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典型与非典型脑发育:神经影像学研究综述

Typical and atypical brain development: a review of neuroimaging studies.

作者信息

Dennis Emily L, Thompson Paul M

机构信息

Imaging Genetics Center, Laboratory of Neuro Imaging, Dept of Neurology & Psychiatry, UCLA School of Medicine, Los Angeles, California, USA.

出版信息

Dialogues Clin Neurosci. 2013 Sep;15(3):359-84. doi: 10.31887/DCNS.2013.15.3/edennis.

Abstract

In the course of development, the brain undergoes a remarkable process of restructuring as it adapts to the environment and becomes more efficient in processing information. A variety of brain imaging methods can be used to probe how anatomy, connectivity, and function change in the developing brain. Here we review recent discoveries regarding these brain changes in both typically developing individuals and individuals with neurodevelopmental disorders. We begin with typical development, summarizing research on changes in regional brain volume and tissue density, cortical thickness, white matter integrity, and functional connectivity. Space limits preclude the coverage of all neurodevelopmental disorders; instead, we cover a representative selection of studies examining neural correlates of autism, attention deficit/hyperactivity disorder, Fragile X, 22q11.2 deletion syndrome, Williams syndrome, Down syndrome, and Turner syndrome. Where possible, we focus on studies that identify an age by diagnosis interaction, suggesting an altered developmental trajectory. The studies we review generally cover the developmental period from infancy to early adulthood. Great progress has been made over the last 20 years in mapping how the brain matures with MR technology. With ever-improving technology, we expect this progress to accelerate, offering a deeper understanding of brain development, and more effective interventions for neurodevelopmental disorders.

摘要

在发育过程中,大脑会经历一个显著的重组过程,以适应环境并在处理信息方面变得更加高效。可以使用多种脑成像方法来探究发育中的大脑在解剖结构、连接性和功能方面是如何变化的。在这里,我们回顾了有关典型发育个体和患有神经发育障碍个体大脑变化的最新发现。我们从典型发育开始,总结关于区域脑容量和组织密度、皮质厚度、白质完整性以及功能连接性变化的研究。篇幅限制使得无法涵盖所有神经发育障碍;相反,我们涵盖了一系列具有代表性的研究,这些研究考察了自闭症、注意力缺陷多动障碍、脆性X综合征、22q11.2缺失综合征、威廉姆斯综合征、唐氏综合征和特纳综合征的神经关联。在可能的情况下,我们重点关注那些确定了诊断与年龄相互作用的研究,这表明发育轨迹发生了改变。我们回顾的研究通常涵盖从婴儿期到成年早期的发育阶段。在过去20年里,利用磁共振技术绘制大脑成熟过程方面取得了巨大进展。随着技术的不断进步,我们预计这一进展将加速,从而更深入地了解大脑发育,并为神经发育障碍提供更有效的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66a0/3811107/6b3821dd82e1/DialoguesClinNeurosci-15-359-g001.jpg

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