presented moderate to severe white and grey matter abnormalities. These moderate to severe grey matter abnormalities were associated with at least two abnormal executive functions [OR 3.08 (95% CI 1.04-8.79), p\u2009=\u20090.04] and language delay [OR 3.25 (95% CI 1.03-9.80), p\u2009=\u20090.04]. These results remained significant in the multivariate analysis. Moderate to severe ventricular dilatation abnormalities (15%, n\u2009=\u200917) were associated with ideomotor dyspraxia [OR 7.49 (95% CI 1.48-35.95), p\u2009=\u20090.02] and remained significant in multivariate analysis [OR 11.2 (95% CI 1.45-131.4), p\u2009=\u20090.02]. Biparietal corrected diameters were moderate abnormal in 20% of cases (n\u2009=\u200923) and were associated to visuo spatial integration delay [OR 4.13 (95% CI 1.23-13.63), p\u2009=\u20090.02]. Cerebral MRI at term-equivalent age with scoring system analysis can provide information on long-term neuropsychological outcomes at school-age in EPTs children having no severe disability.