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Steger C, Moatti C, Payette K, De Silvestro A, Nguyen TD, Coraj S, Yakoub N, Natalucci G, Kottke R, Tuura R, Knirsch W, Jakab A. Characterization of dynamic patterns of human fetal to neonatal brain asymmetry with deformation-based morphometry. Front Neurosci 2023; 17:1252850. [PMID: 38130698 PMCID: PMC10734644 DOI: 10.3389/fnins.2023.1252850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 11/03/2023] [Indexed: 12/23/2023] Open
Abstract
Introduction Despite established knowledge on the morphological and functional asymmetries in the human brain, the understanding of how brain asymmetry patterns change during late fetal to neonatal life remains incomplete. The goal of this study was to characterize the dynamic patterns of inter-hemispheric brain asymmetry over this critically important developmental stage using longitudinally acquired MRI scans. Methods Super-resolution reconstructed T2-weighted MRI of 20 neurotypically developing participants were used, and for each participant fetal and neonatal MRI was acquired. To quantify brain morphological changes, deformation-based morphometry (DBM) on the longitudinal MRI scans was utilized. Two registration frameworks were evaluated and used in our study: (A) fetal to neonatal image registration and (B) registration through a mid-time template. Developmental changes of cerebral asymmetry were characterized as (A) the inter-hemispheric differences of the Jacobian determinant (JD) of fetal to neonatal morphometry change and the (B) time-dependent change of the JD capturing left-right differences at fetal or neonatal time points. Left-right and fetal-neonatal differences were statistically tested using multivariate linear models, corrected for participants' age and sex and using threshold-free cluster enhancement. Results Fetal to neonatal morphometry changes demonstrated asymmetry in the temporal pole, and left-right asymmetry differences between fetal and neonatal timepoints revealed temporal changes in the temporal pole, likely to go from right dominant in fetal to a bilateral morphology in neonatal timepoint. Furthermore, the analysis revealed right-dominant subcortical gray matter in neonates and three clusters of increased JD values in the left hemisphere from fetal to neonatal timepoints. Discussion While these findings provide evidence that morphological asymmetry gradually emerges during development, discrepancies between registration frameworks require careful considerations when using DBM for longitudinal data of early brain development.
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Affiliation(s)
- Céline Steger
- Center for MR Research, University Children’s Hospital Zurich, University of Zurich, Zürich, Switzerland
- Children’s Research Center, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
- Pediatric Heart Center, Division of Pediatric Cardiology, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
- Neuroscience Center Zurich, University of Zurich and Swiss Federal Institute of Technology, Zurich, Switzerland
| | - Charles Moatti
- Center for MR Research, University Children’s Hospital Zurich, University of Zurich, Zürich, Switzerland
- Department of Information Technology and Electrical Engineering, ETH Zurich, Zurich, Switzerland
| | - Kelly Payette
- Center for MR Research, University Children’s Hospital Zurich, University of Zurich, Zürich, Switzerland
- Children’s Research Center, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Alexandra De Silvestro
- Center for MR Research, University Children’s Hospital Zurich, University of Zurich, Zürich, Switzerland
- Children’s Research Center, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
- Pediatric Heart Center, Division of Pediatric Cardiology, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Thi Dao Nguyen
- Newborn Research, Department of Neonatology, University of Zurich and University Hospital Zurich, Zurich, Switzerland
| | - Seline Coraj
- Larsson-Rosenquist Foundation Center for Neurodevelopment, Growth and Nutrition of the Newborn, Department of Neonatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Ninib Yakoub
- Larsson-Rosenquist Foundation Center for Neurodevelopment, Growth and Nutrition of the Newborn, Department of Neonatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Giancarlo Natalucci
- Newborn Research, Department of Neonatology, University of Zurich and University Hospital Zurich, Zurich, Switzerland
- Larsson-Rosenquist Foundation Center for Neurodevelopment, Growth and Nutrition of the Newborn, Department of Neonatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Raimund Kottke
- Department of Diagnostic Imaging, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Ruth Tuura
- Center for MR Research, University Children’s Hospital Zurich, University of Zurich, Zürich, Switzerland
- Children’s Research Center, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Walter Knirsch
- Children’s Research Center, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
- Pediatric Heart Center, Division of Pediatric Cardiology, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Andras Jakab
- Center for MR Research, University Children’s Hospital Zurich, University of Zurich, Zürich, Switzerland
- Children’s Research Center, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland
- Neuroscience Center Zurich, University of Zurich and Swiss Federal Institute of Technology, Zurich, Switzerland
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Namburete AIL, Papież BW, Fernandes M, Wyburd MK, Hesse LS, Moser FA, Ismail LC, Gunier RB, Squier W, Ohuma EO, Carvalho M, Jaffer Y, Gravett M, Wu Q, Lambert A, Winsey A, Restrepo-Méndez MC, Bertino E, Purwar M, Barros FC, Stein A, Noble JA, Molnár Z, Jenkinson M, Bhutta ZA, Papageorghiou AT, Villar J, Kennedy SH. Normative spatiotemporal fetal brain maturation with satisfactory development at 2 years. Nature 2023; 623:106-114. [PMID: 37880365 PMCID: PMC10620088 DOI: 10.1038/s41586-023-06630-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 09/08/2023] [Indexed: 10/27/2023]
Abstract
Maturation of the human fetal brain should follow precisely scheduled structural growth and folding of the cerebral cortex for optimal postnatal function1. We present a normative digital atlas of fetal brain maturation based on a prospective international cohort of healthy pregnant women2, selected using World Health Organization recommendations for growth standards3. Their fetuses were accurately dated in the first trimester, with satisfactory growth and neurodevelopment from early pregnancy to 2 years of age4,5. The atlas was produced using 1,059 optimal quality, three-dimensional ultrasound brain volumes from 899 of the fetuses and an automated analysis pipeline6-8. The atlas corresponds structurally to published magnetic resonance images9, but with finer anatomical details in deep grey matter. The between-study site variability represented less than 8.0% of the total variance of all brain measures, supporting pooling data from the eight study sites to produce patterns of normative maturation. We have thereby generated an average representation of each cerebral hemisphere between 14 and 31 weeks' gestation with quantification of intracranial volume variability and growth patterns. Emergent asymmetries were detectable from as early as 14 weeks, with peak asymmetries in regions associated with language development and functional lateralization between 20 and 26 weeks' gestation. These patterns were validated in 1,487 three-dimensional brain volumes from 1,295 different fetuses in the same cohort. We provide a unique spatiotemporal benchmark of fetal brain maturation from a large cohort with normative postnatal growth and neurodevelopment.
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Affiliation(s)
- Ana I L Namburete
- Oxford Machine Learning in Neuroimaging Laboratory, Department of Computer Science, University of Oxford, Oxford, UK.
- Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, UK.
- Department of Engineering Science, University of Oxford, Oxford, UK.
| | - Bartłomiej W Papież
- Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford, Oxford, UK
| | - Michelle Fernandes
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
- MRC Lifecourse Epidemiology Centre, Human Development and Health Academic Unit, Faculty of Medicine, University of Southampton, Southampton, UK
- Oxford Maternal and Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
| | - Madeleine K Wyburd
- Oxford Machine Learning in Neuroimaging Laboratory, Department of Computer Science, University of Oxford, Oxford, UK
| | - Linde S Hesse
- Oxford Machine Learning in Neuroimaging Laboratory, Department of Computer Science, University of Oxford, Oxford, UK
- Department of Engineering Science, University of Oxford, Oxford, UK
| | - Felipe A Moser
- Oxford Machine Learning in Neuroimaging Laboratory, Department of Computer Science, University of Oxford, Oxford, UK
| | - Leila Cheikh Ismail
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Robert B Gunier
- Center for Environmental Research and Children's Health, School of Public Health, University of California, Berkeley, CA, USA
| | - Waney Squier
- Department of Neuropathology, John Radcliffe Hospital, Oxford, UK
| | - Eric O Ohuma
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
- Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK
| | - Maria Carvalho
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, Aga Khan University Hospital, Nairobi, Kenya
| | - Yasmin Jaffer
- Department of Family and Community Health, Ministry of Health, Muscat, Sultanate of Oman
| | - Michael Gravett
- Departments of Obstetrics and Gynecology and of Global Health, University of Washington, Seattle, WA, USA
| | - Qingqing Wu
- School of Public Health, Peking University, Beijing, China
| | - Ann Lambert
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
- Oxford Maternal and Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
| | - Adele Winsey
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
| | | | - Enrico Bertino
- Dipartimento di Scienze Pediatriche e dell' Adolescenza, SCDU Neonatologia, Universita di Torino, Turin, Italy
| | - Manorama Purwar
- Nagpur INTERGROWTH-21st Research Centre, Ketkar Hospital, Nagpur, India
| | - Fernando C Barros
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, Brazil
| | - Alan Stein
- Department of Psychiatry, University of Oxford, Oxford, UK
- African Health Research Institute, KwaZulu-Natal, South Africa
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa
| | - J Alison Noble
- Department of Engineering Science, University of Oxford, Oxford, UK
| | - Zoltán Molnár
- Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
| | - Mark Jenkinson
- Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, UK
- Australian Institute for Machine Learning, Department of Computer Science, University of Adelaide, Adelaide, South Australia, Australia
- South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia
| | - Zulfiqar A Bhutta
- Center for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada
| | - Aris T Papageorghiou
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
- Oxford Maternal and Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
| | - José Villar
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
- Oxford Maternal and Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
| | - Stephen H Kennedy
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
- Oxford Maternal and Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
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Mallela AN, Deng H, Gholipour A, Warfield SK, Goldschmidt E. Heterogeneous growth of the insula shapes the human brain. Proc Natl Acad Sci U S A 2023; 120:e2220200120. [PMID: 37279278 PMCID: PMC10268209 DOI: 10.1073/pnas.2220200120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Accepted: 04/13/2023] [Indexed: 06/08/2023] Open
Abstract
The human cerebrum consists of a precise and stereotyped arrangement of lobes, primary gyri, and connectivity that underlies human cognition [P. Rakic, Nat. Rev. Neurosci. 10, 724-735 (2009)]. The development of this arrangement is less clear. Current models explain individual primary gyrification but largely do not account for the global configuration of the cerebral lobes [T. Tallinen, J. Y. Chung, J. S. Biggins, L. Mahadevan, Proc. Natl. Acad. Sci. U.S.A. 111, 12667-12672 (2014) and D. C. Van Essen, Nature 385, 313-318 (1997)]. The insula, buried in the depths of the Sylvian fissure, is unique in terms of gyral anatomy and size. Here, we quantitatively show that the insula has unique morphology and location in the cerebrum and that these key differences emerge during fetal development. Finally, we identify quantitative differences in developmental migration patterns to the insula that may underlie these differences. We calculated morphologic data in the insula and other lobes in adults (N = 107) and in an in utero fetal brain atlas (N = 81 healthy fetuses). In utero, the insula grows an order of magnitude slower than the other lobes and demonstrates shallower sulci, less curvature, and less surface complexity both in adults and progressively throughout fetal development. Spherical projection analysis demonstrates that the lenticular nuclei obstruct 60 to 70% of radial pathways from the ventricular zone (VZ) to the insula, forcing a curved migration to the insula in contrast to a direct radial pathway. Using fetal diffusion tractography, we identify radial glial fascicles that originate from the VZ and curve around the lenticular nuclei to form the insula. These results confirm existing models of radial migration to the cortex and illustrate findings that suggest differential insular and cerebral development, laying the groundwork to understand cerebral malformations and insular function and pathologies.
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Affiliation(s)
- Arka N. Mallela
- Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA15213
| | - Hansen Deng
- Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA15213
| | - Ali Gholipour
- Department of Radiology, Harvard Medical School, Boston, MA02115
- Department of Radiology, Boston Children’s Hospital, Boston, MA02115
| | - Simon K. Warfield
- Department of Radiology, Harvard Medical School, Boston, MA02115
- Department of Radiology, Boston Children’s Hospital, Boston, MA02115
| | - Ezequiel Goldschmidt
- Department of Radiology, Harvard Medical School, Boston, MA02115
- Department of Neurological Surgery, University of California San Francisco, San Francisco, CA94143
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de Vareilles H, Rivière D, Mangin JF, Dubois J. Development of cortical folds in the human brain: An attempt to review biological hypotheses, early neuroimaging investigations and functional correlates. Dev Cogn Neurosci 2023; 61:101249. [PMID: 37141790 PMCID: PMC10311195 DOI: 10.1016/j.dcn.2023.101249] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 03/28/2023] [Accepted: 04/21/2023] [Indexed: 05/06/2023] Open
Abstract
The folding of the human brain mostly takes place in utero, making it challenging to study. After a few pioneer studies looking into it in post-mortem foetal specimen, modern approaches based on neuroimaging have allowed the community to investigate the folding process in vivo, its normal progression, its early disturbances, and its relationship to later functional outcomes. In this review article, we aimed to first give an overview of the current hypotheses on the mechanisms governing cortical folding. After describing the methodological difficulties raised by its study in fetuses, neonates and infants with magnetic resonance imaging (MRI), we reported our current understanding of sulcal pattern emergence in the developing brain. We then highlighted the functional relevance of early sulcal development, through recent insights about hemispheric asymmetries and early factors influencing this dynamic such as prematurity. Finally, we outlined how longitudinal studies have started to relate early folding markers and the child's sensorimotor and cognitive outcome. Through this review, we hope to raise awareness on the potential of studying early sulcal patterns both from a fundamental and clinical perspective, as a window into early neurodevelopment and plasticity in relation to growth in utero and postnatal environment of the child.
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Affiliation(s)
- H de Vareilles
- Université Paris-Saclay, NeuroSpin-BAOBAB, CEA, CNRS, Gif-sur-Yvette, France.
| | - D Rivière
- Université Paris-Saclay, NeuroSpin-BAOBAB, CEA, CNRS, Gif-sur-Yvette, France
| | - J F Mangin
- Université Paris-Saclay, NeuroSpin-BAOBAB, CEA, CNRS, Gif-sur-Yvette, France
| | - J Dubois
- Université Paris Cité, NeuroDiderot, Inserm, Paris, France; Université Paris-Saclay, NeuroSpin-UNIACT, CEA, Gif-sur-Yvette, France
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Yi F, Zhang C, Zou Y, Li X, Li J, Deng L, Chen L, Chen Z. Three-Dimensional Crystal Vue Imaging technology assessment of Sylvian fissures at 20-32+6 weeks' normal gestation. Eur Radiol 2023; 33:2358-2366. [PMID: 36385228 DOI: 10.1007/s00330-022-09253-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 08/10/2022] [Accepted: 08/14/2022] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Assess developmental pattern of Sylvian fissures (SF) with Three-Dimensional Crystal Vue Imaging (3D-CVI) at 20-32+6 weeks of gestation. METHODS This was a prospective cross-sectional study. Assess 20-32+6 weeks' gestation normal development of fetal brain SF with 3D-CVI imaging. Measure the uncovered area and perimeter of the insula on the Three-Dimensional (3D) image and establish reference ranges for the uncovered area and perimeters of the insula during normal pregnancy 20-32+6 weeks' gestation. Examine intra- and interobserver repeatability of measurements of the uncovered area and perimeter of the insula. RESULTS A total of 286 normal fetuses from 20 to 32+6 weeks of gestation were studied. The SF first was trapezoidal in the 25 weeks of gestation, gradually becoming triangular as gestational age (GA) increased, and then closing from posterior up to anterior down. The uncovered area and dimension of the insula showed a parabolic curve that first increased and then decreased as GA and head circumference (HC) increased. Reference ranges for measurements of the uncovered area and perimeters of the insula during normal pregnancy 20-32+6 weeks' gestation were established. The intra- and interobserver agreements were reproducible (all ICC > 0.850); there were more than 95% dots in the Bland-Altman plots (95 limits of agreement (LOA)) scale in every figure. CONCLUSIONS 3D-CVI can be used to observe the morphological changes of SF during middle and late pregnancy, which is an intuitive supplementary means for prenatal evaluation of cerebral cortex development, guiding subsequent follow-up and referral for assessment by expert neurosonologists. KEY POINTS • A new imaging technique was found to visualize the SF of fetal brain surface. • This technique has the advantages of good consistency and repeatability, simple operation, short time-consuming, and low cost. • Its 3D visualization images can be used to the development and changes of the sulci on the brain surface, it provides a new method to evaluate the development of cerebral cortex.
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Affiliation(s)
- Fei Yi
- Department of Ultrasound Medicine, Yichun Maternal and Children Health Hospital, Yichun City, 336000, Jiangxi Province, China
| | - Chunquan Zhang
- Department of Ultrasound, The Second Affiliated Hospital of Nanchang University, Nanchang City, 330006, Jiangxi Province, China.
| | - Yaqi Zou
- Department of Ultrasound Medicine, Yichun Maternal and Children Health Hospital, Yichun City, 336000, Jiangxi Province, China
| | - Xingsheng Li
- Department of Ultrasound Medicine, Yichun Maternal and Children Health Hospital, Yichun City, 336000, Jiangxi Province, China
| | - Juan Li
- Department of Ultrasound Medicine, Yichun Maternal and Children Health Hospital, Yichun City, 336000, Jiangxi Province, China
| | - Ling Deng
- Department of Ultrasound Medicine, Yichun Maternal and Children Health Hospital, Yichun City, 336000, Jiangxi Province, China
| | - Lili Chen
- Department of Ultrasound, The Second Affiliated Hospital of Nanchang University, Nanchang City, 330006, Jiangxi Province, China
| | - Zhixuan Chen
- Department of Ultrasound, Shenzhen Maternity and Child Healthcare Hospital Affiliated to Nanfang Medical University, Shenzhen City, 518028, Guangdong Province, China
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De Vareilles H, Rivière D, Pascucci M, Sun ZY, Fischer C, Leroy F, Tataranno ML, Benders MJ, Dubois J, Mangin JF. Exploring the emergence of morphological asymmetries around the brain's Sylvian fissure: a longitudinal study of shape variability in preterm infants. Cereb Cortex 2023:7005629. [PMID: 36702802 DOI: 10.1093/cercor/bhac533] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 11/28/2022] [Accepted: 12/21/2022] [Indexed: 01/28/2023] Open
Abstract
Brain folding patterns vary within the human species, but some folding properties are common across individuals, including the Sylvian fissure's inter-hemispheric asymmetry. Contrarily to the other brain folds (sulci), the Sylvian fissure develops through the process of opercularization, with the frontal, parietal, and temporal lobes growing over the insular lobe. Its asymmetry may be related to the leftward functional lateralization for language processing, but the time course of these asymmetries' development is still poorly understood. In this study, we investigated refined shape features of the Sylvian fissure and their longitudinal development in 71 infants born extremely preterm (mean gestational age at birth: 26.5 weeks) and imaged once before and once at term-equivalent age (TEA). We additionally assessed asymmetrical sulcal patterns at TEA in the perisylvian and inferior frontal regions, neighbor to the Sylvian fissure. While reproducing renowned strong asymmetries in the Sylvian fissure, we captured an early encoding of its main asymmetrical shape features, and we observed global asymmetrical shape features representative of a more pronounced opercularization in the left hemisphere, contrasting with the previously reported right hemisphere advance in sulcation around birth. This added novel insights about the processes governing early-life brain folding mechanisms, potentially linked to the development of language-related capacities.
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Affiliation(s)
| | - Denis Rivière
- NeuroSpin-BAOBAB, CEA, Université Paris-Saclay, Gif-sur-Yvette 91191, France
| | - Marco Pascucci
- NeuroSpin-BAOBAB, CEA, Université Paris-Saclay, Gif-sur-Yvette 91191, France
| | - Zhong-Yi Sun
- NeuroSpin-BAOBAB, CEA, Université Paris-Saclay, Gif-sur-Yvette 91191, France
| | - Clara Fischer
- NeuroSpin-BAOBAB, CEA, Université Paris-Saclay, Gif-sur-Yvette 91191, France
| | - François Leroy
- NeuroSpin-BAOBAB, CEA, Université Paris-Saclay, Gif-sur-Yvette 91191, France.,NeuroSpin-UNICOG, Inserm, CEA, Université Paris-Saclay, Gif-sur-Yvette 91191, France
| | - Maria-Luisa Tataranno
- Department of Neonatology, University Medical Center Utrecht, Utrecht University, Utrecht 3584 CX, Netherlands
| | - Manon J Benders
- Department of Neonatology, University Medical Center Utrecht, Utrecht University, Utrecht 3584 CX, Netherlands
| | - Jessica Dubois
- NeuroDiderot, Inserm, Université Paris Cité, Paris 75019, France.,NeuroSpin-UNIACT, CEA, Université Paris-Saclay, Gif-sur-Yvette 91191, France
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Baizer JS, Witelson SF. Comparative analysis of four nuclei in the human brainstem: Individual differences, left-right asymmetry, species differences. Front Neuroanat 2023; 17:1069210. [PMID: 36874056 PMCID: PMC9978016 DOI: 10.3389/fnana.2023.1069210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 01/24/2023] [Indexed: 02/18/2023] Open
Abstract
Introduction It is commonly thought that while the organization of the cerebral cortex changes dramatically over evolution, the organization of the brainstem is conserved across species. It is further assumed that, as in other species, brainstem organization is similar from one human to the next. We will review our data on four human brainstem nuclei that suggest that both ideas may need modification. Methods We have studied the neuroanatomical and neurochemical organization of the nucleus paramedianus dorsalis (PMD), the principal nucleus of the inferior olive (IOpr), the arcuate nucleus of the medulla (Arc) and the dorsal cochlear nucleus (DC). We compared these human brainstem nuclei to nuclei in other mammals including chimpanzees, monkeys, cats and rodents. We studied human cases from the Witelson Normal Brain collection using Nissl and immunostained sections, and examined archival Nissl and immunostained sections from other species. Results We found significant individual variability in the size and shape of brainstem structures among humans. There is left-right asymmetry in the size and appearance of nuclei, dramatically so in the IOpr and Arc. In humans there are nuclei, e.g., the PMD and the Arc, not seen in several other species. In addition, there are brainstem structures that are conserved across species but show major expansion in humans, e.g., the IOpr. Finally, there are nuclei, e.g. the DC, that show major differences in structure among species. Discussion Overall, the results suggest several principles of human brainstem organization that distinguish humans from other species. Studying the functional correlates of, and the genetic contributions to, these brainstem characteristics are important future research directions.
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Affiliation(s)
- Joan S Baizer
- Department of Physiology and Biophysics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, United States
| | - Sandra F Witelson
- Department of Psychiatry and Behavioural Neurosciences, Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
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González-López P, Cossu G, Thomas CM, Marston JS, Gómez C, Pralong E, Messerer M, Daniel RT. Cadaveric White Matter Dissection Study of the Telencephalic Flexure: Surgical Implications. Front Neurol 2022; 13:757757. [PMID: 35242095 PMCID: PMC8886146 DOI: 10.3389/fneur.2022.757757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 01/05/2022] [Indexed: 11/13/2022] Open
Abstract
Neurosurgery has traditionally been overtly focused on the study of anatomy and functions of cortical areas with microsurgical techniques aimed at preserving eloquent cortices. In the last two decades, there has been ever-increasing data emerging from advances in neuroimaging (principally diffusion tensor imaging) and clinical studies (principally from awake surgeries) that point to the important contribution of white matter tracts (WMT) that influence neurological function as part of a brain network. Major scientific consortiums worldwide, currently working on this human brain connectome, are providing evidence that is dramatically altering the manner in which we view neurosurgical procedures. The development of the telencephalic flexure, a major landmark during the human embryogenesis of the central nervous system (CNS), severely affects the cortical/subcortical anatomy in and around the sylvian fissure and thus the different interacting brain networks. Indeed, the telencephalic flexure modifies the anatomy of the human brain with the more posterior areas becoming ventral and lateral and associative fibers connecting the anterior areas with the previous posterior ones follow the flexure, thus becoming semicircular. In these areas, the projection, association, and commissural fibers intermingle with some WMT remaining curved and others longitudinal. Essentially the ultimate shape and location of these tracts are determined by the development of the telencephalic flexure. Five adult human brains were dissected (medial to lateral and lateral to medial) with a view to describing this intricate anatomy. To better understand the 3D orientation of the WMT of the region we have correlated the cadaveric data with the anatomy presented in the literature of the flexure during human neuro-embryogenesis in addition to cross-species comparisons of the flexure. The precise definition of the connectome of the telencephalic flexure is primordial during glioma surgery and for disconnective epilepsy surgery in this region.
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Affiliation(s)
| | - Giulia Cossu
- University Hospital of Lausanne, University of Lausanne, Lausanne, Switzerland
| | | | | | - Cristina Gómez
- Hospital General Universitario de Alicante, Alicante, Spain
| | - Etienne Pralong
- University Hospital of Lausanne, University of Lausanne, Lausanne, Switzerland
| | - Mahmoud Messerer
- University Hospital of Lausanne, University of Lausanne, Lausanne, Switzerland
| | - Roy T Daniel
- University Hospital of Lausanne, University of Lausanne, Lausanne, Switzerland
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Żytkowski A, Clarke E, Olszewska A, Mazurek A, Dubrowski A, Radek M. Early bifurcation of the middle cerebral artery – A case report with commentaries on the clinical significance. TRANSLATIONAL RESEARCH IN ANATOMY 2022. [DOI: 10.1016/j.tria.2022.100161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Shalom DE, Trevisan MA, Mallela A, Nuñez M, Goldschmidt E. Brain folding shapes the branching pattern of the middle cerebral artery. PLoS One 2021; 16:e0245167. [PMID: 33411825 PMCID: PMC7790398 DOI: 10.1371/journal.pone.0245167] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 12/22/2020] [Indexed: 11/19/2022] Open
Abstract
The folds of the brain offer a particular challenge for the subarachnoid vascular grid. The primitive blood vessels that occupy this space, when the brain is flat, have to adapt to an everchanging geometry while constructing an efficient network. Surprisingly, the result is a non-redundant arterial system easily challenged by acute occlusions. Here, we generalize the optimal network building principles of a flat surface growing into a folded configuration and generate an ideal middle cerebral artery (MCA) configuration that can be directly compared with the normal brain anatomy. We then describe how the Sylvian fissure (the fold in which the MCA is buried) is formed during development and use our findings to account for the differences between the ideal and the actual shaping pattern of the MCA. Our results reveal that folding dynamics condition the development of arterial anastomosis yielding a network without loops and poor response to acute occlusions.
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Affiliation(s)
- Diego E. Shalom
- Physics Institute of Buenos Aires (IFIBA) CONICET, Buenos Aires, Argentina
- Department of Physics, University of Buenos Aires (UBA), Buenos Aires, Argentina
| | - Marcos A. Trevisan
- Physics Institute of Buenos Aires (IFIBA) CONICET, Buenos Aires, Argentina
- Department of Physics, University of Buenos Aires (UBA), Buenos Aires, Argentina
| | - Arka Mallela
- Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America
| | - Maximiliano Nuñez
- Department of Neurosurgery, El Cruce Hospital, Provincia de Buenos Aires, Argentina
| | - Ezequiel Goldschmidt
- Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America
- Division of Molecular Neurobiology, Department of Medical Biochemistry and Biophysics, Karolinska Institute, Stockholm, Sweden
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