The development of brain white matter microstructure
Open accessAbstract
Throughout infancy, childhood, and adolescence, our brains undergo remarkable changes. Processes including myelination and synaptogenesis occur rapidly across the first 2-3 years of life, and ongoing brain remodeling continues into young adulthood. Studies have sought to characterize the patterns of structural brain development, and early studies predominately relied upon gross anatomical measures of brain structure, morphology, and organization. MRI offers the ability to characterize and quantify a range of microstructural aspects of brain tissue that may be more closely related to fundamental neurodevelopmental processes. Techniques such as diffusion, magnetization transfer, relaxometry, and myelin water imaging provide insight into changing cyto- and myeloarchitecture, neuronal density, and structural connectivity. In this review, we focus on the growing body of literature exploiting these MRI techniques to better understand the microstructural changes that occur in brain white matter during maturation. Our review focuses on studies of normative brain development from birth to early adulthood (∼25 years), and places particular emphasis on longitudinal studies and newer techniques that are being used to study microstructural white matter development. All imaging methods demonstrate consistent, rapid microstructural white matter development over the first 3 years of life, suggesting increased myelination and axonal packing. Diffusion studies clearly demonstrate continued white matter maturation during later childhood and adolescence, though the lack of consistent findings in other modalities suggests changes may be mainly due to axonal packing. An emerging literature details differential microstructural development in boys and girls, and connects developmental trajectories to cognitive abilities, behaviour, and/or environmental factors, though the nature of these relationships remains unclear. Future research will need to focus on newer imaging techniques and longitudinal studies to provide more detailed information about microstructural white matter development, particularly in the childhood years.
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Studies consistently observe significant age-related increases of FA and MD in widespread fiber tracts during postnatal growth in both cross-sectional and longitudinal designs.
“Despite focusing on different developmental ranges, these studies consistently observe significant age-related increases of FA and MD in widespread fiber tracts during postnatal growth in both cross-sectional and longitudinal population designs (Lebel and Deoni, 2018).”
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Lebel and Deoni, 2018
Section 3.3 (Developmental Timing; page not provided) reports that FA increases with age, but MD decreases—the opposite of the claimed MD increase. It also discusses longitudinal developmental curves, so the disagreement is specifically about MD's direction of change. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredIn the postnatal stage, in vivo tractography offers a superior tool to chart spatiotemporal maturation patterns of reconstructed tracts using quantitative dMRI metrics from infancy to adolescence.
“In the postnatal stage, in vivo tractography offers a superior tool to chart the spatiotemporal maturation patterns of the reconstructed tracts by employing quantitative dMRI metrics from the infancy period (Dubois et al., 2014; Gilmore et al., 2018; Lebel and Deoni, 2018; Qiu et al., 2015; Vasung et al., 2019) to the adolescent stage (Lebel et al., 2019; Tamnes et al., 2018).”
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Lebel and Deoni, 2018
The Introduction (§2.2; page unavailable) says DTI provides quantitative diffusion metrics and allows reconstruction of fibre architecture through tractography. Developmental Timing (§3.3; page unavailable) uses tractography and FA values to describe maturation across childhood and adolescence, and the review also covers infancy. The copy does not establish that tractography is a superior tool for this purpose; the Conclusions instead describe DTI as powerful but limited. (LLM, conf=0.82)
Experimental — accuracy not yet measuredIn later childhood and adolescence, tract-related changes seem attributable to changes in neurite density, particularly axonal packing.
“In later childhood and adolescence, results seem to be attributed to changes of neurite density, particularly axonal packing (Lebel and Deoni, 2018).”
From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Lebel and Deoni, 2018
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- Authors
- Lebel, C., & Deoni, S.
- Affiliations
- University of Calgary (CA)
- Providence College (US)
- Corresponding author
- Lebel, Catherine
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 182
- Pages
- 207-218
- ISSN
- 1053-8119 (ISSN-L)
- PMC
- PMC6030512
- OpenAlex
- W2782477562
- Cited by
- 602
- References
- 32
- Citations by year
- 2026: 82 · 2025: 99 · 2024: 96 · 2023: 78 · 2022: 71 · 2021: 60 · 2020: 82 · 2019: 26 · 2018: 8
- FWCI
- 6.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (am, 337 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- NeuroImage (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (RO1 MH087510)
- Bill & Melinda Gates Foundation (0PP1120016)
- Environmental influences on Child Health Outcomes (ECHO) (UG3 OD023313)
- Alberta Children's Hospital Research Institute
- Canadian Institutes of Health Research (MOP-136797)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- white matter microstructure, brain development, myelination, diffusion MRI, magnetization transfer, relaxometry, myelin water imaging, sex differences, infancy, childhood, adolescence, normative development, structural connectivity
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Humans, Human Development, Infant, Magnetic Resonance Imaging, Young Adult, Neuroimaging, White Matter
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