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Objective <p>To evaluate the predictive accuracy of amplitude-integrated EEG (aEEG) at 32 weeks corrected age versus brain MRI at term-equivalent age in forecasting neurodevelopmental outcomes in very preterm infants.</p> Study design <p>In this prospective cohort study, 71 infants born before 30 weeks’ gestation underwent aEEG at 32 weeks and MRI at term-equivalent age. Neurodevelopmental outcomes were assessed using the Bayley-III at 12 and 24 months, and performance compared through LASSO regression models and ROC analysis.</p> Results <p>Burdjalov aEEG and MRI scores were both significantly associated with Bayley-III outcomes. At 12 months, AUCs were 0.93 for aEEG and 0.96 for MRI. At 24 months, AUCs declined but MRI remained superior (0.92 vs. 0.78). The combined model showed the highest accuracy.</p> Conclusion <p>aEEG at 32 weeks provides a valuable early indicator of neurodevelopmental outcomes, delivering clinically actionable information weeks before MRI and enabling timely interventions to support brain development in preterm infants.</p> <p></p>

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Neurodevelopmental forecasting in preterms: aEEG at 32 weeks vs. MRI at term in predicting 2-year outcomes

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月20日

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  • Gina Ancora,
  • Anna Tarocco,
  • Miria Natile,
  • Jasenka Saralija,
  • Alessandra Montesi,
  • Enrico Cocchi

摘要

Objective

To evaluate the predictive accuracy of amplitude-integrated EEG (aEEG) at 32 weeks corrected age versus brain MRI at term-equivalent age in forecasting neurodevelopmental outcomes in very preterm infants.

Study design

In this prospective cohort study, 71 infants born before 30 weeks’ gestation underwent aEEG at 32 weeks and MRI at term-equivalent age. Neurodevelopmental outcomes were assessed using the Bayley-III at 12 and 24 months, and performance compared through LASSO regression models and ROC analysis.

Results

Burdjalov aEEG and MRI scores were both significantly associated with Bayley-III outcomes. At 12 months, AUCs were 0.93 for aEEG and 0.96 for MRI. At 24 months, AUCs declined but MRI remained superior (0.92 vs. 0.78). The combined model showed the highest accuracy.

Conclusion

aEEG at 32 weeks provides a valuable early indicator of neurodevelopmental outcomes, delivering clinically actionable information weeks before MRI and enabling timely interventions to support brain development in preterm infants.