从出生到8岁的白质成熟度差异

Qinlin Yu, Yun Peng, Huiying Kang, Qinmu Peng, M. Ouyang, Michelle Slinger, D. Hu, H. Shou, Fang Fang, Hao Huang
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引用次数: 30

摘要

从出生到童年白质(WM)微观结构成熟的全面描述是理解时空差异电路形成的关键。如果没有相对较大的数据集样本和婴儿期和幼儿期关键发育时期的覆盖范围,就无法描绘出跨WM区域的差异成熟图表。应用弥散张量成像(diffusion tensor imaging, DTI)对118例0 ~ 8岁典型发育(TD)儿童和31例2 ~ 7岁自闭症谱系障碍(ASD)儿童的WM各主要束及组的微观结构进行了测量,以描述WM成熟度的差异。确定了所有WM的微观结构成熟度指数模型。WM发育曲线在0 ~ 8年分为快、中、慢3个阶段,各阶段的时间跨度各不相同。某些束的快速期和中间期较短,如联合束,表明早期发育较快。以TD WM成熟曲线为参照,ASD患儿WM微结构残差较大。本文给出了0 ~ 8年各主要神经束和神经束组TD - WM显微结构成熟的综合鉴别图,为神经精神疾病的生物标志物检测提供参考标准。
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Differential White Matter Maturation from Birth to 8 Years of Age
Abstract Comprehensive delineation of white matter (WM) microstructural maturation from birth to childhood is critical for understanding spatiotemporally differential circuit formation. Without a relatively large sample of datasets and coverage of critical developmental periods of both infancy and early childhood, differential maturational charts across WM tracts cannot be delineated. With diffusion tensor imaging (DTI) of 118 typically developing (TD) children aged 0–8 years and 31 children with autistic spectrum disorder (ASD) aged 2–7 years, the microstructure of every major WM tract and tract group was measured with DTI metrics to delineate differential WM maturation. The exponential model of microstructural maturation of all WM was identified. The WM developmental curves were separated into fast, intermediate, and slow phases in 0–8 years with distinctive time period of each phase across the tracts. Shorter periods of the fast and intermediate phases in certain tracts, such as the commissural tracts, indicated faster earlier development. With TD WM maturational curves as the reference, higher residual variance of WM microstructure was found in children with ASD. The presented comprehensive and differential charts of TD WM microstructural maturation of all major tracts and tract groups in 0–8 years provide reference standards for biomarker detection of neuropsychiatric disorders.
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