Table 3.

TCD results and brain MRI/MRA findings for treatment-naïve children with conditional TCD velocities who received hydroxyurea treatment

BaselineMonth 6Month 12Month 24Month 36Month 48Month 60
TCD velocities 
No. of children 57 57 55 52 50 43 36 
No. of exams 57 56 52 51 45 37 36 
Mean ± SD, cm/s 180 ± 8 160 ± 18 157 ± 20 156 ± 22 151 ± 17 151 ± 19 153 ± 25 
Median (IQR), cm/s 177 (173-185) 160 (149- 174) 157 (145- 169) 159 (138- 174) 151 (142- 164) 147 (139- 165) 153 (140-164) 
Conditional velocities, n (%) 57 (100) 22 (39) 12 (23) 17 (33) 4 (9) 7 (19) 6 (17) 
Abnormal velocities, n (%) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 1 (3) 
Normal velocities, n (%) 0 (0) 34 (61) 40 (77) 34 (67) 41 (91) 30 (81) 29 (81) 
Brain MRI and MRA 
No. of children 57   52    
No. of exams  48   41    
 MRI central review overall assessment, n (%)    
Normal 29 (60)   23 (56)    
Abnormal 19 (40)   18 (44)    
Silent infarctions 14 (29)   12 (29)    
Vasculopathy 12 (25)   16 (39)    
BaselineMonth 6Month 12Month 24Month 36Month 48Month 60
TCD velocities 
No. of children 57 57 55 52 50 43 36 
No. of exams 57 56 52 51 45 37 36 
Mean ± SD, cm/s 180 ± 8 160 ± 18 157 ± 20 156 ± 22 151 ± 17 151 ± 19 153 ± 25 
Median (IQR), cm/s 177 (173-185) 160 (149- 174) 157 (145- 169) 159 (138- 174) 151 (142- 164) 147 (139- 165) 153 (140-164) 
Conditional velocities, n (%) 57 (100) 22 (39) 12 (23) 17 (33) 4 (9) 7 (19) 6 (17) 
Abnormal velocities, n (%) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 1 (3) 
Normal velocities, n (%) 0 (0) 34 (61) 40 (77) 34 (67) 41 (91) 30 (81) 29 (81) 
Brain MRI and MRA 
No. of children 57   52    
No. of exams  48   41    
 MRI central review overall assessment, n (%)    
Normal 29 (60)   23 (56)    
Abnormal 19 (40)   18 (44)    
Silent infarctions 14 (29)   12 (29)    
Vasculopathy 12 (25)   16 (39)    

A total of 57 children not on treatment at initial TCD screening received hydroxyurea per protocol. Vasculopathy by MRA was scored based on any finding on either hemisphere.

IQR, interquartile range.

Month-24 exams paired to baseline exams.

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