PWML: MRI-based Biomarkers for Predicting Punctate White Matter Lesions in Neonates
Study Details
Study Description
Brief Summary
As a common white matter (WM) disease in preterm neonates, punctate white matter lesion (PWML) frequently leads to the abnormalities of brain development (e.g. the motor, visual and auditory disorders), even to cerebral palsy (CP) and amblyopia during childhood. However, it is lack of certain methods in identifying the prognosis of PWML. Through using various advanced MRI techniques, neuro-behavioral and visual assessments, a multicenter longitudinal study would be conducted to follow-up the PWML neonates with varying spatial-position and degree lesions. Through tracking the variations in WM microstructures from neonate period to childhood (2 years old and 3 years old), this study aims to explore (1) the potential relations between varying PWMLs and motor and visual disorders (2) the relations between WM MRI-metrics and neurodevelopmental assessment results, and thus determine the early biomarkers to identify CP and amblyopia.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Control Group Neonates with no evidence of brain lesions on conventional MRI. |
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Patients Group Neonates with PWML diagnosed by conventional MRI. |
Outcome Measures
Primary Outcome Measures
- Cerebral Palsy [At age 2]
The enrolled subjects who will be diagnosed as cerebral palsy by clinical examination at age 2.
Secondary Outcome Measures
- Amblyopia or movement disorder [At age 3]
The enrolled subjects who will be diagnosed as amblyopia or movement disorder by clinical examination at age 3.
Eligibility Criteria
Criteria
Inclusion Criteria:
-(1) Age: 1-28 days (2) PWML (3) High quality MRI scan
Exclusion Criteria:
-(1) Congenital malformations, infections, metabolic disorders, intraventricular hemorrhage (2) Neonates of mothers with gestational diabetes, hypertension, hypoglycemia and history of alcohol
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | First Affiliated Hospital of Xi'an Jiaotong University | Xi'an | Shaanxi | China |
Sponsors and Collaborators
- First Affiliated Hospital Xi'an Jiaotong University
- Shenzhen Children's Hospital
- General Hospital of Ningxia Medical University
- Xijing Hospital
- Shengjing Hospital
- Second Affiliated Hospital of Wenzhou Medical University
- Zunyi Medical College
- Shaanxi Provincial People's Hospital
- Baoji Central Hospital
- Children's Hospital of Fudan University
- Hainan People's Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2016YFC0100300