Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, 1090, Vienna, Austria.
Computational Imaging Research Lab, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, 1090, Vienna, Austria.
Eur J Paediatr Neurol. 2021 Nov;35:67-73. doi: 10.1016/j.ejpn.2021.09.014. Epub 2021 Oct 9.
In this study we compare temporal lobe (TL) signal intensity (SI) profiles, along with the average thicknesses of the transient zones obtained from postmortem MRI (pMRI) scans and corresponding histological slices, to the frontal lobe (FL) SI and zone thicknesses, in normal fetal brains. The purpose was to assess the synchronization of the corticogenetic processes in different brain lobes. Nine postmortem human fetal brains without cerebral pathologies, from 19 to 24 weeks of gestation (GW) were analyzed on T2-weighted 3T pMRI, at the coronal level of the thalamus and basal ganglia. The SI profiles of the transient zones in the TL correlate well spatially and temporally to the signal intensity profile of the FL. During the examined period, in the TL, the intermediate and subventricular zone are about the size of the subplate zone (SP), while the superficial SP demonstrates the highest signal intensity. The correlation of the SI profiles and the distributions of the transient zones in the two brain lobes, indicates a time-aligned histogenesis during this narrow time window. The 3TpMRI enables an assessment of the regularity of lamination patterns in the fetal telencephalic wall, upon comparative evaluation of sizes of the transient developmental zones and the SI profiles of different cortical regions. A knowledge of normal vs. abnormal transient lamination patterns and the SI profiles is a prerequisite for further advancement of the MR diagnostic tools needed for early detection of developmental brain pathologies prenatally, especially mild white matter injuries such as lesions of TL due to prenatal cytomegalovirus infections, or cortical malformations.
在这项研究中,我们比较了正常胎儿大脑的颞叶(TL)信号强度(SI)曲线,以及从死后 MRI(pMRI)扫描和相应的组织切片中获得的瞬态区的平均厚度,与额叶(FL)的 SI 和区域厚度,目的是评估不同脑叶皮质发生过程的同步性。对 9 例无脑部病变的人类胎儿死后大脑进行分析,这些胎儿的胎龄为 19 至 24 周,在丘脑和基底神经节的冠状层面上进行了 3T pMRI 的 T2 加权成像。TL 中瞬态区的 SI 曲线在空间和时间上与 FL 的信号强度曲线密切相关。在检查期间,TL 中的中间和室下区与基板区(SP)的大小大致相同,而浅层 SP 显示出最高的信号强度。两个脑叶的 SI 曲线和瞬态区分布的相关性表明,在这个狭窄的时间窗口内存在时间一致的组织发生。3TpMRI 能够通过比较不同皮质区域的瞬态发育区大小和 SI 曲线,评估胎儿端脑壁的层状模式的规律性。了解正常与异常的瞬态层状模式和 SI 曲线是进一步发展产前发育性脑病变的 MR 诊断工具的前提,特别是产前巨细胞病毒感染引起的 TL 等轻度白质损伤,或皮质畸形。