Table 1.

Recommended assessment of brain function

BrainAssessmentInterval
Clinical MRI and MRA of the brain
TCD if <16 years (if expertise available) 
Before intervention
Then yearly ×2
At 5 years after intervention
Repeat every 5 years or earlier as needed in the event of symptoms 
 Cognitive assessment 
Global measures such as Bayley-III (0-3.5 years), intelligence quotient (WPPSI-IV and WISC-V). Domain-specific measures: executive function working memory, attention, and processing speed 
Before intervention
Then yearly ×2
At 5 years after intervention
Repeat every 5 years or earlier as needed in the event of intervention 
Research Cerebral hemodynamics: cerebral blood flow, oxygen extraction fraction, cerebrovascular reactivity, and MR velocity Before intervention
Then yearly ×2
Repeat at 5 years and continue beyond if impaired 
BrainAssessmentInterval
Clinical MRI and MRA of the brain
TCD if <16 years (if expertise available) 
Before intervention
Then yearly ×2
At 5 years after intervention
Repeat every 5 years or earlier as needed in the event of symptoms 
 Cognitive assessment 
Global measures such as Bayley-III (0-3.5 years), intelligence quotient (WPPSI-IV and WISC-V). Domain-specific measures: executive function working memory, attention, and processing speed 
Before intervention
Then yearly ×2
At 5 years after intervention
Repeat every 5 years or earlier as needed in the event of intervention 
Research Cerebral hemodynamics: cerebral blood flow, oxygen extraction fraction, cerebrovascular reactivity, and MR velocity Before intervention
Then yearly ×2
Repeat at 5 years and continue beyond if impaired 

MRI, Magnetic Resonance Imaging; MRA, Magnetic Resonance Angiography; TCD, Transcranial Doppler velocity; WISC-V, Wechsler Intelligence Scale for Children-Fifth edition; WPPSI-IV, Wechsler Preschool and Primary Scale of Intelligence-Fourth edition; MR, Magnetic Resonance.

For specific measures, refer to Tables 5 and 6 in end points for clinical trials in SCD.8 

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