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Verma R, Jayakumar J, Folkerth R, Manger PR, Bota M, Majumder M, Pandurangan K, Savoia S, Karthik S, Kumarasami R, Joseph J, Rohini G, Vasudevan S, Srinivasan C, Lata S, Kumar EH, Rangasami R, Kumutha J, Suresh S, Šimić G, Mitra PP, Sivaprakasam M. Histological characterization and development of mesial surface sulci in the human brain at 13-15 gestational weeks through high-resolution histology. J Comp Neurol 2024; 532:e25612. [PMID: 38591638 DOI: 10.1002/cne.25612] [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: 10/06/2023] [Revised: 03/06/2024] [Accepted: 03/24/2024] [Indexed: 04/10/2024]
Abstract
Cellular-level anatomical data from early fetal brain are sparse yet critical to the understanding of neurodevelopmental disorders. We characterize the organization of the human cerebral cortex between 13 and 15 gestational weeks using high-resolution whole-brain histological data sets complimented with multimodal imaging. We observed the heretofore underrecognized, reproducible presence of infolds on the mesial surface of the cerebral hemispheres. Of note at this stage, when most of the cerebrum is occupied by lateral ventricles and the corpus callosum is incompletely developed, we postulate that these mesial infolds represent the primordial stage of cingulate, callosal, and calcarine sulci, features of mesial cortical development. Our observations are based on the multimodal approach and further include histological three-dimensional reconstruction that highlights the importance of the plane of sectioning. We describe the laminar organization of the developing cortical mantle, including these infolds from the marginal to ventricular zone, with Nissl, hematoxylin and eosin, and glial fibrillary acidic protein (GFAP) immunohistochemistry. Despite the absence of major sulci on the dorsal surface, the boundaries among the orbital, frontal, parietal, and occipital cortex were very well demarcated, primarily by the cytoarchitecture differences in the organization of the subplate (SP) and intermediate zone (IZ) in these locations. The parietal region has the thickest cortical plate (CP), SP, and IZ, whereas the orbital region shows the thinnest CP and reveals an extra cell-sparse layer above the bilaminar SP. The subcortical structures show intensely GFAP-immunolabeled soma, absent in the cerebral mantle. Our findings establish a normative neurodevelopment baseline at the early stage.
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Affiliation(s)
- Richa Verma
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
| | - Jaikishan Jayakumar
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- Center for Computational Brain Research, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
| | - Rebecca Folkerth
- Department of Forensic Medicine, NYU Grossman School of Medicine, New York, New York, USA
| | - Paul R Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Mihail Bota
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
| | - Moitrayee Majumder
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
| | - Karthika Pandurangan
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
| | | | - Srinivasa Karthik
- Healthcare Technology Innovation Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
| | - Ramdayalan Kumarasami
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- Healthcare Technology Innovation Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
| | - Jayaraj Joseph
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- Healthcare Technology Innovation Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- Department of Electrical Engineering, Indian Institute of Technology, Madras, Chennai, Tamil Nadu, India
| | - G Rohini
- Department of Obstetrics & Gynaecology, Saveetha Medical College, Thandalam, Chennai, Tamil Nadu, India
| | - Sudha Vasudevan
- Department of Pathology, Saveetha Medical College, Thandalam, Chennai, Tamil Nadu, India
| | - Chitra Srinivasan
- Department of Pathology, Saveetha Medical College, Thandalam, Chennai, Tamil Nadu, India
| | - S Lata
- Mediscan Systems, Chennai, Tamil Nadu, India
| | | | - Rajeswaran Rangasami
- Department of Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Jayaraman Kumutha
- Department of Neonatology, Saveetha Medical College, Thandalam, Chennai, Tamil Nadu, India
| | - S Suresh
- Mediscan Systems, Chennai, Tamil Nadu, India
| | - Goran Šimić
- Department of Neuroscience, Croatian Institute for Brain Research, University of Zagreb Medical School, Zagreb, Hrvatska, Croatia
| | - Partha P Mitra
- Center for Computational Brain Research, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- Cold Spring Harbor Laboratory, New York, New York, USA
| | - Mohanasankar Sivaprakasam
- Sudha Gopalakrishnan Brain Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- Healthcare Technology Innovation Centre, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- Department of Electrical Engineering, Indian Institute of Technology, Madras, Chennai, Tamil Nadu, India
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Mirsky DM, Stence NV, Powers AM, Dingman AL, Neuberger I. Imaging of fetal ventriculomegaly. Pediatr Radiol 2020; 50:1948-1958. [PMID: 33252761 DOI: 10.1007/s00247-020-04880-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 08/18/2020] [Accepted: 10/08/2020] [Indexed: 11/25/2022]
Abstract
Fetal ventriculomegaly is the most common central nervous system abnormality detected by prenatal imaging. It has a high association with other anomalies. Etiologies and prognoses for fetal ventriculomegaly range from normal outcomes to significant neurodevelopmental sequelae. In this paper, we review the development, terminology, pathogenesis, imaging and prognosis of fetal ventriculomegaly.
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Affiliation(s)
- David M Mirsky
- Department of Radiology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 East 16th Ave., Box B125, Aurora, CO, 80045, USA.
| | - Nicholas V Stence
- Department of Radiology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 East 16th Ave., Box B125, Aurora, CO, 80045, USA
| | - Andria M Powers
- Department of Radiology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 East 16th Ave., Box B125, Aurora, CO, 80045, USA
| | - Andra L Dingman
- Division of Child Neurology, Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA
| | - Ilana Neuberger
- Department of Radiology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 East 16th Ave., Box B125, Aurora, CO, 80045, USA
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Ma HL, Zhao SX, Lv FR, Zhang ZW, Xiao YH, Sheng B. Volume growth trend and correlation of atrial diameter with lateral ventricular volume in normal fetus and fetus with ventriculomegaly: A STROBE compliant article. Medicine (Baltimore) 2019; 98:e16118. [PMID: 31261528 PMCID: PMC6616102 DOI: 10.1097/md.0000000000016118] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
To explore the growth trend of fetal lateral ventricular volume, for understanding the relationship between atrial diameter (AD) and volume in normal fetus and fetus with ventriculomegaly.Overall, 97 sequential fetal head magnetic resonance imaging scans were performed; these pertained to 50 fetuses with normal lateral ventricles [normal group; gestational age (GA): 24-38 weeks] and 47 fetuses with ventriculomegaly (VM) (VM group; GA: 24-37 weeks). The left, right, and total lateral ventricular volume were measured using 3-dimensional magnetic resonance hydrography (MRH). Correlation coefficient (r) was calculated to assess the relationships of measurements. Lineal regression analysis was used to assess correlation of AD and GA with volume. Between-group differences in terms of AD and volume were assessed using t test.Significant linear growth was observed in the total lateral ventricular volume compared with GA in the normal group with a relative growth rate of 2.87% per week (P <.001). Significant linear relationship between AD and volume was observed, and a significant equation was acquired in the normal group and VM groups, respectively, using the simple linear regression model: left volume = 0.438 * normal left diameter (NLD) + 1.359; right volume = 0.493 * normal right diameter (NRD) + 1.012; left volume = 0.959 * left diameter in VM (VLD) - 2.074; right volume = 0.799 * right diameter in VM (VRD) - 0.443. A significant equation was obtained in the normal group and the VM group, using the multiple linear regression model: Total volume (mL) = 0.396 * NLD + 0.410 * NRD + 3.101; and total volume = 0.989 * VLD + 0.834 * VRD - 3.141, respectively. In terms of AD and volume, the left lateral ventricle was significantly larger than the right side in both groups. The volume of lateral ventricle in AD ≥10 mm group was larger than that in the AD <10 mm group. The total volume in the VM group was significantly larger than that in the normal group.The total lateral ventricular volume increased with GA. AD can be used to evaluate the fetal ventricular volume.
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Affiliation(s)
- Hong-Li Ma
- Department of Radiology, First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Chongqing
| | - Si-Xiu Zhao
- Department of Radiology, First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Chongqing
| | - Fu-Rong Lv
- Department of Radiology, First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Chongqing
| | - Zhi-Wei Zhang
- Department of Radiology, First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Chongqing
| | - Yun-Hua Xiao
- Department of Radiology, People's Hospital of Chongqing Yubei District, China
| | - Bo Sheng
- Department of Radiology, First Affiliated Hospital of Chongqing Medical University, Yuanjiagang, Chongqing
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Li Z, Xu F, Zhang Z, Lin X, Teng G, Zang F, Liu S. Morphologic Evolution and Coordinated Development of the Fetal Lateral Ventricles in the Second and Third Trimesters. AJNR Am J Neuroradiol 2019; 40:718-725. [PMID: 30894357 DOI: 10.3174/ajnr.a6013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2018] [Accepted: 02/13/2019] [Indexed: 12/15/2022]
Abstract
BACKGROUND AND PURPOSE Few investigators have studied the lateral ventricle formation related to the development of the calcarine sulcus. Our purpose was to establish the relationship between the lateral ventricles and the calcarine sulcus in the second and third trimesters. MATERIALS AND METHODS Fetal brain MR imaging (3T and 7T) was performed in 84 fetuses at 14-35 gestational weeks. The lateral ventricles and calcarine sulcus were 3D-reconstructed, and quantitative measurements were obtained. RESULTS The lateral ventricle volume decreases slowly at 14-23 gestational weeks and then increases rapidly at 24-35 gestational weeks. The depth and length of the calcarine sulcus develop with the increase in gestational weeks, leading to be squeezed in the lateral ventricle posterior horn. A linear correlation occurs between the calcarine sulcus length and posterior horn length: Right-length = 2.4204 (LPH) - 27.5706, Left-length = 2.0939 (LPH) - 23.4099. CONCLUSIONS The variation of lateral ventricle volume evolved from a slow to rapid increase at 14-35 gestational weeks. The shrinkage in the lateral ventricle posterior horn is accompanied by the development of the calcarine sulcus, resulting in a better linear correlation between the calcarine sulcus length and the posterior horn length. The present results are valuable in elucidating the evolution of lateral ventricle development and provide clues for the diagnosis of lateral ventricle abnormalities in the prenatal examination.
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Affiliation(s)
- Z Li
- From the Research Center for Sectional and Imaging Anatomy (Z.L., F.X., Z.Z., X.L., S.L.), Institute of Brain and Brain-Inspired Science, Shandong University Cheeloo Medical College, Shandong, China
| | - F Xu
- From the Research Center for Sectional and Imaging Anatomy (Z.L., F.X., Z.Z., X.L., S.L.), Institute of Brain and Brain-Inspired Science, Shandong University Cheeloo Medical College, Shandong, China
| | - Z Zhang
- From the Research Center for Sectional and Imaging Anatomy (Z.L., F.X., Z.Z., X.L., S.L.), Institute of Brain and Brain-Inspired Science, Shandong University Cheeloo Medical College, Shandong, China.,Department of Medical Imaging (Z.Z., X.L.), Provincial Hospital Affiliated with Shandong University, Shandong, China
| | - X Lin
- From the Research Center for Sectional and Imaging Anatomy (Z.L., F.X., Z.Z., X.L., S.L.), Institute of Brain and Brain-Inspired Science, Shandong University Cheeloo Medical College, Shandong, China.,Department of Medical Imaging (Z.Z., X.L.), Provincial Hospital Affiliated with Shandong University, Shandong, China.,Department of MR Imaging (X.L.), Shandong Medical Imaging Research Institute, Shandong, China
| | - G Teng
- Department of Radiology (G.T., F.Z.), Zhong Da Hospital, Southeast University School of Clinical Medicine, Jiangsu, China
| | - F Zang
- Department of Radiology (G.T., F.Z.), Zhong Da Hospital, Southeast University School of Clinical Medicine, Jiangsu, China
| | - S Liu
- From the Research Center for Sectional and Imaging Anatomy (Z.L., F.X., Z.Z., X.L., S.L.), Institute of Brain and Brain-Inspired Science, Shandong University Cheeloo Medical College, Shandong, China
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Visualization of the periventricular Virchow-Robin spaces with ependymal openings. Childs Nerv Syst 2018; 34:1529-1533. [PMID: 29651538 DOI: 10.1007/s00381-018-3793-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Accepted: 04/02/2018] [Indexed: 11/27/2022]
Abstract
PURPOSE The morphological relationships between the periventricular Virchow-Robin spaces (VRSs) and cerebral ventricles have been poorly documented. The present study aimed to explore the issue using magnetic resonance imaging. METHODS A total of 211 patients were included in this study. T2-weighted and constructive interference in steady state (CISS) sequences were performed in thin-sliced, coronal sections. RESULTS On T2-weighted sequence, the periventricular VRSs with ependymal openings were identified in 34% of 139 subjects. All the openings were located in the lateral wall of the anterior horn. In CISS sequences, such VRSs were found in 39% of 72 subjects. The mean age was significantly higher in the population with such VRSs compared to those without VRSs (p = 0.0047). Of the 58 periventricular VRSs with ependymal openings identified on T2-weighted images, 16% were located in the upper, 36% in the middle, and 48% in the lower part of the lateral wall. Of the 38 such VRSs identified on CISS images, 32% were located in the upper, 24% in the middle, and 42% in the lower part of the lateral wall, and 3% in the upper part of the medial wall. CONCLUSIONS The ependymal openings of the periventricular VRSs may be centered in the lateral wall of the anterior horn. The coronal CISS sequence can sensitively delineate the VRSs with ependymal openings.
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Takakuwa T. 3D Analysis of Human Embryos and Fetuses Using Digitized Datasets From the Kyoto Collection. Anat Rec (Hoboken) 2018; 301:960-969. [DOI: 10.1002/ar.23784] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Revised: 11/16/2016] [Accepted: 12/12/2016] [Indexed: 12/26/2022]
Affiliation(s)
- Tetsuya Takakuwa
- Human Health Science, Graduate School of Medicine; Kyoto University; Kyoto Japan
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Li H, Liang H, Wu H. Magnetic resonance imaging based correlation analysis between calcarine sulcus development and isolated fetal ventriculomegaly. Congenit Anom (Kyoto) 2017; 57:52-56. [PMID: 27783870 DOI: 10.1111/cga.12197] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Revised: 09/22/2016] [Accepted: 10/13/2016] [Indexed: 01/21/2023]
Abstract
Fetal ventriculomegaly development leads to neurological, motor, and/or cognitive impairment, and is presently diagnosed based on the width of the atrium in the lateral ventricle. But in this study, we have tried to assess the relationship between the development of calcarine sulcus and width of fetal lateral ventricles, to assess if calcarine sulcus can also be used for fetal ventriculomegaly diagnosis. We conducted a retrospective analysis of the magnetic resonance imaging (MRI) data from 45 subjects with isolated mild fetal ventriculomegaly (IMVM). The calcarine sulcus development was divided into three categories based on the depth; Grade 1 (undeveloped), Grade 2 (underdeveloped), and Grade 3 (fully developed), and its correlation with fetal ventriculomegaly was analyzed based on Spearman's partial rank correlation test. Based on this analysis, the width of left and right lateral ventricles showed significant downward trend with the calcarine sulcus maturation [undeveloped (Left 13.88 ± 2.70 mm, Right 14.27 ± 3.13 mm) → underdeveloped (Left 12.95 ± 1.93 mm, Right 11.93 ± 2.24 mm) → fully developed (Left 11.06 ± 2.10 mm, Right 10.42 ± 2.10 mm)] (FLeft = 5.12, P = 0.01; FRight = 10.72, P = 1.73 × 10-4 ). In addition, significant correlations were also observed between the width of the lateral ventricles and the maturity of the calcarine sulcus (Spearman's rank correlation coefficient; -0.47 for the left lateral ventricles and -0.56 for the right, both P < 0.001). Overall, our data indicated a negative correlation between the fetal morphological development of calcarine sulcus and the width of lateral ventricles in subjects having isolated fetal ventriculomegaly.
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Affiliation(s)
- Hehong Li
- Department of Radiology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Huiying Liang
- Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Huiying Wu
- Department of Radiology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
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