Punctate white matter lesions (PWMLs) are common in the preterm. The mild PWMLs may result in cognitive impairments and lesion location is closely associated with neurodevelopmental outcomes. Accurate assessment of lesions location on qualitative MRI is difficult; therefore, this study aims to investigate the lesion-symptom relationship between locations of mild PWMLs and cognitive functioning in preterm infants at a corrected age of 3-6 months by diffusion tensor imaging. Lesion volume on IFOF_L is significantly larger in the cognitive delayed group than those in the normal group, and this is an independent factor (OR: 1.26) associated with the adverse cognitive development.
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