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Proc Natl Acad Sci U S A ; 118(20)2021 05 18.
Artigo em Inglês | MEDLINE | ID: mdl-33972435

RESUMO

During the second and third trimesters of human gestation, rapid neurodevelopment is underpinned by fundamental processes including neuronal migration, cellular organization, cortical layering, and myelination. In this time, white matter growth and maturation lay the foundation for an efficient network of structural connections. Detailed knowledge about this developmental trajectory in the healthy human fetal brain is limited, in part, due to the inherent challenges of acquiring high-quality MRI data from this population. Here, we use state-of-the-art high-resolution multishell motion-corrected diffusion-weighted MRI (dMRI), collected as part of the developing Human Connectome Project (dHCP), to characterize the in utero maturation of white matter microstructure in 113 fetuses aged 22 to 37 wk gestation. We define five major white matter bundles and characterize their microstructural features using both traditional diffusion tensor and multishell multitissue models. We found unique maturational trends in thalamocortical fibers compared with association tracts and identified different maturational trends within specific sections of the corpus callosum. While linear maturational increases in fractional anisotropy were seen in the splenium of the corpus callosum, complex nonlinear trends were seen in the majority of other white matter tracts, with an initial decrease in fractional anisotropy in early gestation followed by a later increase. The latter is of particular interest as it differs markedly from the trends previously described in ex utero preterm infants, suggesting that this normative fetal data can provide significant insights into the abnormalities in connectivity which underlie the neurodevelopmental impairments associated with preterm birth.


Assuntos
Córtex Cerebral/fisiologia , Corpo Caloso/fisiologia , Desenvolvimento Fetal/fisiologia , Tálamo/fisiologia , Substância Branca/fisiologia , Anisotropia , Córtex Cerebral/anatomia & histologia , Córtex Cerebral/diagnóstico por imagem , Conectoma , Corpo Caloso/anatomia & histologia , Corpo Caloso/diagnóstico por imagem , Imagem de Tensor de Difusão , Feminino , Feto , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Neurogênese/fisiologia , Neurônios/citologia , Neurônios/fisiologia , Gravidez , Segundo Trimestre da Gravidez , Terceiro Trimestre da Gravidez , Tálamo/anatomia & histologia , Tálamo/diagnóstico por imagem , Útero/diagnóstico por imagem , Útero/fisiologia , Substância Branca/anatomia & histologia , Substância Branca/diagnóstico por imagem
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