000 03721nab a2200349 c 4500
001 vtls000673994
003 RU-ToGU
005 20230319220150.0
007 cr |
008 200122|2018 xxu s a eng dd
024 7 _a10.3174/ajnr.A5668
_2doi
035 _ato000673994
040 _aRU-ToGU
_brus
_cRU-ToGU
245 1 0 _aQuantitative assessment of normal fetal brain myelination using fast macromolecular proton fraction mapping
_cV. L. Yarnykh, I. Y. Prihod'ko, A. A. Savelov, A. M. Korostyshevskaya
504 _aБиблиогр.: 33 назв.
520 3 _aBACKGROUND AND PURPOSE:Fast macromolecular proton fraction mapping is a recently emerged MRI method for quantitative myelin imaging. Our aim was to develop a clinically targeted technique for macromolecular proton fraction mapping of the fetal brain and test its capability to characterize normal prenatal myelination.MATERIALS AND METHODS:This prospective study included 41 pregnant women (gestational age range, 18-38 weeks) without abnormal findings on fetal brain MR imaging performed for clinical indications. A fast fetal brain macromolecular proton fraction mapping protocol was implemented on a clinical 1.5T MR imaging scanner without software modifications and was performed after a clinical examination with an additional scan time of <5 minutes. 3D macromolecular proton fraction maps were reconstructed from magnetization transfer-weighted, T1-weighted, and proton density-weighted images by the single-point method. Mean macromolecular proton fraction in the brain stem, cerebellum, and thalamus and frontal, temporal, and occipital WM was compared between structures and pregnancy trimesters using analysis of variance. Gestational age dependence of the macromolecular proton fraction was assessed using the Pearson correlation coefficient (r).RESULTS:The mean macromolecular proton fraction in the fetal brain structures varied between 2.3% and 4.3%, being 5-fold lower than macromolecular proton fraction in adult WM. The macromolecular proton fraction in the third trimester was higher compared with the second trimester in the brain stem, cerebellum, and thalamus. The highest macromolecular proton fraction was observed in the brain stem, followed by the thalamus, cerebellum, and cerebral WM. The macromolecular proton fraction in the brain stem, cerebellum, and thalamus strongly correlated with gestational age (r = 0.88, 0.80, and 0.73; P < .001). No significant correlations were found for cerebral WM regions.CONCLUSIONS:Myelin is the main factor determining macromolecular proton fraction in brain tissues. Macromolecular proton fraction mapping is sensitive to the earliest stages of the fetal brain myelination and can be implemented in a clinical setting.
653 _aмакромолекулярная протонная фракция
653 _aмиелин
653 _aмиелинизация мозга плода
653 _aкартирование макромолекулярной протонной фракции
653 _aмагнитно-резонансная томография
655 4 _aстатьи в журналах
_9879358
700 1 _aPrihod'ko, Irina Yu.
_9499205
700 1 _aSavelov, Andrey A.
_9499206
700 1 _aKorostyshevskaya, Alexandra M.
_9499207
700 1 _aYarnykh, Vasily L.
_9102903
773 0 _tAmerican journal of neuroradiology
_d2018
_gVol. 39, № 7. P. 1341-1348
_x0195-6108
852 4 _aRU-ToGU
856 4 _uhttp://vital.lib.tsu.ru/vital/access/manager/Repository/vtls:000673994
908 _aстатья
999 _c463409