Trivedi Richa, Gupta Rakesh K, Husain Nuzhat, Rathore Ram K S, Saksena Sona, Srivastava Savita, Malik Gyanendra K, Das Vinita, Pradhan Mandakini, Sarma Manoj K, Pandey Chandra M, Narayana Ponnada A
Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UP, India, 226014.
Neuroradiology. 2009 Sep;51(9):567-76. doi: 10.1007/s00234-009-0533-8. Epub 2009 May 7.
In this study, diffusion tensor imaging (DTI) and glial fibrillary acidic protein (GFAP) immunohistochemical analysis in different cortical regions in fetal brains at different gestational age (GA) were performed.
DTI was performed on 50 freshly aborted fetal brains with GA ranging from 12 to 42 weeks to compare age-related fractional anisotropy (FA) changes in different cerebral cortical regions that include frontal, parietal, occipital, and temporal lobes at the level of thalami. GFAP immunostaining was performed and the percentage of GFAP-positive areas was quantified.
The cortical FA values in the frontal lobe peaked at around 26 weeks of GA, occipital and temporal lobes at around 20 weeks, and parietal lobe at around 23 weeks. A significant, but modest, positive correlation (r = 0.31, p = 0.02) was observed between cortical FA values and percentage area of GFAP expression in cortical region around the time period during which the migrational events are at its peak, i.e., GA < or = 28 weeks for frontal cortical region and GA < or = 22 weeks for rest of the lobes.
The DTI-derived FA quantification with its GFAP immunohistologic correlation in cortical regions of the various lobes of the cerebral hemispheres supports region-specific migrational and maturational events in human fetal brain.
在本研究中,对不同孕周(GA)胎儿大脑的不同皮质区域进行了扩散张量成像(DTI)和胶质纤维酸性蛋白(GFAP)免疫组织化学分析。
对50例新鲜流产的胎儿大脑进行DTI检查,孕周范围为12至42周,以比较不同大脑皮质区域(包括额叶、顶叶、枕叶和颞叶)在丘脑水平与年龄相关的分数各向异性(FA)变化。进行GFAP免疫染色并对GFAP阳性区域的百分比进行定量。
额叶皮质FA值在孕周约26周时达到峰值,枕叶和颞叶在约20周时达到峰值,顶叶在约23周时达到峰值。在迁移事件达到峰值的时间段内,即额叶皮质区域孕周≤28周,其余脑叶孕周≤22周时,观察到皮质FA值与皮质区域GFAP表达面积百分比之间存在显著但适度的正相关(r = 0.31,p = 0.02)。
在大脑半球各叶的皮质区域,DTI衍生的FA定量及其与GFAP免疫组织学的相关性支持了人类胎儿大脑中区域特异性的迁移和成熟事件。