Abstract

Fractional anisotropy (FA) threshold is commonly used to perform diffusion MRI tractography. However, FA threshold may be one aspect of tractography that needs additional scrutiny in accurately assessing pathways in immature, developing brains, as well as in adult brains. Using high-angular resolution diffusion MRI (HARDI) tractography without an FA threshold, we identified the arcuate fasciculus (AF) of 83 healthy subjects ranging in age from 40 gestational weeks (GW) (newborns) to 28-year-old adults. The AF was identified in both hemispheres in all subjects with high inter-rater reliability. The detected AF included regions with very low FA values. The entire AF was segmented into anterior, posterior, and long tracts. Growth and laterality patterns were investigated using tract count (number of detected streamlines), total volume of imaging voxels (touched by the detected streamlines), mean length, mean FA, and mean apparent diffusion coefficient (ADC). Comparison of subjects under 3 years old, to those that were older, revealed the three AF tracts that took different developmental courses. As expected, the anterior and long tracts showed lower ADC values in subjects over 3 years old, while the posterior tract showed higher ADC in that same age range. The posterior tract did not show age-related effect in terms of FA, tract count, length, and volume. These results suggest that the posterior AF tract shows a matured state, indexed by most of the used measurements in early postnatal developmental ages, and ADC is a measurement that can detect further maturation of the posterior tract. Interestingly, in all tracts, hemispheric asymmetries were found in raw (left<right), and in whole brain (WB)-normalized (left>right) tract count, as well as in raw volume (left<right). In raw, and in WB-normalized length, as well as in WB-normalized volume, rightward asymmetry (left<right) was found only in the anterior tract; other tracts were not significantly affected by hemisphere. Although many previous studies have observed a leftward asymmetry in the AF, rightward asymmetry has also been reported in other studies, and together with the present report, the results in the literature are likely to reflect differences in the methods used.

Highlights

  • Hemispheric cerebral asymmetry is an important accompaniment of many cognitive functions, especially language processing (Balsamo et al, 2002; Coney, 2002; Zatorre et al, 2002; Vernooij et al, 2007; Matsumoto et al, 2008; Holtgraves and Felton, 2011; Sun et al, 2015)

  • Using high-angular resolution diffusion MRI (HARDI) tractography, we identified anterior, posterior, and long segments of the arcuate fasciculus (AF) in each cerebral hemisphere of 83 healthy subjects ranging from 40 gestational weeks (GW) newborns to 28-year-old adults

  • The growth and laterality patterns of the three AF segments were assessed by tract count, volume, length, fractional anisotropy (FA), and apparent diffusion coefficient (ADC) values

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Summary

Introduction

Hemispheric cerebral asymmetry is an important accompaniment of many cognitive functions, especially language processing (Balsamo et al, 2002; Coney, 2002; Zatorre et al, 2002; Vernooij et al, 2007; Matsumoto et al, 2008; Holtgraves and Felton, 2011; Sun et al, 2015). Hemispheric asymmetries in the arcuate and the superior longitudinal fasciculi have been found using structural MR imaging and diffusion tensor imaging (DTI) tractography, though these studies mostly focused on adolescent and adult brains (Büchel et al, 2004; Liu et al, 2010; Thiebaut de Schotten et al, 2011a,b; Häberling et al, 2013). Liu et al (2010) studied preterm babies, born between 26 and GW, scanning them between and 42 GW, and were able to identify the developing tracts of the SLF They found volume and microstructural leftward asymmetries in the parieto-temporal part of the SLF and no asymmetry in the fronto-parietal part of the SLF, linked to the AF. In this study a “tract” refers to a bundle of fibers (e.g., each segment of AF), while “pathways” are the tractography fibers found inside of these tracts

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