Early brain magnetic resonance imaging findings and neurodevelopmental outcome in children with congenital heart disease: A systematic review
- PMID: 37035939
- DOI: 10.1111/dmcn.15588
Early brain magnetic resonance imaging findings and neurodevelopmental outcome in children with congenital heart disease: A systematic review
Abstract
Aim: To investigate the association between early brain magnetic resonance imaging (MRI) findings and neurodevelopmental outcome (NDO) in children with congenital heart disease (CHD).
Method: A search for studies was conducted in Embase, Medline, Web of Science, Cochrane Central, PsycINFO, and Google Scholar. Observational and interventional studies were included, in which patients with CHD underwent surgery before 2 months of age, a brain MRI scan in the first year of life, and neurodevelopmental assessment beyond the age of 1 year.
Results: Eighteen studies were included. Thirteen found an association between either quantitative or qualitative brain metrics and NDO: 5 out of 7 studies showed decreased brain volume was significantly associated with worse NDO, as did 7 out of 10 studies on brain injury. Scanning protocols and neurodevelopmental tests varied strongly.
Interpretation: Reduced brain volume and brain injury in patients with CHD can be associated with impaired NDO, yet standardized scanning protocols and neurodevelopmental assessment are needed to further unravel trajectories of impaired brain development and its effects on outcome.
© 2023 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.
Similar articles
-
Prevalence of prenatal brain abnormalities in fetuses with congenital heart disease: a systematic review.Ultrasound Obstet Gynecol. 2016 Sep;48(3):296-307. doi: 10.1002/uog.15932. Ultrasound Obstet Gynecol. 2016. PMID: 27062519
-
Brain Injury and Neurodevelopmental Outcome in Congenital Heart Disease: A Systematic Review.Pediatrics. 2017 Jul;140(1):e20164055. doi: 10.1542/peds.2016-4055. Epub 2017 Jun 13. Pediatrics. 2017. PMID: 28607205
-
Magnetic resonance perfusion for differentiating low-grade from high-grade gliomas at first presentation.Cochrane Database Syst Rev. 2018 Jan 22;1(1):CD011551. doi: 10.1002/14651858.CD011551.pub2. Cochrane Database Syst Rev. 2018. PMID: 29357120 Free PMC article.
-
Technological aids for the rehabilitation of memory and executive functioning in children and adolescents with acquired brain injury.Cochrane Database Syst Rev. 2016 Jul 1;7(7):CD011020. doi: 10.1002/14651858.CD011020.pub2. Cochrane Database Syst Rev. 2016. PMID: 27364851 Free PMC article.
-
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.Cochrane Database Syst Rev. 2021 Apr 19;4(4):CD011535. doi: 10.1002/14651858.CD011535.pub4. Cochrane Database Syst Rev. 2021. Update in: Cochrane Database Syst Rev. 2022 May 23;5:CD011535. doi: 10.1002/14651858.CD011535.pub5. PMID: 33871055 Free PMC article. Updated.
Cited by
-
Assessment of Early Development in Congenital Heart Disease Using a Novel Caregiver Rating Method.Pediatr Cardiol. 2025 Jul 15. doi: 10.1007/s00246-025-03944-z. Online ahead of print. Pediatr Cardiol. 2025. PMID: 40665029
-
School Readiness in Preschool-Age Children with Critical Congenital Heart Disease.Pediatr Cardiol. 2025 Mar;46(3):569-579. doi: 10.1007/s00246-024-03460-6. Epub 2024 Apr 1. Pediatr Cardiol. 2025. PMID: 38557774
-
Validation of a Paralimbic-Related Subcortical Brain Dysmaturation MRI Score in Infants with Congenital Heart Disease.J Clin Med. 2024 Sep 27;13(19):5772. doi: 10.3390/jcm13195772. J Clin Med. 2024. PMID: 39407833 Free PMC article.
-
Neuromonitoring modalities predicting neurological impairment in pediatric congenital heart disease: a systematic review.Front Neurol. 2024 Dec 18;15:1502762. doi: 10.3389/fneur.2024.1502762. eCollection 2024. Front Neurol. 2024. PMID: 39744107 Free PMC article.
-
Assessment of Neurodevelopmental Outcomes in Children With Congenital Heart Disease Using Magnetic Resonance Imaging (MRI): Focus on Brain Volume as a Predictor of Neurodevelopmental Abnormalities.J Multidiscip Healthc. 2025 Feb 27;18:1241-1248. doi: 10.2147/JMDH.S508533. eCollection 2025. J Multidiscip Healthc. 2025. PMID: 40035029 Free PMC article.
References
REFERENCES
-
- Euro-Peristat Project. European Perinatal Health Report. Core indicators of the health and care of pregnant women and babies in Europe in 2015. November 2018; Available at www.europeristat.com.
-
- Broeders L, Achterberg PW, Waelput AJM, Ravelli ACJ, Kwee A, Groenendaal F, et al. Decrease in foetal and neonatal mortality in the Netherlands; comparison with other Euro-Peristat countries in 2004, 2010 and 2015 Afname van foetale en neonatale sterfte in Nederland. Ned Tijdschr Geneeskd. 2019;163.
-
- Howell HB, Zaccario M, Kazmi SH, Desai P, Sklamberg FE, Mally P. Neurodevelopmental outcomes of children with congenital heart disease: A review. Curr Probl Pediatr Adolesc Health Care. 2019;49(10):100685.
-
- Marino BS, Lipkin PH, Newburger JW, Peacock G, Gerdes M, Gaynor JW, et al. Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management: a scientific statement from the American Heart Association. Circulation. 2012;126(9):1143-72.
-
- Latal B. Neurodevelopmental Outcomes of the Child with Congenital Heart Disease. Clin Perinatol. 2016;43(1):173-85.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical