Ricardo (2023-03-31 22:43):
#paper Growth charts of brain morphometry for preschool children https://doi.org/10.1016/j.neuroimage.2022.119178 从1到6岁的大脑发育确定了广泛的功能能力,并带有神经发育障碍的早期迹象。然而,目前缺乏描述大脑形态变化和进行个性化推断的定量模型,阻碍了这一时期早期大脑非典型性的识别。通过285个样本,我们描述了神经功能正常儿童皮层厚度和皮层下体积的年龄依赖性,并构建了学龄前儿童所有大脑区域的定量生长图表。大部分脑区的皮质厚度随年龄的增加而减小,而内嗅区和海马旁区则呈现出倒u型的年龄依赖关系。与皮层厚度相比,皮层下区域的归一化体积变化趋势更为发散,有的区域增大,有的区域减小,有的区域呈倒u型变化趋势。所有大脑区域的生长曲线模型在识别大脑非典型性方面显示出效用。生长曲线的百分位数测量有助于识别发育性言语和语言障碍儿童,其准确率为0.875。该结果填补了关键发育时期脑形态测量学的知识空白,并为个性化的脑发育状态评估提供了一条途径,具有良好的敏感性。
IF:4.700Q1 NeuroImage, 2022-07-15. DOI: 10.1016/j.neuroimage.2022.119178 PMID: 35430358
Growth charts of brain morphometry for preschool children
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Abstract:
Brain development from 1 to 6 years of age anchors a wide range of functional capabilities and carries early signs of neurodevelopmental disorders. However, quantitative models for depicting brain morphology changes and making individualized inferences are lacking, preventing the identification of early brain atypicality during this period. With a sample size of 285, we characterized the age dependence of the cortical thickness and subcortical volume in neurologically normal children and constructed quantitative growth charts of all brain regions for preschool children. While the cortical thickness of most brain regions decreased with age, the entorhinal and parahippocampal regions displayed an inverted-U shape of age dependence. Compared to the cortical thickness, the normalized volume of subcortical regions exhibited more divergent trends, with some regions increasing, some decreasing, and some displaying inverted-U-shaped trends. The growth curve models for all brain regions demonstrated utilities in identifying brain atypicality. The percentile measures derived from the growth curves facilitate the identification of children with developmental speech and language disorders with an accuracy of 0.875 (area under the receiver operating characteristic curve: 0.943). Our results fill the knowledge gap in brain morphometrics in a critical development period and provide an avenue for individualized brain developmental status evaluation with demonstrated sensitivity. The brain growth charts are shared with the public (http://phi-group.top/resources.html).
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