Three-dimensional head shape acquisition in preterm infants - Translating an orthodontic imaging procedure into neonatal care

Santander, Petra; Quast, Anja; Hubbert, Johanna; Horn, Sebastian; Meyer-Marcotty, Philipp; Küster, Helmut; Dieks, Jana-K

doi:10.1016/j.earlhumdev.2019.104908

Cited by 9 publications

(16 citation statements)

References 29 publications

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“…Across all studies, the ages of the patients involved ranged from 24 weeks gestational age to 12 years of age. Only four studies concerned preterm infants [33,43,50,53]. In general, QualSys scores are high, reflecting good methodological quality, and the individual scores of the two reviewers correlate.…”

Section: Characteristics Of Studies and Methodological Qualitymentioning

confidence: 99%

Body size measuring techniques enabling stress-free growth monitoring of extreme preterm infants inside incubators: A systematic review

2022

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Introduction Growth monitoring of preterm infants is essential for assessing the nutritional effects on their growth. The current growth monitoring techniques are too stressful, however, for the smallest preterm infants. We performed a systematic review to summarize studies on stress-free techniques for measuring the body size of preterm infants inside incubators other than the traditional calliper and tape measure-based instruments. Methods We searched four online literature databases: Embase, Medline, Web of Science Core Collection, and Cochrane, using search terms related to patients (neonates, infants, children) and body size measuring techniques. By means of expert judgement we assessed the techniques’ suitability for stress-free body size measurement of an infant lying in an incubator. As a criterion for suitability, we used an imaginary ideal technique. Results Twenty-six studies were included in this review. In 24 studies, the technique for body size measurement was related to 3D technology, and the majority of these studies acknowledged clinical superiority of 3D over 2D data. Two 3D techniques were assessed as suitable for stress-free measurement of preterm infants inside incubators. The first technique used a commercially available 3D handheld scanner which needed 3D postprocessing to derive measurement data. The second technique used a self-developed stereoscopic vision system. Conclusions 3D volumetric parameters have higher clinical value for growth monitoring than 2D. In addition, contactless 3D measurements enable stress-free growth monitoring of even the smallest preterm infants. However, the time-consuming 3D postprocessing challenges the usability of 3D techniques. Regrettably, none of the identified suitable 3D techniques met all our requirements of an ideal all-in-one body size measuring technique for extreme preterm infants. Handheld 3D scanning might have the best properties for developing this ideal technique.

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Section: Characteristics Of Studies and Methodological Qualitymentioning

confidence: 99%

Body size measuring techniques enabling stress-free growth monitoring of extreme preterm infants inside incubators: A systematic review

2022

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“…For image acquisition, a portable stereophotogrammetry Vectra H1 camera (Canfield Scientific, New Jersey, USA) was used. We previously described our neonatal 3D head imaging protocol in detail 11 . In brief, at each session we took ten images from various predefined angles.…”

Section: Methodsmentioning

confidence: 99%

“…This could be a window of opportunity for potential preventive interventions, too. To address this, we recently described the feasibility and safety of 3D stereophotogrammetry for head assessment in neonatal patients during hospitalisation 11 , 12 .…”

Section: Introductionmentioning

confidence: 99%

Stereophotogrammetry can feasibly assess ‘physiological’ longitudinal three-dimensional head development of very preterm infants from birth to term

Dieks¹,

Jünemann

Hensel

et al. 2022

Sci Rep

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Head development is a surrogate for brain development in infants and is related to neurocognitive outcome. There is only limited knowledge on early extra-uterine head shape and size assessment in very preterm infants. Here, 26 very preterm infants with a mean gestational age of 29.1 ± 2.2 weeks and a mean birth weight of 1273.8 ± 427.7 g underwent serial stereophotogrammetric 3D head imaging in weekly intervals from birth to term-equivalent age. The main outcome was the longitudinal assessment of the ‘physiological’ preterm head development with cephalometric size (head circumference, cranial volume) and shape parameters (cranial index, cranial vault asymmetry index) according to chronological and postmenstrual age (PMA). Potential clinical risk factors for the development of an abnormal low cranial index (dolichocephaly) were analysed. In serial measurements of 26 infants, the estimated head volume (95% confidence interval) increased from 244 (226–263) cm3 at 28 weeks PMA to 705 (688–721) cm3 at 40 weeks PMA. Moderate or severe dolichocephaly occurred in 21/26 infants (80.8%). Cranial index decreased over time (72.4%; 70.7–74 95% confidence interval). Brachycephaly and plagiocephaly were uncommon. No risk factors for severe dolichocephaly were identified. Our study shows that early detection of head shape and size anomalies utilizing 3D stereophotogrammetry is feasible and safe even in very preterm infants < 1500 g and/or < 32 weeks. 3D stereophotogrammetry could be used for timely identification of infants at risk for head shape anomalies. No specific risk factors for head shape anomalies were identified, especially not mode and duration of respiratory support.

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“…For image acquisition, a portable stereophotogrammetry Vectra H1 camera (Canfield Scientific, New Jersey, USA) was used. As previously described in detail, a 3D head imaging protocol with ten images from various angles was applied 15 . During the procedure, the infant’s head was covered with a soft nylon cap that contains textured applications to reduce hair artifacts and to facilitate subsequent 3D image reconstruction.…”

Section: Methodsmentioning

confidence: 99%

“…Reference values for non-synostotic symmetrical and asymmetrical head shape deformities have been proposed 14 . To overcome this gap, we recently reported the feasibility of a portable and non-invasive stereophotogrammetric head shape assessment device in preterm infants that serves as a translation of this imaging technology from orthodontics into neonatal care 15 . Before our report, to the best of our knowledge, stereophotogrammetry has been used in head assessment in infants from four months of age 16 .…”

Section: Introductionmentioning

confidence: 99%

Stereophotogrammetric head shape assessment in neonates is feasible and can identify distinct differences between term-born and very preterm infants at term equivalent age

Santander

Quast

Hubbert

et al. 2021

Sci Rep

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The development of head shape and volume may reflect neurodevelopmental outcome and therefore is of paramount importance in neonatal care. Here, we compare head morphology in 25 very preterm infants with a birth weight of below 1500 g and / or a gestational age (GA) before 32 completed weeks to 25 term infants with a GA of 37–42 weeks at term equivalent age (TEA) and identify possible risk factors for non-synostotic head shape deformities. For three-dimensional head assessments, a portable stereophotogrammetric device was used. The most common and distinct head shape deformity in preterm infants was dolichocephaly. Severity of dolichocephaly correlated with GA and body weight at TEA but not with other factors such as neonatal morbidity, sex or total duration of respiratory support. Head circumference (HC) and cranial volume (CV) were not significantly different between the preterm and term infant group. Digitally measured HC and the CV significantly correlated even in infants with head shape deformities. Our study shows that stereophotogrammetric head assessment is feasible in all preterm and term infants and provides valuable information on volumetry and comprehensive head shape characteristics. In a small sample of preterm infants, body weight at TEA was identified as a specific risk factor for the development of dolichocephaly.

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Three-dimensional head shape acquisition in preterm infants - Translating an orthodontic imaging procedure into neonatal care

Cited by 9 publications

References 29 publications

Body size measuring techniques enabling stress-free growth monitoring of extreme preterm infants inside incubators: A systematic review

Body size measuring techniques enabling stress-free growth monitoring of extreme preterm infants inside incubators: A systematic review

Stereophotogrammetry can feasibly assess ‘physiological’ longitudinal three-dimensional head development of very preterm infants from birth to term

Stereophotogrammetric head shape assessment in neonates is feasible and can identify distinct differences between term-born and very preterm infants at term equivalent age

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