دورية أكاديمية

Understanding the impact of congenital infections and perinatal viral exposures on the developing brain using white matter magnetic resonance imaging: a scoping review.

التفاصيل البيبلوغرافية
العنوان: Understanding the impact of congenital infections and perinatal viral exposures on the developing brain using white matter magnetic resonance imaging: a scoping review.
المؤلفون: Nyakonda CN; Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa. nykcha005@myuct.ac.za.; Neuroscience Institute, University of Cape Town, Capetown, South Africa. nykcha005@myuct.ac.za., Wedderburn CJ; Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.; Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK.; Neuroscience Institute, University of Cape Town, Capetown, South Africa., Williams SR; Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.; Neuroscience Institute, University of Cape Town, Capetown, South Africa., Stein DJ; Department of Psychiatry and Mental Health and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.; MRC Unit of Risk and Resilience, University of Cape Town, Cape Town, South Africa.; Neuroscience Institute, University of Cape Town, Capetown, South Africa., Donald KA; Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa. Kirsty.donald@uct.ac.za.; Neuroscience Institute, University of Cape Town, Capetown, South Africa. Kirsty.donald@uct.ac.za.
المصدر: BMC medical imaging [BMC Med Imaging] 2024 May 23; Vol. 24 (1), pp. 119. Date of Electronic Publication: 2024 May 23.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968553 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2342 (Electronic) Linking ISSN: 14712342 NLM ISO Abbreviation: BMC Med Imaging Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Brain*/diagnostic imaging , Brain*/virology , Brain*/pathology , Magnetic Resonance Imaging*/methods , White Matter*/diagnostic imaging , White Matter*/virology, Female ; Humans ; Infant ; Infant, Newborn ; Pregnancy ; Cytomegalovirus Infections/diagnostic imaging ; Cytomegalovirus Infections/congenital ; Diffusion Tensor Imaging/methods ; HIV Infections/diagnostic imaging ; Neuroimaging/methods ; Pregnancy Complications, Infectious/diagnostic imaging ; Pregnancy Complications, Infectious/virology ; Virus Diseases/diagnostic imaging
مستخلص: Background: Magnetic Resonance Imaging (MRI)-based imaging techniques are useful for assessing white matter (WM) structural and microstructural integrity in the context of infection and inflammation. The purpose of this scoping review was to assess the range of work on the use of WM neuroimaging approaches to understand the impact of congenital and perinatal viral infections or exposures on the developing brain.
Methods: This scoping review was conducted according to the Arksey and O' Malley framework. A literature search was performed in Web of Science, Scopus and PubMed for primary research articles published from database conception up to January 2022. Studies evaluating the use of MRI-based WM imaging techniques in congenital and perinatal viral infections or exposures were included. Results were grouped by age and infection.
Results: A total of 826 articles were identified for screening and 28 final articles were included. Congenital and perinatal infections represented in the included studies were cytomegalovirus (CMV) infection (n = 12), human immunodeficiency virus (HIV) infection (n = 11) or exposure (n = 2) or combined (n = 2), and herpes simplex virus (HSV) infection (n = 1). The represented MRI-based WM imaging methods included structural MRI and diffusion-weighted and diffusion tensor MRI (DWI/ DTI). Regions with the most frequently reported diffusion metric group differences included the cerebellar region, corticospinal tract and association fibre WM tracts in both children with HIV infection and children who are HIV-exposed uninfected. In qualitative imaging studies, WM hyperintensities were the most frequently reported brain abnormality in children with CMV infection and children with HSV infection.
Conclusion: There was evidence that WM imaging techniques can play a role as diagnostic and evaluation tools assessing the impact of congenital infections and perinatal viral exposures on the developing brain. The high sensitivity for identifying WM hyperintensities suggests structural brain MRI is a useful neurodiagnostic modality in assessing children with congenital CMV infection, while the DTI changes associated with HIV suggest metrics such as fractional anisotropy have the potential to be specific markers of subtle impairment or WM damage in neuroHIV.
(© 2024. The Author(s).)
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تواريخ الأحداث: Date Created: 20240523 Date Completed: 20240524 Latest Revision: 20240624
رمز التحديث: 20240624
مُعرف محوري في PubMed: PMC11119575
DOI: 10.1186/s12880-024-01282-9
PMID: 38783187
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2342
DOI:10.1186/s12880-024-01282-9