Division of Pediatric Neurosurgery, Cincinnati Children’s Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.
AJNR Am J Neuroradiol. 2013 Jul;34(7):1443-9. doi: 10.3174/ajnr.A3350. Epub 2013 Jan 31.
DTI is an advanced neuroimaging technique that allows in vivo quantification of water diffusion properties as surrogate markers of the integrity of WM microstructure. In our study, we investigated normative data from a large number of pediatric and adolescent participants to examine the developmental trends in DTI during this conspicuous WM maturation period.
DTI data in 202 healthy pediatric and adolescent participants were analyzed retrospectively. Fractional anisotropy and mean diffusivity values in the corpus callosum and internal capsule were fitted to an exponential regression model to delineate age-dependent maturational changes across the WM structures.
The DTI metrics demonstrated characteristic exponential patterns of progression during development and conspicuous age-dependent changes in the first 36 months, with rostral WM tracts experiencing the highest slope of the exponential function. In contrast, the highest final FA and lowest MD values were detected in the splenium of the corpus callosum and the posterior limb of the internal capsule.
Our analysis shows that the more caudal portions of the corpus callosum and internal capsule begin the maturation process earlier than the rostral regions, but the rostral regions develop at a more accelerated pace, which may suggest that rostral regions rely on development of more caudal brain regions to instigate their development. Our normative DTI can be used as a reference to study normal spatiotemporal developmental profiles in the WM and help identify abnormal WM structures in patient populations.
DTI 是一种先进的神经影像学技术,可用于在体量化水分子扩散特性,作为 WM 微观结构完整性的替代标志物。在本研究中,我们对大量儿科和青少年参与者的正常数据进行了调查,以研究在 WM 显著成熟期间 DTI 的发育趋势。
回顾性分析了 202 名健康儿科和青少年参与者的 DTI 数据。对胼胝体和内囊中的分数各向异性和平均扩散系数值进行指数回归模型拟合,以描绘 WM 结构中与年龄相关的成熟变化。
DTI 指标在发育过程中表现出特征性的指数模式进展,并在最初的 36 个月中出现明显的年龄依赖性变化,其中额 WM 束的指数函数斜率最高。相比之下,胼胝体体部和内囊后肢的最终 FA 值最高,MD 值最低。
我们的分析表明,胼胝体和内囊的更尾部部分比额部更早开始成熟过程,但额部发育速度更快,这可能表明额部区域依赖于更尾部脑区的发育来启动其发育。我们的正常 DTI 可作为参考,用于研究 WM 中的正常时空发育图谱,并帮助识别患者群体中异常的 WM 结构。