Cong Tian1, Chao Jin1, Xingxing Tao1, Xianjun Li1, Miaomiao Wang1, Congcong Liu1, Yannan Cheng1, Fan Wu1, Yuli Zhang1, Mengxuan Li1, Xiaoyu Wang1, Peiyao Chen1, Huifang Zhao1, Xiaocheng Wei2, and Jian Yang1
1the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China, 2MR Research China, GE Healthcare, Xi’an, China
Synopsis
Optic
radiations(OR), which connecting the lateral geniculate nuclei and visual
cortex, plays a critical role in visual function. Detailing the maturation process of OR
is helpful in understanding the visual development and identifying the
abnormalities. Diffusion tensor imaging can quantify the brain white
matter development. Using DTI-based automating fiber-tract quantification, this
study explored the spatiotemporal OR changes in children aged 3-13 years. Results
indicated that the anterior, middle, and posterior
segments of OR showed asynchronous developmental patterns. Specifically, the
mid-segment of OR presented more mature than the anterior segment, while right OR
showed more extended mature than left OR.
Introduction
Visual
function
development is closely related to the fulfillment and myelination of brain white
matter (WM) connections1. Optic radiation (OR), which connecting lateral
geniculate nuclei (LGN) and visual cortex, launches its myelination
in 3 to 4 months of life and reaches the adult level by 3 years of age2,3.
Previous studies found the developmental changes of the neonatal optic
radiation microstructure. But few studies involved the OR development in children.
Given the critical period of visual function, this study aims to explore the spatiotemporal
changes of OR from 3-13 years and lay the foundation for further study of the
maturity of visual function.Methods
This study was approved by the local Internal Review Board and all
parents of participants had signed the informed consents before MRI scanning. Subjects
A total of 154 children with diffusion tensor imaging (DTI) scanning
aged 3-13 years (111 boys, 43 girls) were retrospectively collected and all
born at full-term without abnormalities in brain MR images. MR
Protocols All MR examinations were performed using a 3.0T scanner
(Signa HDxt, GE Healthcare, Milwaukee,
Wisconsin) with an 8-channel head coil. The
parameters of DTI sequence were as follows: 35 gradient directions; b-values =0
and 1000 s/mm2; TR/TE= 5500/95–105 ms; section thickness=4mm without a gap;
FOV=180 × 180 mm2; matrix size =128 × 128; and voxel size= 1.41 ×
1.41 × 4 mm3. Data and statistical analysis DTI data were preprocessed
by FMRIB software library (FSL, http://www.fmrib.ox.ac.uk/fsl)
and Matlab software (MathWorks, Natick, Massachusetts). Quantitative tracking
of optic
radiation was performed using Automating Fiber-Tract Quantification
(AFQ). Four parameters of fractional anisotropy(FA), mean diffusivity(MD),
axial diffusivity(AD),and radial diffusivity(RD) were calculated by using the
above tools. The OR is equally divided into 100 sites, and the average value of
the vertical section DTI parameters of each locus is calculated(The 1-34th sites,
the anterior segment; the 35th-67th sites, the middle segment; the 68th-100th sites,
the posterior segment). Spearman and Pearson correlation
analysis were used to analyze the correlation between DTI parameters and age
and vision. All statistical analysis was performed by
using SPSS 18.0(SPSS, Chicago, IL,USA); p<0.05 was considered as statistically significant difference.Results
In this study, the mean values of FA, RD, AD, and MD of optic
radiation were correlated with age coefficient of 0.578(P<0.05),
-0.361(P<0.05), -0.293(P<0.05) and -0.471(P<0.05). In the colormaps, optic
radiations exhibit different spatial developmental features especially in FA and
MD values. The FA value of the middle segment is higher than that in the anterior
and posterior segments. And the posterior segment showed a significant decrease
in MD and AD values (Figure 1).Discussion
By
using DTI, this study quantified the spatiotemporal changes of OR microstructure
in normally developing children. We found that the anterior, middle, and
posterior segments of OR showed asynchronous developmental patterns. Previous
studies found the developmental changes of the optic radiation microstructure
of neonates. In neonates, the anterior segment of OR matures earlier than the posterior
segment4. And based on a healthy population research aged
5-18 years old, there was no obvious age effect on the volume of OR, but both suggested
FA was increased by age5. Our results suggested OR
segments may have different maturation process. Although the mid-segment of
myelination develops later than the anterior segment, the mid-segment maturity may
gradually earlier by age.Conclusion
Being
different from neonates, OR showed an asynchronous developmental patterns from
3-13 years. Specifically, the mid-segment presented more mature than the anterior
segment, while right OR showed more extended mature than left OR.Acknowledgements
This study was supported by the National Natural Science Foundation of China (81901516, 81971581, 81901823, 81771810 and 51706178), the 2011 New Century Excellent Talent Support Plan of the Ministry of Education, China (NCET-11-0438) and the Clinical Research Award of the First Affiliated Hospital of Xi’an Jiaotong University (No. XJTU1AF-CRF-2015-004).References
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