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追踪足月和极早产儿直至 13 岁的区域性大脑生长。

Tracking regional brain growth up to age 13 in children born term and very preterm.

机构信息

Victorian Infant Brain Study (VIBeS), Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC, 3052, Australia.

Developmental Imaging, Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC, 3052, Australia.

出版信息

Nat Commun. 2020 Feb 4;11(1):696. doi: 10.1038/s41467-020-14334-9.

Abstract

Serial regional brain growth from the newborn period to adolescence has not been described. Here, we measured regional brain growth in 216 very preterm (VP) and 45 full-term (FT) children. Brain MRI was performed at term-equivalent age, 7 and 13 years in 82 regions. Brain volumes increased between term-equivalent and 7 years, with faster growth in the FT than VP group. Perinatal brain abnormality was associated with less increase in brain volume between term-equivalent and 7 years in the VP group. Between 7 and 13 years, volumes were relatively stable, with some subcortical and cortical regions increasing while others reduced. Notably, VP infants continued to lag, with overall brain size generally less than that of FT peers at 13 years. Parieto-frontal growth, mainly between 7 and 13 years in FT children, was associated with higher intelligence at 13 years. This study improves understanding of typical and atypical regional brain growth.

摘要

尚未描述从新生儿期到青春期的连续区域性大脑生长。在这里,我们测量了 216 名极早产儿 (VP) 和 45 名足月 (FT) 儿童的区域性大脑生长。在足月等效年龄、7 岁和 13 岁时,对 82 个区域进行了脑 MRI 检查。大脑体积在足月等效年龄和 7 岁之间增加,FT 组的生长速度快于 VP 组。围产期脑异常与 VP 组在足月等效年龄和 7 岁之间的脑体积增加较少有关。在 7 至 13 岁之间,体积相对稳定,一些皮质下和皮质区域增加,而其他区域减少。值得注意的是,VP 婴儿继续落后,13 岁时大脑总体大小通常小于 FT 同龄婴儿。在 FT 儿童中,主要在 7 至 13 岁之间的顶额叶生长与 13 岁时的更高智力有关。这项研究提高了对典型和非典型区域性大脑生长的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55a8/7000691/cf0e6e3e3d2d/41467_2020_14334_Fig1_HTML.jpg

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