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QSM detects early alterations of brain venous blood oxygenation in fetuses with complex congenital heart diseases
Cong Sun1, Aocai Yang1, Jiaguang Song2, Minhui Ouyang3, Jinxia Zhu4, Lei Xue5, Hao Huang3,6, and Gunagbin Wang1
1Radiology, Shandong Medical Imaging Research Institute, Cheeloo College of Medicine, Shandong University, Jinan, China, 2Ultrasound, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China, 3Radiology Research, Children’s Hospital of Philadelphia, Philadelphia, PA, United States, 4MR Collaboration, Healthcare Siemens Ltd., Beijing, China, 5MR Application, Siemens Healthineers Ltd., Jinan, China, 6Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
Fetuses with various kinds of complex congenital heart disease had higher values of venous blood oxygen saturation than did normal fetuses of the same gestational age, as measured with quantitative susceptibility mapping in utero. 
Figure 4a: The venous blood oxygen saturation (SvO2) alterations across gestational age (GA) of the normal group: SvO2 = -0.004223*GA + 0.8783. Figure 4b: SvO2 alterations across gestational age between the congenital heart disease (CHD) group (SvO2 = -0.00514*GA + 0.942) and GA-matched normal group (SvO2 = -0.01205*GA + 1.087) and their corresponding fitting curve. Red circles and red curves represent the CHD group; blue circles and blue curves represent the normal group.
Figure 5: Venous blood oxygen saturation (SvO2) values in the congenital heart disease (CHD) group and gestational age (GA)-matched normal group, along with their corresponding mean and 95% CI SvO2 values. In the analysis of covariance, the SvO2 value showed a significant difference between the CHD (80.8%±4.6%) group and the GA-matched normal group (75.7%±8.0%) after the effects of GA were excluded (p=0.038).