Normative spatiotemporal fetal brain maturation with satisfactory development at 2 years

Maturation of the human fetal brain should follow precisely scheduled structural growth and folding of the cerebral cortex for optimal postnatal function 1 . We present a normative digital atlas of fetal brain maturation based on a prospective international cohort of healthy pregnant women 2 , selec...

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Veröffentlicht in:Nature (London) 2023-11, Vol.623 (7985), p.106-114
Hauptverfasser: Namburete, Ana I. L., Papież, Bartłomiej W., Fernandes, Michelle, Wyburd, Madeleine K., Hesse, Linde S., Moser, Felipe A., Ismail, Leila Cheikh, Gunier, Robert B., Squier, Waney, Ohuma, Eric O., Carvalho, Maria, Jaffer, Yasmin, Gravett, Michael, Wu, Qingqing, Lambert, Ann, Winsey, Adele, Restrepo-Méndez, María C., Bertino, Enrico, Purwar, Manorama, Barros, Fernando C., Stein, Alan, Noble, J. Alison, Molnár, Zoltán, Jenkinson, Mark, Bhutta, Zulfiqar A., Papageorghiou, Aris T., Villar, José, Kennedy, Stephen H.
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container_end_page 114
container_issue 7985
container_start_page 106
container_title Nature (London)
container_volume 623
creator Namburete, Ana I. L.
Papież, Bartłomiej W.
Fernandes, Michelle
Wyburd, Madeleine K.
Hesse, Linde S.
Moser, Felipe A.
Ismail, Leila Cheikh
Gunier, Robert B.
Squier, Waney
Ohuma, Eric O.
Carvalho, Maria
Jaffer, Yasmin
Gravett, Michael
Wu, Qingqing
Lambert, Ann
Winsey, Adele
Restrepo-Méndez, María C.
Bertino, Enrico
Purwar, Manorama
Barros, Fernando C.
Stein, Alan
Noble, J. Alison
Molnár, Zoltán
Jenkinson, Mark
Bhutta, Zulfiqar A.
Papageorghiou, Aris T.
Villar, José
Kennedy, Stephen H.
description Maturation of the human fetal brain should follow precisely scheduled structural growth and folding of the cerebral cortex for optimal postnatal function 1 . We present a normative digital atlas of fetal brain maturation based on a prospective international cohort of healthy pregnant women 2 , selected using World Health Organization recommendations for growth standards 3 . Their fetuses were accurately dated in the first trimester, with satisfactory growth and neurodevelopment from early pregnancy to 2 years of age 4 , 5 . The atlas was produced using 1,059 optimal quality, three-dimensional ultrasound brain volumes from 899 of the fetuses and an automated analysis pipeline 6 – 8 . The atlas corresponds structurally to published magnetic resonance images 9 , but with finer anatomical details in deep grey matter. The between-study site variability represented less than 8.0% of the total variance of all brain measures, supporting pooling data from the eight study sites to produce patterns of normative maturation. We have thereby generated an average representation of each cerebral hemisphere between 14 and 31 weeks’ gestation with quantification of intracranial volume variability and growth patterns. Emergent asymmetries were detectable from as early as 14 weeks, with peak asymmetries in regions associated with language development and functional lateralization between 20 and 26 weeks’ gestation. These patterns were validated in 1,487 three-dimensional brain volumes from 1,295 different fetuses in the same cohort. We provide a unique spatiotemporal benchmark of fetal brain maturation from a large cohort with normative postnatal growth and neurodevelopment. A normative digital atlas of fetal brain maturation produced using 1,059 optimal quality, three-dimensional ultrasound brain volumes from 899 fetuses presents a unique spatiotemporal benchmark from a large cohort with normative postnatal growth and neurodevelopment at 2 years of age.
doi_str_mv 10.1038/s41586-023-06630-3
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Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Earth, Atmospheric &amp; Aquatic Science Database</collection><collection>Materials Science Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>University of Michigan</collection><collection>Genetics Abstracts</collection><collection>SIRS Editorial</collection><collection>Environment Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nature (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Namburete, Ana I. L.</au><au>Papież, Bartłomiej W.</au><au>Fernandes, Michelle</au><au>Wyburd, Madeleine K.</au><au>Hesse, Linde S.</au><au>Moser, Felipe A.</au><au>Ismail, Leila Cheikh</au><au>Gunier, Robert B.</au><au>Squier, Waney</au><au>Ohuma, Eric O.</au><au>Carvalho, Maria</au><au>Jaffer, Yasmin</au><au>Gravett, Michael</au><au>Wu, Qingqing</au><au>Lambert, Ann</au><au>Winsey, Adele</au><au>Restrepo-Méndez, María C.</au><au>Bertino, Enrico</au><au>Purwar, Manorama</au><au>Barros, Fernando C.</au><au>Stein, Alan</au><au>Noble, J. Alison</au><au>Molnár, Zoltán</au><au>Jenkinson, Mark</au><au>Bhutta, Zulfiqar A.</au><au>Papageorghiou, Aris T.</au><au>Villar, José</au><au>Kennedy, Stephen H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Normative spatiotemporal fetal brain maturation with satisfactory development at 2 years</atitle><jtitle>Nature (London)</jtitle><stitle>Nature</stitle><addtitle>Nature</addtitle><date>2023-11-02</date><risdate>2023</risdate><volume>623</volume><issue>7985</issue><spage>106</spage><epage>114</epage><pages>106-114</pages><issn>0028-0836</issn><eissn>1476-4687</eissn><abstract>Maturation of the human fetal brain should follow precisely scheduled structural growth and folding of the cerebral cortex for optimal postnatal function 1 . We present a normative digital atlas of fetal brain maturation based on a prospective international cohort of healthy pregnant women 2 , selected using World Health Organization recommendations for growth standards 3 . Their fetuses were accurately dated in the first trimester, with satisfactory growth and neurodevelopment from early pregnancy to 2 years of age 4 , 5 . The atlas was produced using 1,059 optimal quality, three-dimensional ultrasound brain volumes from 899 of the fetuses and an automated analysis pipeline 6 – 8 . The atlas corresponds structurally to published magnetic resonance images 9 , but with finer anatomical details in deep grey matter. The between-study site variability represented less than 8.0% of the total variance of all brain measures, supporting pooling data from the eight study sites to produce patterns of normative maturation. We have thereby generated an average representation of each cerebral hemisphere between 14 and 31 weeks’ gestation with quantification of intracranial volume variability and growth patterns. Emergent asymmetries were detectable from as early as 14 weeks, with peak asymmetries in regions associated with language development and functional lateralization between 20 and 26 weeks’ gestation. These patterns were validated in 1,487 three-dimensional brain volumes from 1,295 different fetuses in the same cohort. We provide a unique spatiotemporal benchmark of fetal brain maturation from a large cohort with normative postnatal growth and neurodevelopment. A normative digital atlas of fetal brain maturation produced using 1,059 optimal quality, three-dimensional ultrasound brain volumes from 899 fetuses presents a unique spatiotemporal benchmark from a large cohort with normative postnatal growth and neurodevelopment at 2 years of age.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37880365</pmid><doi>10.1038/s41586-023-06630-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0637-599X</orcidid><orcidid>https://orcid.org/0000-0002-9119-436X</orcidid><orcidid>https://orcid.org/0000-0001-8207-2822</orcidid><orcidid>https://orcid.org/0000-0001-6043-0166</orcidid><orcidid>https://orcid.org/0000-0001-8143-2232</orcidid><orcidid>https://orcid.org/0000-0002-0051-3389</orcidid><orcidid>https://orcid.org/0000-0002-6852-6004</orcidid><orcidid>https://orcid.org/0000-0002-3060-3772</orcidid><orcidid>https://orcid.org/0000-0003-0135-9317</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0028-0836
ispartof Nature (London), 2023-11, Vol.623 (7985), p.106-114
issn 0028-0836
1476-4687
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10620088
source MEDLINE; Nature Journals Online; SpringerLink Journals - AutoHoldings
subjects 59/57
631/378
692/700/1421
692/700/1720/3194
Asymmetry
Bats
Brain
Brain - anatomy & histology
Brain - embryology
Brain - growth & development
Cerebral cortex
Cerebral hemispheres
Child, Preschool
Female
Fetal Development
Fetus - embryology
Fetuses
Gestation
Gestational Age
Gray Matter - anatomy & histology
Gray Matter - embryology
Gray Matter - growth & development
Growth patterns
Healthy Volunteers
Hemispheric laterality
Humanities and Social Sciences
Humans
Imaging, Three-Dimensional
Internationality
Magnetic resonance
Magnetic Resonance Imaging
Maturation
Morphology
multidisciplinary
Neurodevelopment
Organ Size
Pregnancy
Prospective Studies
Science
Science (multidisciplinary)
Substantia grisea
Ultrasonic imaging
Ultrasonography
Variability
World Health Organization
title Normative spatiotemporal fetal brain maturation with satisfactory development at 2 years
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