Evidence map›Paper›PMID 42568129›Full record

ArticleAlcohol, clinical & experimental research2026

Quantitative Three-Dimensional Characterization of Facial Dysmorphism in Self-Identified African-American Individuals With Prenatal Alcohol Exposure.

Qing Li, Zahra Mozaffarian, Hanie Moghaddasi, Claire D Coles, Julie A Kable, Sarah N Mattson, Jeffrey R Wozniak, Kenneth Lyons Jones, Miguel Del Campo, Leah Wetherill and 2 more

Abstract read
In one paragraph

Article in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Qing LiDepartment of Orthopedic Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID https://orcid.org/0009-0000-5172-5755
Zahra MozaffarianNuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK.ORCID https://orcid.org/0009-0003-6630-4533
Hanie MoghaddasiNuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK.ORCID https://orcid.org/0009-0004-7895-2893
Claire D ColesDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-3399-6644
Julie A KableDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-5008-0887
Sarah N MattsonCenter for Behavioral Teratology, Department of Psychology, San Diego State University, San Diego, California, USA.ORCID https://orcid.org/0000-0001-8499-9605
Jeffrey R WozniakDepartment of Psychiatry & Behavioral Sciences, University of Minnesota, Minneapolis, Minnesota, USA.ORCID https://orcid.org/0000-0002-7132-8519
Kenneth Lyons JonesDivision of Dysmorphology and Teratology, Department of Pediatrics, University of California San Diego (UCSD), La Jolla, California, USA.
Miguel Del CampoDivision of Dysmorphology and Teratology, Department of Pediatrics, University of California San Diego (UCSD), La Jolla, California, USA.
Leah WetherillDepartment of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0003-2888-9051
Michael SuttieNuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-5538-8431
CIFASD Consortium

Funding

FASD in San Diego and Moscow (U01 Research Project)U01AA014834 · NIAAA · SAN DIEGO STATE UNIVERSITY · PI SARAH N MATTSON WELLER · 2003 to 2026
$12.4M
Image Analysis of Neurofacial Effects of Prenatal AlcoholExposureU01AA014809 · NIAAA · UNIVERSITY OF OXFORD · PI Michael Suttie · 2007 to 2026
$5.8M
FASD Diagnostic Telemedicine ResourceU24AA014815 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Lauren Gist, SARAH N MATTSON WELLER · 2003 to 2026
$5.6M
Fetal Alcohol Spectrum Disorders in Adults: Health and NeurobehaviorU01AA026108 · NIAAA · EMORY UNIVERSITY · PI Tamara Sonia Bodnar, Claire D. Coles · 2017 to 2026
$3.9M
Multi-modal connectivity methods for the validation of Fetal Alcohol Spectrum Disorder diagnostic criteriaU01AA026102 · NIAAA · UNIVERSITY OF MINNESOTA · PI WOZNIAK, JEFFREY ROBERT · 2017 to 2021
$1.7M
China Postdoctoral Science Foundation GZC20240143China Scholarship CouncilChinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Science (CIFMS), China 2024-I2M-2-001-1NIAAA NIH HHS U01AA01480NIAAA NIH HHS U01AA014809NIAAA NIH HHS U01AA014834NIAAA NIH HHS U01AA026102NIAAA NIH HHS U01AA026108NIAAA NIH HHS U24AA014815NIH HHS
6 · The paper itself

Abstract

backgroundThe objective of this study was to characterize facial dysmorphology in a self-identified African-American cohort of children with prenatal alcohol exposure (PAE) and to evaluate the utility of computer vision-based methods for quantitative assessment and screening of facial form.

methodsA total of 307 self-identified African-American individuals were evaluated by expert dysmorphologists and classified according to PAE status as unexposed controls (controls), individuals with prenatal alcohol exposed without fetal alcohol syndrome (FAS)-associated physical features (AE), or individuals with prenatal alcohol exposed with FAS-associated physical features (AE-FAS). Three-dimensional (3D) facial images were analyzed using volumetric and measurement-based approaches. Statistical shape modeling was applied to support surface-based analysis, cluster identification, and group discrimination testing.

results(i) Facial growth in the AE-FAS group was significantly reduced. (ii) We observed a subgroup of AE clinically without FAS-associated physical features who displayed an affinity to the AE-FAS group in the unscaled models. (iii) Sex-stratified analyses revealed alcohol-associated alterations in sexual dimorphism of facial morphology, with a substantially stronger association between PAE and reduced facial growth in females than in males. (iv) Unique patterns of facial dysmorphology were exhibited in the AE group, showing underdevelopment of the zygomatic arch. (v) Using closest mean, support vector machine, and linear discriminant analysis, discrimination between AE-FAS and controls was moderate.

conclusions3D facial analysis facilitates recognition of potential sex-related differences in facial morphology associated with PAE in African-American children, a population underrepresented in the clinical literature. The distinct patterns of dysmorphology observed may contribute to improved phenotypic characterization and diagnostic support.

Indexed as

Black or African AmericanCraniofacial AbnormalitiesFaceFetal Alcohol Spectrum DisordersImaging, Three-DimensionalPrenatal Exposure Delayed EffectsAdolescentChildFemaleHumansMalePregnancy3D facial analysisfacial dysmorphismfetal alcohol spectrum disordersprenatal alcohol exposure

Identifiers

PMID42568129
PMCPMC13451575

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.