The relationship between early life EEG and brain MRI in preterm infants: A systematic review

IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Clinical Neurophysiology Pub Date : 2025-02-01 DOI:10.1016/j.clinph.2024.12.014
Roos F. Meijer , Xiaowan Wang , Inge M. van Ooijen, Bauke van der Velde, Jeroen Dudink, Manon J.N.L. Benders, Maria Luisa Tataranno
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Abstract

Objective

To systematically review the literature on the associations between electroencephalogram (EEG) and brain magnetic resonance imaging (MRI) measures in preterm infants (gestational age < 37 weeks).

Methods

A comprehensive search was performed in PubMed and EMBASE databases up to February 12th, 2024. Non-relevant studies were eliminated following the PRISMA guidelines.

Results

Ten out of 991 identified studies were included. Brain MRI metrics used in these studies include volumes, cortical features, microstructural integrity, visual assessments, and cerebral linear measurements. EEG parameters were classified as qualitative (Burdjalov maturity score, seizure burden, and background activity) or quantitative (discontinuity, spectral content, amplitude, and connectivity). Among them, discontinuity and the Burdjalov score were most frequently examined. Higher discontinuity was associated with reduced brain volume, cortical surface, microstructural integrity, and linear measurements. The Burdjalov score related to brain maturation qualitatively assessed on MRI. No other consistent correlations could be established due to the variability across studies.

Conclusions

The reviewed studies utilized a variety of EEG and MRI measurements, while discontinuity and the Burdjalov score stood out as significant indicators of structural brain development.

Significance

This review, for the first time, provides an extensive overview of EEG-MRI associations in preterm infants, potentially facilitating their clinical application.
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早产儿早期脑电图与脑MRI的关系:一项系统综述。
目的:系统回顾有关早产儿(胎龄)脑电图(EEG)与脑磁共振成像(MRI)指标相关性的文献。方法:综合检索截至2024年2月12日的PubMed和EMBASE数据库。根据PRISMA指南剔除了不相关的研究。结果:991项研究中有10项被纳入。这些研究中使用的脑MRI指标包括体积、皮质特征、微结构完整性、视觉评估和大脑线性测量。脑电图参数分为定性(布尔贾洛夫成熟度评分、癫痫发作负担和背景活动)和定量(不连续、频谱内容、幅度和连通性)。其中,不连续和布尔贾洛夫分数是最常被检查的。较高的不连续性与脑容量、皮质表面、显微结构完整性和线性测量的减少有关。burjalov评分与MRI定性评估脑成熟相关。由于各研究的可变性,无法建立其他一致的相关性。结论:回顾的研究使用了各种脑电图和MRI测量,而不连续性和布尔贾洛夫评分是大脑结构发育的重要指标。意义:本综述首次提供了早产儿脑电图- mri关联的广泛概述,有可能促进其临床应用。
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来源期刊
Clinical Neurophysiology
Clinical Neurophysiology 医学-临床神经学
CiteScore
8.70
自引率
6.40%
发文量
932
审稿时长
59 days
期刊介绍: As of January 1999, The journal Electroencephalography and Clinical Neurophysiology, and its two sections Electromyography and Motor Control and Evoked Potentials have amalgamated to become this journal - Clinical Neurophysiology. Clinical Neurophysiology is the official journal of the International Federation of Clinical Neurophysiology, the Brazilian Society of Clinical Neurophysiology, the Czech Society of Clinical Neurophysiology, the Italian Clinical Neurophysiology Society and the International Society of Intraoperative Neurophysiology.The journal is dedicated to fostering research and disseminating information on all aspects of both normal and abnormal functioning of the nervous system. The key aim of the publication is to disseminate scholarly reports on the pathophysiology underlying diseases of the central and peripheral nervous system of human patients. Clinical trials that use neurophysiological measures to document change are encouraged, as are manuscripts reporting data on integrated neuroimaging of central nervous function including, but not limited to, functional MRI, MEG, EEG, PET and other neuroimaging modalities.
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