Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Pediatric Imaging Research Center, Massachusetts General Hospital, Boston, MA, USA.
Pediatr Radiol. 2024 Apr;54(4):635-645. doi: 10.1007/s00247-024-05890-z. Epub 2024 Feb 28.
Fetal brain development is a complex, rapid, and multi-dimensional process that can be documented with MRI. In the second and third trimesters, there are predictable developmental changes that must be recognized and differentiated from disease. This review delves into the key biological processes that drive fetal brain development, highlights normal developmental anatomy, and provides a framework to identify pathology. We will summarize the development of the cerebral hemispheres, sulci and gyri, extra-axial and ventricular cerebrospinal fluid, and corpus callosum and illustrate the most common abnormal findings in the clinical setting.
胎儿大脑发育是一个复杂、迅速且多维的过程,可以通过 MRI 进行记录。在妊娠的第二和第三个三个月,存在可预测的发育变化,必须加以识别并与疾病区分开来。本综述深入探讨了推动胎儿大脑发育的关键生物学过程,强调了正常发育解剖结构,并提供了识别病理学的框架。我们将总结大脑半球、脑回和脑沟、颅外和脑室脑脊髓液以及胼胝体的发育,并举例说明在临床环境中最常见的异常发现。