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MRI findings in opioid-exposed fetuses show smaller brain size

Date:
September 29, 2022
Source:
American Roentgen Ray Society
Summary:
According to a new study, third-trimester fetuses with in utero opioid exposure exhibited multiple smaller 2D biometric measurements of the brain, as well as altered fetal physiology, on investigational MRI.
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According to an open-access Editor's Choice article in ARRS' American Journal of Roentgenology (AJR), third-trimester fetuses with in utero opioid exposure exhibited multiple smaller 2D biometric measurements of the brain, as well as altered fetal physiology, on investigational MRI.

Noting the scarcity of imaging literature evaluating prenatal opioid exposure on brain development, "our findings demonstrate the impact of prenatal opioid exposure on fetal brain development, which may in turn affect postnatal clinical outcomes," wrote first author Usha D. Nagaraj, MD, from Cincinnati Children's Hospital Medical Center in Ohio.

Nagaraj and colleagues' prospective multicenter case-control study included 65 women (mean age, 29 years) in their third trimester of pregnancy who underwent fetal MRI from July 1, 2020 through December 31, 2021 at three U.S. academic medical centers: Cincinnati Children's Hospital Medical Center, Arkansas Children's Hospital, and the University of North Carolina at Chapel Hill. A total of 28 fetuses (mean gestational age, 32.3 weeks)

were classified as opioid-exposed, while 37 fetuses (mean gestational age, 31.9 weeks) were unexposed in utero. Fourteen 2D biometric measurements of the fetal brain were manually assessed and used to derive four indices.

When adjusting for gestational age, fetal sex, and nicotine exposure, 7 of the 14 2D biometric measurements -- cerebral fronto-occipital diameter, bone biparietal diameter, brain biparietal diameter, corpus callosum length, vermis height, anterior-posterior pons measurement, and transverse cerebellar diameter -- were significantly smaller in opioid-exposed fetuses than in unexposed fetuses, as measured on fetal MRI.

"In addition," the authors of this AJR article concluded, "fetuses with prenatal opioid exposure had increased frequencies of breech presentation and of increased amniotic fluid volume."


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Materials provided by American Roentgen Ray Society. Note: Content may be edited for style and length.


Journal Reference:

  1. Usha D. Nagaraj, Beth M. Kline-Fath, Bin Zhang, Jennifer J. Vannest, Xiawei Ou, Weili Lin, Ashley Acheson, Karen Grewen, P. Ellen Grant, Stephanie L. Merhar. MRI Findings in Third-Trimester Opioid-Exposed Fetuses With Focus on Brain Measurements: A Prospective Multicenter Case-Control Study. American Journal of Roentgenology, 2022; DOI: 10.2214/AJR.22.28357

Cite This Page:

American Roentgen Ray Society. "MRI findings in opioid-exposed fetuses show smaller brain size." ScienceDaily. ScienceDaily, 29 September 2022. <www.sciencedaily.com/releases/2022/09/220929133339.htm>.
American Roentgen Ray Society. (2022, September 29). MRI findings in opioid-exposed fetuses show smaller brain size. ScienceDaily. Retrieved April 20, 2024 from www.sciencedaily.com/releases/2022/09/220929133339.htm
American Roentgen Ray Society. "MRI findings in opioid-exposed fetuses show smaller brain size." ScienceDaily. www.sciencedaily.com/releases/2022/09/220929133339.htm (accessed April 20, 2024).

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