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Quantitative in vivo MRI measurement of cortical development in the fetus.

Clouchoux C, Kudelski D, Gholipour A, Warfield SK, Viseur S, Bouyssi-Kobar M, Mari JL, Evans AC, du Plessis AJ, Limperopoulos C

Division of Diagnostic Imaging and Radiology, Children's National Medical Center, Washington, DC, USA.

Normal brain development is associated with expansion and folding of the cerebral cortex following a highly orchestrated sequence of gyral-sulcal formation. Although several studies have described the evolution of cerebral cortical development ex vivo or ex utero, to date, very few studies have characterized and quantified the gyrification process for the in vivo fetal brain. Recent advances in fetal magnetic resonance imaging and post-processing computational methods are providing new insights into fetal brain maturation in vivo. In this study, we investigate the in vivo fetal cortical folding pattern in healthy fetuses between 25 and 35 weeks gestational age using 3-D reconstructed fetal cortical surfaces. We describe the in vivo fetal gyrification process using a robust feature extraction algorithm applied directly on the cortical surface, providing an explicit delineation of the sulcal pattern during fetal brain development. We also delineate cortical surface measures, including surface area and gyrification index. Our data support an exuberant third trimester gyrification process and suggest a non-linear evolution of sulcal development. The availability of normative indices of cerebral cortical developing in the living fetus may provide critical insights on the timing and progression of impaired cerebral development in the high-risk fetus.

Published 12 May 2011 in Brain Struct Funct.
Full-text of this article is available online (may require subscription).


Articles on MRI published 12 May 2011:

Comparison of MRI-based assessment systems for osteoarthritic knees: the irregularity index system and WORMS.   J Orthop Sci.

PURPOSE: Several MRI-based evaluation systems for osteoarthritis (OA) of the knee have been developed. Among them the whole-organ magnetic resonance imaging score (WORMS), which evaluates the status of the entire knee joint, appears to be representative. We developed an irregularity index system to measure irregularities of the contours of the femoral condyle on MRI. Only the contour of the condyle was assessed by the irregularity index, whereas several items comprising the knee joint were ... [Abstract] [Full-text]

Characterization of ductal carcinoma in situ on diffusion weighted breast MRI.   Eur Radiol.

OBJECTIVES: To characterize ductal carcinoma in situ (DCIS) and its subtypes on diffusion-weighted imaging (DWI). METHODS: We retrospectively reviewed 74 pure DCIS lesions in 69 women who underwent DWI at 1.5 T (b = 0 and 600 s/mm(2)). Each lesion was characterized by qualitative DWI intensity, quantitative DWI lesion-to-normal contrast-to-noise ratio (CNR), and quantitative apparent diffusion coefficient (ADC). The detection rate was calculated with predetermined thresholds for each ... [Abstract] [Full-text]

PWI-MRI and contrast extravasation in brain AVM help to estimate angiogenic activity.   Neuroradiology.

INTRODUCTION: The aim of this study is to investigate perfusion characteristics of brain arteriovenous malformation (AVM) by means of MRI perfusion-weighted imaging (PWI). METHODS: Forty-three patients with brain AVM were prospectively included and investigated by PWI-MRI. Diagnosis of type of disease was made by angiogram. According to angiographic features, the study group was classified in three groups: two groups of patients with classical AVM (group 1 with few or no angiogenic feature (13 ... [Abstract] [Full-text]

The performance of gadolinium diethylene triamine pentaacetate-pullulan hepatocyte-specific T1 contrast agent for MRI.   Biomaterials.

The magnetic resonance (MR) functionalities of pullulan-conjugated gadolinium diethylene triamine pentaacetate (Gd-DTPA-Pullulan) as a new hepatocyte-specific contrast agent were evaluated. Pullulan, which specifically accumulates on hepatocytes via asialoglycoprotein receptors, was chemically linked with Gd-DTPA. Gd-DTPA-Pullulan displayed three times greater contrast enhancement than Gd-DTPA-BMA (Omniscan(®)) in delayed MR imaging (MRI) on orthotopic rat hepatocarcinoma (HCC). This contrast ... [Abstract] [Full-text]

An electroneutral macrocyclic iron(II) complex that enhances MRI contrast in vivo.   J Med Chem.

The first example of a macrocyclic ferrous complex, where two tetrazolyl pendant arms compensate the charge of the metal center, is synthesized and examined for its capacity to enhance MRI contrast in vitro and in vivo in the mouse. [Abstract] [Full-text]

The value of intraoperative electrocorticography in surgical decision making for temporal lobe epilepsy with normal MRI.   Epilepsia, 52(5): 941-948.

Purpose:  We hypothesized that acute intraoperative electrocorticography (ECoG) might identify a subset of patients with magnetic resonance imaging (MRI)-negative temporal lobe epilepsy (TLE) who could proceed directly to standard anteromesial resection (SAMR), obviating the need for chronic electrode implantation to guide resection. Methods:  Patients with TLE and a normal MRI who underwent acute ECoG prior to chronic electrode recording of ictal onsets were evaluated. Intraoperative ... [Abstract] [Full-text]

Altered functional organization of the motor system related to ankle movements in Parkinson's disease: insights from functional MRI.   J Neural Transm, 118(5): 783-93.

Bradykinesia represents one of the cardinal and most incapacitating features of Parkinson's disease (PD). In this context, investigating the cerebral control mechanisms for limb movements and defining the associated functional neuroanatomy is important for understanding the impaired motor activity in PD. So far, most studies have focused on motor control of upper limb movements in PD. Ankle movement functional MRI (fMRI) paradigms have been used to non-invasively investigate supraspinal control ... [Abstract] [Full-text]

MRI-detected white matter lesions: do they really matter?   J Neural Transm, 118(5): 673-81.

Despite extensive research over the last decades the clinical significance of white matter lesions (WMLs) is still a matter of debate. Here, we review current knowledge of the correlation between WMLs and cognitive functioning as well as their predictive value for future stroke, dementia, and functional decline in activities of daily living. There is clear evidence that age-related WMLs relate to all of these outcomes on a group level, but the inter-individual variability is high. The ... [Abstract] [Full-text]


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