{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T14:54:05Z","timestamp":1786460045274,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2020MH288"],"award-info":[{"award-number":["ZR2020MH288"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2024MH026"],"award-info":[{"award-number":["ZR2024MH026"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019446","name":"Medical and Health Science and Technology Development Project of Shandong Province","doi-asserted-by":"publisher","award":["202309010557"],"award-info":[{"award-number":["202309010557"]}],"id":[{"id":"10.13039\/501100019446","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019446","name":"Medical and Health Science and Technology Development Project of Shandong Province","doi-asserted-by":"publisher","award":["202309010560"],"award-info":[{"award-number":["202309010560"]}],"id":[{"id":"10.13039\/501100019446","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019446","name":"Medical and Health Science and Technology Development Project of Shandong Province","doi-asserted-by":"publisher","award":["202409010479"],"award-info":[{"award-number":["202409010479"]}],"id":[{"id":"10.13039\/501100019446","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preeclampsia is associated with long\u2010term cerebrovascular and cognitive risk, but tract\u2010level white matter (WM) involvement remains incompletely characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate whether preeclampsia is associated with tract\u2010level WM susceptibility alterations on quantitative susceptibility mapping (QSM) and whether these alterations are related to circulating hypoxia\u2010and brain injury\u2010associated proteins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Type<\/jats:title>\n                    <jats:p>Prospective cohort study with exploratory postpartum follow\u2010up in a small subset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>350 women (152 with preeclampsia, 73 pregnant healthy controls, and 125 nonpregnant healthy controls).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Field Strength\/Sequence<\/jats:title>\n                    <jats:p>1.5\u2010T MRI; multiecho gradient\u2010echo sequence for QSM, and 3D T1\u2010weighted turbo field echo, T2\u2010weighted turbo spin echo, T2\u2010weighted fluid\u2010attenuated inversion recovery imaging, and diffusion\u2010weighted echo\u2010planar imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Assessment<\/jats:title>\n                    <jats:p>Quantitative susceptibility maps were reconstructed using MEDI+0. Mean susceptibility was extracted from 42 XTRACT\u2010defined WM tracts. Plasma hypoxia\u2010inducible factor\u20101\u03b1, amyloid\u2010\u03b21\u201342, total tau, and phosphorylated tau181 were measured using enzyme\u2010linked immunosorbent assays. Follow up MRI was performed after 1\u20133\u2009years in 32 women with preeclampsia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Tests<\/jats:title>\n                    <jats:p>Group differences were assessed using analysis of variance with Tukey post hoc testing and false discovery rate correction. Multivariable regression, partial Spearman correlation, and exploratory cross\u2010lagged panel modeling were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant group differences in susceptibility were concentrated in limbic pathways, including the bilateral anterior thalamic radiations, right dorsal and perigenual cingulum, bilateral temporal cingulum, and bilateral fornix (FDR\u2010adjusted\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Compared with pregnant healthy controls, women with preeclampsia had higher susceptibility in the bilateral temporal cingulum (left: 15.75\u2009\u00b1\u200913.37 vs. 9.95\u2009\u00b1\u200911.16\u2009ppb,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05; right: 14.86\u2009\u00b1\u200914.39 vs. 8.48\u2009\u00b1\u200911.18\u2009ppb,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) and left fornix (5.07\u2009\u00b1\u200910.12 vs. 1.14\u2009\u00b1\u20096.65\u2009ppb,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). These associations persisted in pregnancy\u2010restricted models after extended adjustment (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.246\u20130.386;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Higher susceptibility correlated weakly with HIF\u20101\u03b1 and total tau (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u22480.22\u20130.27). The exploratory follow\u2010up analyses of 32 women with preeclampsia suggested that baseline biomarker levels were associated with later limbic tract susceptibility.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Conclusion<\/jats:title>\n                    <jats:p>Tract\u2010based QSM demonstrated preeclampsia\u2010associated limbic WM susceptibility alterations, mainly involving the temporal cingulum and left fornix compared with pregnant healthy controls. Exploratory postpartum findings require confirmation in larger longitudinal cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technical Efficacy<\/jats:title>\n                    <jats:p>Stage 2.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jmri.70487","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T12:28:06Z","timestamp":1786451286000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<scp>MRI<\/scp>\n                    Tract\u2010Based Quantitative Susceptibility Mapping of Limbic White Matter Alterations in Preeclampsia"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1049-3772","authenticated-orcid":false,"given":"Chaofan","family":"Sui","sequence":"first","affiliation":[{"name":"Key Laboratory of Endocrine Glucose &amp; Lipids Metabolism and Brain Aging, Ministry of Education, Department of Radiology Shandong Provincial Hospital Affiliated to Shandong First Medical University  Jinan Shandong China"},{"name":"Shandong Key Laboratory of Multimodal Imaging Artificial Intelligence and Genetics  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8320-5241","authenticated-orcid":false,"given":"Meng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Jena University Hospital  Jena Germany"},{"name":"Center for Intervention and Research on Adaptive and Maladaptive Brain Circuits Underlying Mental Health (C\u2010I\u2010R\u2010C)  Halle\u2010Jena\u2010Magdeburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4532-9913","authenticated-orcid":false,"given":"Shimin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Radiology Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0104-0608","authenticated-orcid":false,"given":"Tao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8054-5849","authenticated-orcid":false,"given":"Qihao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9392-6600","authenticated-orcid":false,"given":"Jing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Radiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine Tsinghua University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3228-6926","authenticated-orcid":false,"given":"Linfeng","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Radiology Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4885-625X","authenticated-orcid":false,"given":"Lingfei","family":"Guo","sequence":"additional","affiliation":[{"name":"Key Laboratory of Endocrine Glucose &amp; Lipids Metabolism and Brain Aging, Ministry of Education, Department of Radiology Shandong Provincial Hospital Affiliated to Shandong First Medical University  Jinan Shandong China"},{"name":"Shandong Key Laboratory of Multimodal Imaging Artificial Intelligence and Genetics  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"issue":"7","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1161\/HYPERTENSIONAHA.122.19175","article-title":"Chronic Hypoxia in Ovine Pregnancy Recapitulates Physiological and Molecular Markers of Preeclampsia in the Mother, Placenta, and Offspring","volume":"79","author":"Tong W.","year":"2022","journal-title":"Hypertension"},{"issue":"12","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1007\/s11906-022-01225-1","article-title":"Hypoxia\u2010Inducible Factor 1 and Preeclampsia: A New Perspective","volume":"24","author":"Albogami S. 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