HEAL trial neonatal MRI cohort used in AI-OPiNE study
2025-11-23https://doi.org/10.1148/atlas.1763915713695
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Overview
Schema Version
https://atlas.rsna.org/schemas/2025-11/dataset.json
Name
HEAL trial neonatal MRI cohort used in AI-OPiNE study
Link
https://clinicaltrials.gov/study/NCT02811263
Indexing
Keywords: HEAL trial, neonatal MRI, hypoxic-ischemic encephalopathy, outcome prediction, diffusion tensor imaging, apparent diffusion coefficient, Bayley Scales, therapeutic hypothermia, erythropoietin
Content: NR, PD, MR
RadLex: RID12698, RID10312, RID5056, RID38778
SNOMED: 419620001, 128188000, 95628005
Author(s)
Christopher O. Lew
Evan Calabrese
Joshua V. Chen
Felicia Tang
Gunvant Chaudhari
Amanda Lee
John Faro
Sandra Juul
Amit Mathur
Robert C. McKinstry
Jessica L. Wisnowski
Andreas Rauschecker
Yvonne W. Wu
Yi Li
Organization(s)
Duke University Medical Center
University of California San Francisco
University of Washington
Saint Louis University
Washington University School of Medicine, Mallinckrodt Institute of Radiology
Children’s Hospital Los Angeles, University of Southern California
Contact
Corresponding author: Evan Calabrese, Department of Radiology, Duke University Medical Center, Durham, NC, USA.
Funding
NIH/NINDS and NICHD support acknowledged for HEAL-related work (e.g., U01NS092764, U01NS092553); authors declared no additional funding for this secondary analysis.
Ethical review
Duke Health IRB–approved retrospective analysis; written informed parental consent obtained in HEAL; HIPAA compliant; images de-identified at each site.
Comments
Secondary analysis of imaging and outcomes from the HEAL randomized clinical trial across 17 U.S. institutions; harmonized neonatal brain MRI protocol including T1-weighted, T2-weighted, and diffusion tensor imaging acquired within the first week after birth (typically 4–6 days).
Date
Published: 2024-07-10
References
[1] Lew CO, Calabrese E, Chen JV, et al.. "Artificial Intelligence Outcome Prediction in Neonates with Encephalopathy (AI-OPiNE)". Radiology: Artificial Intelligence. 2024-09-01. doi:10.1148/ryai.240076. PMID: 38984984. PMCID: PMC11427921.
[2] Wu YW, Comstock BA, Gonzalez FF, et al.. "Trial of Erythropoietin for Hypoxic–Ischemic Encephalopathy in Newborns". N Engl J Med. 2022-01-01. PMID: 35830641. PMCID: PMC10542745. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542745/
Dataset
Motivation
Develop and evaluate deep learning models using neonatal brain MRI plus basic clinical variables to predict 2-year neurodevelopmental outcomes (death or any NDI).
Sampling
Prospective HEAL enrollment of term neonates (≥36 weeks) with moderate to severe encephalopathy at 17 U.S. sites between Jan 25, 2017 and Oct 9, 2019; this secondary analysis included 414 participants after excluding incomplete MRI or follow-up.
Partitioning scheme
Participants from 17 institutions split into discovery (15 institutions) and two test sets: in-distribution (from same 15 institutions) and out-of-distribution (all cases from 2 institutions). Discovery further split into training and validation (80/20).
Missing information
Radiology AI paper does not provide public dataset access details or full demographic breakdown by race/ethnicity.
Relationships between instances
Each participant has a multisequence MRI exam (T1-weighted, T2-weighted, DTI-derived trace and ADC) acquired within the first week of life; tabular clinical variables linked per participant.
Noise
Multisite data with real-world variation in vendors/platforms; harmonized MRI protocol used to minimize heterogeneity.
External data
Data analyzed were provided by a third party (HEAL Consortium). Requests for data should be directed to the provider acknowledged in the HEAL publications.
Confidentiality
De-identified imaging data per site; HIPAA compliant.
Re-identification
Low risk; images were de-identified at each site before transfer.
Sensitive data
Yes—pediatric health data from a clinical trial; de-identified for analysis.