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Mackay MT, Chen J, Shapiro J, Pastore-Wapp M, Slavova N, Grunt S, Stojanovski B, Steinlin M, Beare RJ, Yang JYM. Association of Acute Infarct Topography With Development of Cerebral Palsy and Neurologic Impairment in Neonates With Stroke. Neurology 2023; 101:e1509-e1520. [PMID: 37591776 PMCID: PMC10585702 DOI: 10.1212/wnl.0000000000207705] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 06/09/2023] [Indexed: 08/19/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Research investigating neonatal arterial ischemic stroke (NAIS) outcomes have shown that combined cortical and basal ganglia infarction or involvement of the corticospinal tract predict cerebral palsy (CP). The research question was whether voxel-based lesion-symptom mapping (VLSM) on acute MRI can identify brain regions associated with CP and neurodevelopmental impairments in NAIS. METHODS Newborns were recruited from prospective Australian and Swiss pediatric stroke registries. CP diagnosis was based on clinical examination. Language and cognitive-behavioral impairments were assessed using the Pediatric Stroke Outcome Measure, dichotomized to good (0-0.5) or poor (≥1), at ≥18 months of age. Infarcts were manually segmented using diffusion-weighted imaging, registered to a neonatal-specific brain template. VLSM was conducted using MATLAB SPM12 toolbox. A general linear model was used to correlate lesion masks with motor, language, and cognitive-behavioral outcomes. Voxel-wise t-statistics were calculated, correcting for multiple comparisons using family-wise error (FWE) rate. RESULTS Eighty-five newborns met the inclusion criteria. Infarct lateralization was left hemisphere (62%), right (8%), and bilateral (30%). At a median age of 2.1 years (interquartile range 1.9-2.6), 33% developed CP and 42% had neurologic impairments. Fifty-four grey and white matter regions correlated with CP (t > 4.33; FWE < 0.05), including primary motor pathway regions, such as the precentral gyrus, and cerebral peduncle, and regions functionally connected to the primary motor pathway, such as the pallidum, and corpus callosum motor segment. No significant correlations were found for language or cognitive-behavioral outcomes. DISCUSSION CP after NAIS correlates with infarct regions directly involved in motor control and in functionally connected regions. Areas associated with language or cognitive-behavioral impairment are less clear.
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Affiliation(s)
- Mark T Mackay
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland.
| | - Jian Chen
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Jesse Shapiro
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Manuela Pastore-Wapp
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Nedelina Slavova
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Sebastian Grunt
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Belinda Stojanovski
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Maja Steinlin
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Richard J Beare
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
| | - Joseph Yuan-Mou Yang
- From the Department of Neurology (M.T.M., B.S.), Royal Children's Hospital; Neuroscience Research (M.T.M., J.S., B.S., J.Y.-M.Y.), Murdoch Children's Research Institute; Florey Institute of Neurosciences and Mental Health (M.T.M.); Department of Paediatrics (M.T.M., J.Y.-M.Y.), University of Melbourne; Developmental Imaging (J.C., R.J.B., J.Y.-M.Y.); Brain and Mind (J.S.), Murdoch Children's Research Institute, Melbourne, Australia; Support Center for Advanced Neuroimaging (SCAN) (M.P.-W., N.S.), Institute of Diagnostic and Interventional Neuroradiology, University Hospital, Inselspital; Division of Neuropaediatrics, Development and Rehabilitation (S.G., M.S.), Department of Pediatrics, Inselspital Bern University Hospital, University of Bern, Switzerland; Peninsula Clinical School and National Centre for Healthy Ageing (R.J.B.), Monash University; Neuroscience Advanced Clinical Imaging Service (NACIS) (J.Y.-M.Y.), Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia; and ARTORG Center for Biomedical Engineering Research, Gerontechnology and Rehabilitation (M.P.-W.), University of Bern, Switzerland
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Yang X, Chong Z, Ma C, Wang G, Yan C. Anemia - an initial manifestation of Bing-Neel syndrome: A case report. Medicine (Baltimore) 2022; 101:e31239. [PMID: 36401435 PMCID: PMC9678614 DOI: 10.1097/md.0000000000031239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
RATIONALE It is very likely that we will miss Bing-Neel syndrome (BNS) when its initial sign is anemia.Patient concerns: A 59-year-old woman presented with episodic loss of consciousness, anemia, and extremity muscle strength scores (5-) and extremity tendon reflexes (++). DIAGNOSES Magnetic Resonance Imaging (MRI) showed abnormal signal in the left hippocampus, left insula, and right occipital lobe. Quantitative serum immunoglobulins showed elevated immunoglobulinm (IgM) (60.6g/L). Bone marrow biopsy showed lymphoplasmacytic lymphoma (LPL) and tested positive for the MYD88 L265P mutation suggesting Waldenström macroglobulinemia (WM). INTERVENTIONS The patient underwent 3 plasma exchange treatments in the department of hematology followed by chemotherapy (cyclophosphamide for injection, bortezomib for injection). OUTCOMES The patient's condition improved after treatment. LESSONS Clinicians must remain vigilant, as BNS may be the only sign of WM progression in a patient well-controlled on treatment.
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Affiliation(s)
- Xiaoqian Yang
- Department of Neurology, Liaocheng People’s Hospital, Shandong, China
| | - Zonglei Chong
- Department of Hematology, Liaocheng People’s Hospital, Shandong, China
| | - Congcong Ma
- Department of Neurosurgery, Liaocheng People’ s Hospital, Shandong, China
| | - Guifang Wang
- Department of Neurology, Liaocheng People’s Hospital, Shandong, China
- * Correspondence: Guifang Wang and Chunxia Yan, Department of Neurology, Liaocheng People’s Hospital, No. 45, Huashan Road, Economic Development Zone, Liaocheng 252000, Shandong, China (e-mail: )
| | - Chunxia Yan
- Department of Neurology, Liaocheng People’s Hospital, Shandong, China
- * Correspondence: Guifang Wang and Chunxia Yan, Department of Neurology, Liaocheng People’s Hospital, No. 45, Huashan Road, Economic Development Zone, Liaocheng 252000, Shandong, China (e-mail: )
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Lee D, Park HJ. A populational connection distribution map for the whole brain white matter reveals ordered cortical wiring in the space of white matter. Neuroimage 2022; 254:119167. [PMID: 35378287 DOI: 10.1016/j.neuroimage.2022.119167] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/24/2022] [Accepted: 03/30/2022] [Indexed: 12/12/2022] Open
Abstract
The white matter in the brain is composed of neural fibers that wire the cortical and subcortical brain systems. Considering the complexity in terms of interconnections of many neural populations within the narrow space surrounded by the folding walls of the gray matter, the brain requires a certain way of structured wiring. To explore the three-dimensional organization of wiring in an accessible manner, we focused on voxel-level wiring patterns in the white matter according to cortical distributions in which each voxel mediates the wiring. We constructed a voxel-wise connection distribution map from the whole white matter voxels to 360 cortical regions using probabilistic tractography of the 100 diffusion imaging data in the Human Connectome Project. We then explored the spatial organization of the fiber bundles at the white matter voxels in terms of the maximal and second maximal cortical connection labels and the local gradient and entropy of cortical connection density using the population connection distribution map. We presented dominant cortical connection labels, local gradient, and connection entropy for the most representative white matter regions, including the internal capsule, external capsule, corpus callosum, cingulum bundle, and uncinate fascicles, most of which were introduced in the current study. Those major tracts showed a gradient organization of connection distributions for individual voxels. This organized pattern, as reflected in the whole brain connection distribution map, could be established to optimize wiring in the entire brain within the physical space of the white matter.
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Affiliation(s)
- Dongha Lee
- Center for Systems and Translational Brain Sciences, Institute of Human Complexity and Systems Science, Yonsei University, Seoul, Republic of Korea; Cognitive Science Research Group, Korea Brain Research Institute, 61 Cheomdan-ro, Dong-gu, Daegu, Republic of Korea.
| | - Hae-Jeong Park
- Center for Systems and Translational Brain Sciences, Institute of Human Complexity and Systems Science, Yonsei University, Seoul, Republic of Korea; Department of Nuclear Medicine, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea; Department of Cognitive Science, Yonsei University, Seoul, Republic of Korea.
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Thompson DK, Yang JYM, Chen J, Kelly CE, Adamson CL, Alexander B, Gilchrist C, Matthews LG, Lee KJ, Hunt RW, Cheong JLY, Spencer-Smith M, Neil JJ, Seal ML, Inder TE, Doyle LW, Anderson PJ. Brain White Matter Development Over the First 13 Years in Very Preterm and Typically Developing Children Based on the T 1-w/ T 2-w Ratio. Neurology 2022; 98:e924-e937. [PMID: 34937788 PMCID: PMC8901175 DOI: 10.1212/wnl.0000000000013250] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 12/13/2021] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND AND OBJECTIVES To investigate brain regional white matter development in full-term (FT) and very preterm (VP) children at term equivalent and 7 and 13 years of age based on the ratio of T 1- and T 2-weighted MRI (T 1-w/T 2-w), including (1) whether longitudinal changes differ between birth groups or sexes, (2) associations with perinatal risk factors in VP children, and (3) relationships with neurodevelopmental outcomes at 13 years. METHODS Prospective longitudinal cohort study of VP (born <30 weeks' gestation or <1,250 g) and FT infants born between 2001 and 2004 and followed up at term equivalent and 7 and 13 years of age, including MRI studies and neurodevelopmental assessments. T 1-w/T 2-w images were parcellated into 48 white matter regions of interest. RESULTS Of 224 VP participants and 76 FT participants, 197 VP and 55 FT participants had useable T 1-w/T 2-w data from at least one timepoint. T 1-w/T 2-w values increased between term equivalent and 13 years of age, with little evidence that longitudinal changes varied between birth groups or sexes. VP birth, neonatal brain abnormalities, being small for gestational age, and postnatal infection were associated with reduced regional T 1-w/T 2-w values in childhood and adolescence. Increased T 1-w/T 2-w values across the white matter at 13 years were associated with better motor and working memory function for all children. Within the FT group only, larger increases in T 1-w/T 2-w values from term equivalent to 7 years were associated with poorer attention and executive function, and higher T 1-w/T 2-w values at 7 years were associated with poorer mathematics performance. DISCUSSION VP birth and multiple known perinatal risk factors are associated with long-term reductions in the T 1-w/T 2-w ratio in white matter regions in childhood and adolescence, which may relate to alterations in microstructure and myelin content. Increased T 1-w/T 2-w ratio at 13 years appeared to be associated with better motor and working memory function and there appeared to be developmental differences between VP and FT children in the associations for attention, executive functioning, and mathematics performance.
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Affiliation(s)
- Deanne K Thompson
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia.
| | - Joseph Y M Yang
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Jian Chen
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Claire E Kelly
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Christopher L Adamson
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Bonnie Alexander
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Courtney Gilchrist
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Lillian G Matthews
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Katherine J Lee
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Rodney W Hunt
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Jeanie L Y Cheong
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Megan Spencer-Smith
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Jeffrey J Neil
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Marc L Seal
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Terrie E Inder
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Lex W Doyle
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
| | - Peter J Anderson
- From the Victorian Infant Brain Study (VIBeS) (D.T., C.K.), Developmental Imaging (J. Chen, C.L.A., M.S.), and Clinical Epidemiology and Biostatistics Unit (K.J.L.), Murdoch Children's Research Institute; Department of Neurosurgery (J.Y.-M.Y., B.A.) and Neonatal Medicine (R.H.), The Royal Children's Hospital, Parkville; Neurodevelopment in Health and Disease Program (C.G.), School of Health and Biomedical Sciences, RMIT University, Bundoora; Turner Institute for Brain and Mental Health (L.M., M.S.-S., P.A.), Monash University, Clayton; Neonatal Services (J. Cheong), The Royal Women's Hospital, Parkville, Melbourne, Australia; Department of Pediatric Neurology (J.N.), Washington University School of Medicine, St. Louis, MO; Department of Pediatric Newborn Medicine (T.I.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Department of Obstetrics and Gynaecology (L.D.), The University of Melbourne, Parkville, Australia
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5
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Khurana S, Evans ME, Kelly CE, Thompson DK, Burnsed J, Harper A, Hendricks-Munoz K, Shall MS, Stevenson RD, Inamdar K, Vorona G, Dusing SC. Longitudinal Changes in the Sensorimotor Pathways of Very Preterm Infants During the First Year of Life With and Without Intervention: A Pilot Study. Dev Neurorehabil 2021; 24:448-455. [PMID: 34160340 PMCID: PMC8429051 DOI: 10.1080/17518423.2021.1903602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objective: Evaluate longitudinal changes in brain microstructure and volumes in very preterm infants during the first year of life with and without intervention.Design: Descriptive pilot study.Methods: Five preterm infants in a three-arm clinical trial, one SPEEDI Early, two SPEEDI Late, and two usual care. Brain structural and diffusion MRI's were acquired within 72 hours after neonatal intensive care unit discharge (n = 5), three months post-baseline (n = 5), and six months post-baseline (n = 3). Fractional anisotropy (FA), Mean diffusivity (MD), and volume metrics were computed for five brain regions.Results: More than 60% of eligible participants completed 100% of the scheduled MRIs. FA and volume increased from baseline to six months across all brain regions. Rate of white matter volume change from baseline to six months was highest in SPEEDI Early.Conclusions: Non-sedated longitudinal MRI is feasible in very preterm infants and appears to demonstrate longitudinal changes in brain structure and connectivity.
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Affiliation(s)
- Sonia Khurana
- Motor Development Lab, Virginia Commonwealth University, Richmond, Virginia
| | - Megan E Evans
- Motor Development Lab, Virginia Commonwealth University, Richmond, Virginia
| | - Claire E Kelly
- Victorian Infant Brain Studies (VIBeS) and Developmental Imaging, Murdoch Children’s Research Institute, Parkville, Victoria, Australia
| | - Deanne K Thompson
- Victorian Infant Brain Studies (VIBeS) and Developmental Imaging, Murdoch Children’s Research Institute, Parkville, Victoria, Australia; Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia
| | - Jennifer Burnsed
- Division of Neonatology, University of Virginia, Charlottesville, Virginia
| | - Amy Harper
- Department of Neurology, Virginia Commonwealth University, Richmond, Virginia
| | - Karen Hendricks-Munoz
- Department of Pediatrics, Virginia Commonwealth University School of Medicine, Children’s Hospital of Richmond at VCU Richmond, Virginia
| | - Mary S Shall
- Department of Physical Therapy, Virginia Commonwealth University, Richmond, Virginia
| | - Richard D Stevenson
- Division of Neurodevelopmental and Behavioral Pediatrics, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia
| | - Ketaki Inamdar
- Rehabilitation and Movement Sciences, Motor Development Lab, Virginia Commonwealth University, Richmond, Virginia
| | - Greg Vorona
- Department of Radiology, Virginia Commonwealth University, Richmond, Virginia
| | - Stacey C Dusing
- Motor Development Lab, Department of Biokinesiology and Physical Therapy, University of Southern California
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6
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Copeland A, Silver E, Korja R, Lehtola SJ, Merisaari H, Saukko E, Sinisalo S, Saunavaara J, Lähdesmäki T, Parkkola R, Nolvi S, Karlsson L, Karlsson H, Tuulari JJ. Infant and Child MRI: A Review of Scanning Procedures. Front Neurosci 2021; 15:666020. [PMID: 34321992 PMCID: PMC8311184 DOI: 10.3389/fnins.2021.666020] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 05/04/2021] [Indexed: 12/13/2022] Open
Abstract
Magnetic resonance imaging (MRI) is a safe method to examine human brain. However, a typical MR scan is very sensitive to motion, and it requires the subject to lie still during the acquisition, which is a major challenge for pediatric scans. Consequently, in a clinical setting, sedation or general anesthesia is often used. In the research setting including healthy subjects anesthetics are not recommended for ethical reasons and potential longer-term harm. Here we review the methods used to prepare a child for an MRI scan, but also on the techniques and tools used during the scanning to enable a successful scan. Additionally, we critically evaluate how studies have reported the scanning procedure and success of scanning. We searched articles based on special subject headings from PubMed and identified 86 studies using brain MRI in healthy subjects between 0 and 6 years of age. Scan preparations expectedly depended on subject's age; infants and young children were scanned asleep after feeding and swaddling and older children were scanned awake. Comparing the efficiency of different procedures was difficult because of the heterogeneous reporting of the used methods and the success rates. Based on this review, we recommend more detailed reporting of scanning procedure to help find out which are the factors affecting the success of scanning. In the long term, this could help the research field to get high quality data, but also the clinical field to reduce the use of anesthetics. Finally, we introduce the protocol used in scanning 2 to 5-week-old infants in the FinnBrain Birth Cohort Study, and tips for calming neonates during the scans.
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Affiliation(s)
- Anni Copeland
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychiatry, Turku University Hospital, University of Turku, Turku, Finland
| | - Eero Silver
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychiatry, Turku University Hospital, University of Turku, Turku, Finland
| | - Riikka Korja
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychology, University of Turku, Turku, Finland
| | - Satu J. Lehtola
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
| | - Harri Merisaari
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Radiology, Turku University Hospital, University of Turku, Turku, Finland
| | - Ekaterina Saukko
- Department of Radiology, Turku University Hospital, University of Turku, Turku, Finland
| | - Susanne Sinisalo
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
| | - Jani Saunavaara
- Department of Medical Physics, Turku University Hospital, Turku, Finland
| | - Tuire Lähdesmäki
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Pediatric Neurology, Turku University Hospital, University of Turku, Turku, Finland
| | - Riitta Parkkola
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Radiology, Turku University Hospital, University of Turku, Turku, Finland
| | - Saara Nolvi
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychology and Speech-Language Pathology, Turku Institute for Advanced Studies, University of Turku, Turku, Finland
| | - Linnea Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychiatry, Turku University Hospital, University of Turku, Turku, Finland
- Centre for Population Health Research, Turku University Hospital, University of Turku, Turku, Finland
| | - Hasse Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychiatry, Turku University Hospital, University of Turku, Turku, Finland
| | - Jetro J. Tuulari
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychiatry, Turku University Hospital, University of Turku, Turku, Finland
- Turku Collegium for Science, Medicine and Technology, University of Turku, Turku, Finland
- Department of Psychiatry, University of Oxford, Oxford, United Kingdom
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7
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Uus A, Grigorescu I, Pietsch M, Batalle D, Christiaens D, Hughes E, Hutter J, Cordero Grande L, Price AN, Tournier JD, Rutherford MA, Counsell SJ, Hajnal JV, Edwards AD, Deprez M. Multi-Channel 4D Parametrized Atlas of Macro- and Microstructural Neonatal Brain Development. Front Neurosci 2021; 15:661704. [PMID: 34220423 PMCID: PMC8248811 DOI: 10.3389/fnins.2021.661704] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 05/20/2021] [Indexed: 11/19/2022] Open
Abstract
Structural (also known as anatomical) and diffusion MRI provide complimentary anatomical and microstructural characterization of early brain maturation. However, the existing models of the developing brain in time include only either structural or diffusion MRI channels. Furthermore, there is a lack of tools for combined analysis of structural and diffusion MRI in the same reference space. In this work, we propose a methodology to generate a multi-channel (MC) continuous spatio-temporal parametrized atlas of the brain development that combines multiple MRI-derived parameters in the same anatomical space during 37-44 weeks of postmenstrual age range. We co-align structural and diffusion MRI of 170 normal term subjects from the developing Human Connectomme Project using MC registration driven by both T2-weighted and orientation distribution functions channels and fit the Gompertz model to the signals and spatial transformations in time. The resulting atlas consists of 14 spatio-temporal microstructural indices and two parcellation maps delineating white matter tracts and neonatal transient structures. In order to demonstrate applicability of the atlas for quantitative region-specific studies, a comparison analysis of 140 term and 40 preterm subjects scanned at the term-equivalent age is performed using different MRI-derived microstructural indices in the atlas reference space for multiple white matter regions, including the transient compartments. The atlas and software will be available after publication of the article.
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Affiliation(s)
- Alena Uus
- Department of Biomedical Engineering, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Irina Grigorescu
- Department of Biomedical Engineering, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Maximilian Pietsch
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Dafnis Batalle
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
- Department of Forensic and Neurodevelopmental Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Daan Christiaens
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
- Department of Electrical Engineering, ESAT/PSI, KU Leuven, Leuven, Belgium
| | - Emer Hughes
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Jana Hutter
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Lucilio Cordero Grande
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
- Biomedical Image Technologies, ETSI Telecomunicacion, Universidad Politécnica de Madrid, CIBER-BBN, Madrid, Spain
| | - Anthony N. Price
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Jacques-Donald Tournier
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Mary A. Rutherford
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Serena J. Counsell
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Joseph V. Hajnal
- Department of Biomedical Engineering, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - A. David Edwards
- Centre for the Developing Brain, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
| | - Maria Deprez
- Department of Biomedical Engineering, School Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas Hospital, London, United Kingdom
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8
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Alexander B, Yang JYM, Yao SHW, Wu MH, Chen J, Kelly CE, Ball G, Matthews LG, Seal ML, Anderson PJ, Doyle LW, Cheong JLY, Spittle AJ, Thompson DK. White matter extension of the Melbourne Children's Regional Infant Brain atlas: M-CRIB-WM. Hum Brain Mapp 2020; 41:2317-2333. [PMID: 32083379 PMCID: PMC7267918 DOI: 10.1002/hbm.24948] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 01/29/2020] [Accepted: 02/02/2020] [Indexed: 11/05/2022] Open
Abstract
Brain atlases providing standardised identification of neonatal brain regions are key in investigating neurological disorders of early childhood. Our previously developed Melbourne Children's Regional Infant Brain (M-CRIB) and M-CRIB 2.0 neonatal brain atlases provide standardised parcellation of 100 brain regions including cortical, subcortical, and cerebellar regions. The aim of this study was to extend M-CRIB atlas coverage to include 54 white matter (WM) regions. Participants were 10 healthy term-born neonates that were used to create the initial M-CRIB atlas. WM regions were manually segmented based on T2 images and co-registered diffusion tensor imaging-based, direction-encoded colour maps. Our labelled regions imitate the Johns Hopkins University neonatal atlas, with minor anatomical modifications. All segmentations were reviewed and approved by a paediatric radiologist and a neurosurgery research fellow for anatomical accuracy. The resulting neonatal WM atlas comprises 54 WM regions: 24 paired regions, and six unpaired regions comprising five corpus callosum subdivisions, and one pontine crossing tract. Detailed protocols for manual WM parcellations are provided, and the M-CRIB-WM atlas is presented together with the existing M-CRIB cortical, subcortical, and cerebellar parcellations in 10 individual neonatal MRI data sets. The novel M-CRIB-WM atlas, along with the M-CRIB cortical and subcortical atlases, provide neonatal whole brain MRI coverage in the first multi-subject manually parcellated neonatal atlas compatible with atlases commonly used at older time points. The M-CRIB-WM atlas is publicly available, providing a valuable tool that will help facilitate neuroimaging research into neonatal brain development in both healthy and diseased states.
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Affiliation(s)
- Bonnie Alexander
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
| | - Joseph Yuan-Mou Yang
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Neuroscience Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Department of Neurosurgery, Royal Children's Hospital, Melbourne, Victoria, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia
| | - Sarah Hui Wen Yao
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Monash School of Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia
| | - Michelle Hao Wu
- Medical Imaging, Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Jian Chen
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Department of Medicine, Monash University, Melbourne, Victoria, Australia
| | - Claire E Kelly
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
| | - Gareth Ball
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
| | - Lillian G Matthews
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Marc L Seal
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia
| | - Peter J Anderson
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia
| | - Lex W Doyle
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.,Newborn research, Royal Women's Hospital, Melbourne, Victoria, Australia.,Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia
| | - Jeanie L Y Cheong
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Newborn research, Royal Women's Hospital, Melbourne, Victoria, Australia.,Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia
| | - Alicia J Spittle
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Newborn research, Royal Women's Hospital, Melbourne, Victoria, Australia.,Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia
| | - Deanne K Thompson
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.,Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia
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