Fetal-Neonatal Neuroimaging and Developmental Science Center, Children's Hospital Boston, Boston, MA, USA.
Cereb Cortex. 2013 Sep;23(9):2100-17. doi: 10.1093/cercor/bhs197. Epub 2012 Jul 6.
Elucidation of infant brain development is a critically important goal given the enduring impact of these early processes on various domains including later cognition and language. Although infants' whole-brain growth rates have long been available, regional growth rates have not been reported systematically. Accordingly, relatively less is known about the dynamics and organization of typically developing infant brains. Here we report global and regional volumetric growth of cerebrum, cerebellum, and brainstem with gender dimorphism, in 33 cross-sectional scans, over 3 to 13 months, using T1-weighted 3-dimensional spoiled gradient echo images and detailed semi-automated brain segmentation. Except for the midbrain and lateral ventricles, all absolute volumes of brain regions showed significant growth, with 6 different patterns of volumetric change. When normalized to the whole brain, the regional increase was characterized by 5 differential patterns. The putamen, cerebellar hemispheres, and total cerebellum were the only regions that showed positive growth in the normalized brain. Our results show region-specific patterns of volumetric change and contribute to the systematic understanding of infant brain development. This study greatly expands our knowledge of normal development and in future may provide a basis for identifying early deviation above and beyond normative variation that might signal higher risk for neurological disorders.
阐明婴儿大脑发育是一个非常重要的目标,因为这些早期过程对包括后期认知和语言在内的各个领域都有持久的影响。尽管婴儿的全脑生长率早已为人所知,但区域生长率尚未得到系统报告。因此,关于正常发育婴儿大脑的动态和组织,人们知之甚少。在这里,我们使用 T1 加权 3 维扰相梯度回波图像和详细的半自动脑分割,在 3 至 13 个月的 33 个横截面扫描中,报告了具有性别二态性的大脑、小脑和脑干的整体和区域体积生长。除中脑和侧脑室外,所有脑区的绝对体积均有显著增长,有 6 种不同的体积变化模式。当与整个大脑归一化时,区域增加的特征是 5 种不同的模式。纹状体、小脑半球和整个小脑是唯一在归一化大脑中显示出正增长的区域。我们的研究结果显示了特定区域的体积变化模式,有助于系统地了解婴儿大脑发育。这项研究极大地扩展了我们对正常发育的认识,未来可能为识别超出正常变异的早期偏差提供基础,这些偏差可能预示着神经发育障碍的风险更高。