Cited by 115Advanced Neuroimaging Techniques and ApplicationsFetal and Pediatric Neurological DisordersAdvanced MRI Techniques and Applications

Fetal brain growth portrayed by a spatiotemporal diffusion tensor MRI atlas computed from in utero images

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Khan, Shadab, Vasung, Lana, Marami, Bahram, Rollins, Caitlin K., Afacan, Onur, Ortinau, Cynthia M., Yang, Edward, Warfield, Simon K. +1 more·2019·NeuroImage

Abstract

Altered structural fetal brain development has been linked to neuro-developmental disorders. These structural alterations can be potentially detected in utero using diffusion tensor imaging (DTI). However, acquisition and reconstruction of in utero fetal brain DTI remains challenging. Until now, motion-robust DTI methods have been employed for reconstruction of in utero fetal DTIs. However, due to the unconstrained fetal motion and permissible in utero acquisition times, these methods yielded limited success and have typically resulted in noisy DTIs. Consequently, atlases and methods that could enable groupwise studies, multi-modality imaging, and computer-aided diagnosis from in utero DTIs have not yet been developed. This paper presents the first DTI atlas of the fetal brain computed from in utero diffusion-weighted images. For this purpose an algorithm for computing an unbiased spatiotemporal DTI atlas, which integrates kernel-regression in age with a diffeomorphic tensor-to-tensor registration of motion-corrected and reconstructed individual fetal brain DTIs, was developed. Our new algorithm was applied to a set of 67 fetal DTI scans acquired from healthy fetuses each scanned at a gestational age between 21 and 39 weeks. The neurodevelopmental trends in the fetal brain, characterized by the atlas, were qualitatively and quantitatively compared with the observations reported in prior ex vivo and in utero studies, and with results from imaging gestational-age equivalent preterm infants. Our major findings revealed early presence of limbic fiber bundles, followed by the appearance and maturation of projection pathways (characterized by an age related increase in FA) during late 2nd and early 3rd trimesters. During the 3rd trimester association fiber bundles become evident. In parallel with the appearance and maturation of fiber bundles, from 21 to 39 gestational weeks gradual disappearance of the radial coherence of the telencephalic wall was qualitatively identified. These results and analyses show that our DTI atlas of the fetal brain is useful for reliable detection of major neuronal fiber bundle pathways and for characterization of the fetal brain reorganization that occurs in utero. The atlas can also serve as a useful resource for detection of normal and abnormal fetal brain development in utero.

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  • In vivo tractography on the fetal brain has become available and exhibits high agreement with ex vivo and neuroanatomical studies.

    “Due to recent advances in methodological progress such as motion correction algorithms, in vivo tractography on the fetal brain has become available and exhibit highly agreement with ex vivo and neuroanatomical studies (Christiaens et al., 2021; Khan et al., 2019), which indicates strong potential for future prenatal brain investigations.”

    From Quantitative mapping of the brain’s structural connectivity using diffusion MRI tractography: A review (2022) · cites this paper as Khan et al., 2019

    The Introduction (Fetal DTI; page unavailable) reports that motion-corrected in utero DTI enabled fetal tractography. The Conclusion (page unavailable) says the authors’ atlas portrayed developmental trends seen in prior ex vivo and in utero studies, but it does not establish high agreement specifically between in vivo tractography and ex vivo or neuroanatomical studies. (LLM, conf=0.83)

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Khan, S., Vasung, L., Marami, B., Rollins, C. K., Afacan, O., Ortinau, C. M., Yang, E., Warfield, S. K., & Gholipour, A.
Affiliations
  • Boston Children's Hospital (US)
  • Washington University in St. Louis (US)
Corresponding author
Khan, Shadab
Venue
NeuroImage
Publisher
Elsevier BV
Published
2019-01
Volume
185
Pages
593-608
ISSN
1053-8119 (ISSN-L)
OpenAlex
W2889410733
Cited by
115
References
8
Citations by year
2026: 6 · 2025: 18 · 2024: 12 · 2023: 17 · 2022: 19 · 2021: 18 · 2020: 11 · 2019: 13 · 2018: 1
FWCI
1.68
Type
journal article
Language
en
Open access
Locations
  • NeuroImage (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • McKnight Foundation
  • Fetal Health Foundation
  • Brain and Behavior Research Foundation
  • National Institutes of Health (R01 EB018988, R01 EB013248, R01 EB019483, K12 NS079414)
  • Swiss National Science Foundation (P300PB_167804)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
Keywords
fetal brain development, spatiotemporal atlas, fetal brain maturation, gestational age, diffeomorphic registration, fractional anisotropy, neurodevelopmental disorders
MeSH terms
Algorithms, Atlases as Topic, Brain, Female, Fetus, Humans, Image Interpretation, Computer-Assisted, Male, Fetal Development, Neurogenesis, Diffusion Tensor Imaging

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