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Research ArticlePediatric Neuroimaging
Open Access

Is Brain Maturation Comparable in Fetuses and Premature Neonates at Term Equivalent Age?

A. Viola, S. Confort-Gouny, J.F. Schneider, Y. Le Fur, P. Viout, F. Chapon, S. Pineau, P.J. Cozzone and N. Girard
American Journal of Neuroradiology September 2011, 32 (8) 1451-1458; DOI: https://doi.org/10.3174/ajnr.A2555
A. Viola
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S. Confort-Gouny
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J.F. Schneider
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Y. Le Fur
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P. Viout
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F. Chapon
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S. Pineau
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P.J. Cozzone
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N. Girard
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    Fig 1.

    Age distribution of fetus and PN. The GA and PCA are expressed in weeks.

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    Fig 2.

    Localization of the voxel for 1H-MR spectroscopy. A–C, fetus; D–F, PN.

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    Fig 3.

    Typical axial T1- and T2-weighted MR imaging from an in utero fetus and a PN. A, Brain MR imaging of a fetus explored at 37 weeks GA. Axial T2-weighted images (HASTE sequence; top row). Axial T1-weighted images (bottom row). B, Brain MR imaging of a PN born at 27 weeks GA and explored at 38 weeks PCA. Top row, Axial T2-weighted images. Bottom row, Axial T1-weighted images. Images were obtained at the level of the centrum semiovale, basal ganglia, and posterior fossa (from left to right).

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    Fig 4.

    Typical cerebral ADC maps from a fetus and a preterm neonate. Row A, ADC maps of a fetus (GA = 36 weeks). Row B, ADC maps of a preterm neonate (PCA = 36 weeks). The location of the ROIs within all analyzed brain areas is displayed within the images (for each row from left to right: cerebellum, pons, temporal white matter; occipital white matter, thalamus and basal ganglia; frontal and parietal white matter, centrum semiovale).

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    Fig 5.

    Typical brain 1H-MR spectra from a fetus and a PN obtained in the deep white matter. A and B, MR spectra from a fetus in utero near term (GA = 36 weeks). C and D, MR spectra from a preterm neonate at term equivalent (PCA = 36 weeks).

Tables

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    Table 1:

    Comparison of ADC values in fetuses and PNs

    Cerebral StructureFetuses (n = 24) ADC (× 10−6 mm2/s)PNs (n = 24) ADC (× 10−6 mm2/s)Unpaired t Test, P Value
    Cerebellum1.20 ± 0.021.19 ± 0.02.6839
    Pons1.07 ± 0.020.98 ± 0.02.0008
    Thalamus1.14 ± 0.021.10 ± 0.01.1251
    Basal ganglia1.26 ± 0.021.21 ± 0.01.0869
    Temporal white matter1.53 ± 0.031.57 ± 0.02.2257
    Occipital white matter1.50 ± 0.031.56 ± 0.02.1236
    Frontal white matter1.75 ± 0.021.77 ± 0.03.4981
    Parietal white matter1.66 ± 0.031.77 ± 0.03.0172
    Centrum semiovale1.44 ± 0.031.44 ± 0.03.8654
    • Note:—Data are mean ± SEM.

    • View popup
    Table 2:

    Comparison of ratios of metabolites to tissue water in fetuses and PNs

    Metabolite RatioFetuses (n = 20 or 19a)PNs (n = 20)Unpaired t Test, P Value
    TE = 30 ms
        NAA/H2O2.19 ± 0.192.76 ± 0.16.0279
        tCr/H2O2.18 ± 0.202.80 ± 0.16.0184
        Cho/H2O2.98 ± 0.213.53 ± 0.22.0818
        Glx/H2O5.36 ± 0.356.38 ± 0.29.0324
        Tau/H2O0.56 ± 0.090.63 ± 0.06.6525
        mIns/H2O1.64 ± 0.172.17 ± 0.17.0332
        Lipids/H2O9.98 ± 2.447.28 ± 0.65.2986
    TE = 135 ms
        NAA/H2O2.00 ± 0.222.07 ± 0.12.7685
        tCr/H2O1.33 ± 0.211.30 ± 0.07.8697
        Cho/H2O3.50 ± 0.203.47 ± 0.16.8891
        Lac/H2O0.00 ± 0.000.00 ± 0.00
    • Note:—Data are mean ± SEM.

    • a n = 20 for a TE of 30 ms and 19 for TE of 135 ms.

    • View popup
    Table 3:

    Comparison of ratios of metabolites in fetuses and PNs

    Metabolite RatioFetuses (n = 20 or 19a)PNs (n = 20)Unpaired t Test, P Value
    TE = 30 ms
        NAA/Cho0.73 ± 0.050.77 ± 0.03.3926
        NAA/Cr1.02 ± 0.060.98 ± 0.03.5588
        Cho/tCr1.39 ± 0.061.25 ± 0.03.0318
        mIns/tCr0.75 ± 0.060.76 ± 0.04.8682
        mIns/Cho0.55 ± 0.050.76 ± 0.04.0013
        mIns/NAA0.75 ± 0.060.77 ± 0.03.7542
        Glx/tCr2.67 ± 0.242.36 ± 0.13.2594
        Glx/Cho1.93 ± 0.161.90 ± 0.11.9145
        Glx/NAA2.80 ± 0.342.40 ± 0.14.2868
    TE = 135 ms
        NAA/Cho0.59 ± 0.080.60 ± 0.03.8463
        NAA/Cr1.74 ± 0.321.64 ± 1.08.8352
        Cho/tCr3.06 ± 0.342.73 ± 0.12.4597
    • Note:—Data are mean ± SEM.

    • a n = 20 for a TE of 30 ms and 19 for TE of 135 ms.

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American Journal of Neuroradiology: 32 (8)
American Journal of Neuroradiology
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A. Viola, S. Confort-Gouny, J.F. Schneider, Y. Le Fur, P. Viout, F. Chapon, S. Pineau, P.J. Cozzone, N. Girard
Is Brain Maturation Comparable in Fetuses and Premature Neonates at Term Equivalent Age?
American Journal of Neuroradiology Sep 2011, 32 (8) 1451-1458; DOI: 10.3174/ajnr.A2555

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Is Brain Maturation Comparable in Fetuses and Premature Neonates at Term Equivalent Age?
A. Viola, S. Confort-Gouny, J.F. Schneider, Y. Le Fur, P. Viout, F. Chapon, S. Pineau, P.J. Cozzone, N. Girard
American Journal of Neuroradiology Sep 2011, 32 (8) 1451-1458; DOI: 10.3174/ajnr.A2555
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  • Creatine, Glutamine plus Glutamate, and Macromolecules Are Decreased in the Central White Matter of Premature Neonates around Term
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