MRI of the Neonatal Brain: A Review of Methodological Challenges and Neuroscientific Advances

In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children to acquire amazing and unique abilities, as well as the impact of early disruptions (eg, prematurity, neonatal insults) that can lead to a wid...

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Published inJournal of magnetic resonance imaging Vol. 53; no. 5; pp. 1318 - 1343
Main Authors Dubois, Jessica, Alison, Marianne, Counsell, Serena J., Hertz‐Pannier, Lucie, Hüppi, Petra S., Benders, Manon J.N.L.
Format Journal Article
LanguageEnglish
Published Hoboken, USA John Wiley & Sons, Inc 01.05.2021
Wiley Subscription Services, Inc
Wiley-Blackwell
Subjects
anatomical MRI
Brain
brain development
Cellular structure
Children
Data acquisition
diffusion MRI
Disabilities
Functional magnetic resonance imaging
functional MRI
Image contrast
Infants
Life Sciences
Magnetic resonance imaging
Medical imaging
Morphology
Neonates
Neural networks
Neurodevelopmental disorders
Neuroimaging
Neurons and Cognition
Newborn babies
newborns
quantitative MRI
Review
Scanners
Sequences
Substantia alba
brain development
functional MRI
infants
diffusion MRI
quantitative MRI
anatomical MRI
newborns
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Abstract In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children to acquire amazing and unique abilities, as well as the impact of early disruptions (eg, prematurity, neonatal insults) that can lead to a wide range of neurodevelopmental disorders. Noninvasive neuroimaging methods such as MRI are essential to establish links between the brain and behavioral changes in newborns and infants. In this review article, we aim to highlight recent and representative studies using the various techniques available: anatomical MRI, quantitative MRI (relaxometry, diffusion MRI), multiparametric approaches, and functional MRI. Today, protocols use 1.5 or 3T MRI scanners, and specialized methodologies have been put in place for data acquisition and processing to address the methodological challenges specific to this population, such as sensitivity to motion. MR sequences must be adapted to the brains of newborns and infants to obtain relevant good soft‐tissue contrast, given the small size of the cerebral structures and the incomplete maturation of tissues. The use of age‐specific image postprocessing tools is also essential, as signal and contrast differ from the adult brain. Appropriate methodologies then make it possible to explore multiple neurodevelopmental mechanisms in a precise way, and assess changes with age or differences between groups of subjects, particularly through large‐scale projects. Although MRI measurements only indirectly reflect the complex series of dynamic processes observed throughout development at the molecular and cellular levels, this technique can provide information on brain morphology, structural connectivity, microstructural properties of gray and white matter, and on the functional architecture. Finally, MRI measures related to clinical, behavioral, and electrophysiological markers have a key role to play from a diagnostic and prognostic perspective in the implementation of early interventions to avoid long‐term disabilities in children. Evidence Level 2 Technical Efficacy Stage 1
AbstractList In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children to acquire amazing and unique abilities, as well as the impact of early disruptions (eg, prematurity, neonatal insults) that can lead to a wide range of neurodevelopmental disorders. Noninvasive neuroimaging methods such as MRI are essential to establish links between the brain and behavioral changes in newborns and infants. In this review article, we aim to highlight recent and representative studies using the various techniques available: anatomical MRI, quantitative MRI (relaxometry, diffusion MRI), multiparametric approaches, and functional MRI. Today, protocols use 1.5 or 3T MRI scanners, and specialized methodologies have been put in place for data acquisition and processing to address the methodological challenges specific to this population, such as sensitivity to motion. MR sequences must be adapted to the brains of newborns and infants to obtain relevant good soft‐tissue contrast, given the small size of the cerebral structures and the incomplete maturation of tissues. The use of age‐specific image postprocessing tools is also essential, as signal and contrast differ from the adult brain. Appropriate methodologies then make it possible to explore multiple neurodevelopmental mechanisms in a precise way, and assess changes with age or differences between groups of subjects, particularly through large‐scale projects. Although MRI measurements only indirectly reflect the complex series of dynamic processes observed throughout development at the molecular and cellular levels, this technique can provide information on brain morphology, structural connectivity, microstructural properties of gray and white matter, and on the functional architecture. Finally, MRI measures related to clinical, behavioral, and electrophysiological markers have a key role to play from a diagnostic and prognostic perspective in the implementation of early interventions to avoid long‐term disabilities in children.Evidence Level2Technical Efficacy Stage1
In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children to acquire amazing and unique abilities, as well as the impact of early disruptions (eg, prematurity, neonatal insults) that can lead to a wide range of neurodevelopmental disorders. Noninvasive neuroimaging methods such as MRI are essential to establish links between the brain and behavioral changes in newborns and infants. In this review article, we aim to highlight recent and representative studies using the various techniques available: anatomical MRI, quantitative MRI (relaxometry, diffusion MRI), multiparametric approaches, and functional MRI. Today, protocols use 1.5 or 3T MRI scanners, and specialized methodologies have been put in place for data acquisition and processing to address the methodological challenges specific to this population, such as sensitivity to motion. MR sequences must be adapted to the brains of newborns and infants to obtain relevant good soft‐tissue contrast, given the small size of the cerebral structures and the incomplete maturation of tissues. The use of age‐specific image postprocessing tools is also essential, as signal and contrast differ from the adult brain. Appropriate methodologies then make it possible to explore multiple neurodevelopmental mechanisms in a precise way, and assess changes with age or differences between groups of subjects, particularly through large‐scale projects. Although MRI measurements only indirectly reflect the complex series of dynamic processes observed throughout development at the molecular and cellular levels, this technique can provide information on brain morphology, structural connectivity, microstructural properties of gray and white matter, and on the functional architecture. Finally, MRI measures related to clinical, behavioral, and electrophysiological markers have a key role to play from a diagnostic and prognostic perspective in the implementation of early interventions to avoid long‐term disabilities in children. Evidence Level 2 Technical Efficacy Stage 1
In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children to acquire amazing and unique abilities, as well as the impact of early disruptions (eg, prematurity, neonatal insults) that can lead to a wide range of neurodevelopmental disorders. Noninvasive neuroimaging methods such as MRI are essential to establish links between the brain and behavioral changes in newborns and infants. In this review article, we aim to highlight recent and representative studies using the various techniques available: anatomical MRI, quantitative MRI (relaxometry, diffusion MRI), multiparametric approaches, and functional MRI. Today, protocols use 1.5 or 3T MRI scanners, and specialized methodologies have been put in place for data acquisition and processing to address the methodological challenges specific to this population, such as sensitivity to motion. MR sequences must be adapted to the brains of newborns and infants to obtain relevant good soft-tissue contrast, given the small size of the cerebral structures and the incomplete maturation of tissues. The use of age-specific image postprocessing tools is also essential, as signal and contrast differ from the adult brain. Appropriate methodologies then make it possible to explore multiple neurodevelopmental mechanisms in a precise way, and assess changes with age or differences between groups of subjects, particularly through large-scale projects. Although MRI measurements only indirectly reflect the complex series of dynamic processes observed throughout development at the molecular and cellular levels, this technique can provide information on brain morphology, structural connectivity, microstructural properties of gray and white matter, and on the functional architecture. Finally, MRI measures related to clinical, behavioral, and electrophysiological markers have a key role to play from a diagnostic and prognostic perspective in the implementation of early interventions to avoid long-term disabilities in children. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY STAGE: 1.In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children to acquire amazing and unique abilities, as well as the impact of early disruptions (eg, prematurity, neonatal insults) that can lead to a wide range of neurodevelopmental disorders. Noninvasive neuroimaging methods such as MRI are essential to establish links between the brain and behavioral changes in newborns and infants. In this review article, we aim to highlight recent and representative studies using the various techniques available: anatomical MRI, quantitative MRI (relaxometry, diffusion MRI), multiparametric approaches, and functional MRI. Today, protocols use 1.5 or 3T MRI scanners, and specialized methodologies have been put in place for data acquisition and processing to address the methodological challenges specific to this population, such as sensitivity to motion. MR sequences must be adapted to the brains of newborns and infants to obtain relevant good soft-tissue contrast, given the small size of the cerebral structures and the incomplete maturation of tissues. The use of age-specific image postprocessing tools is also essential, as signal and contrast differ from the adult brain. Appropriate methodologies then make it possible to explore multiple neurodevelopmental mechanisms in a precise way, and assess changes with age or differences between groups of subjects, particularly through large-scale projects. Although MRI measurements only indirectly reflect the complex series of dynamic processes observed throughout development at the molecular and cellular levels, this technique can provide information on brain morphology, structural connectivity, microstructural properties of gray and white matter, and on the functional architecture. Finally, MRI measures related to clinical, behavioral, and electrophysiological markers have a key role to play from a diagnostic and prognostic perspective in the implementation of early interventions to avoid long-term disabilities in children. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY STAGE: 1.
In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children to acquire amazing and unique abilities, as well as the impact of early disruptions (eg, prematurity, neonatal insults) that can lead to a wide range of neurodevelopmental disorders. Noninvasive neuroimaging methods such as MRI are essential to establish links between the brain and behavioral changes in newborns and infants. In this review article, we aim to highlight recent and representative studies using the various techniques available: anatomical MRI, quantitative MRI (relaxometry, diffusion MRI), multiparametric approaches, and functional MRI. Today, protocols use 1.5 or 3T MRI scanners, and specialized methodologies have been put in place for data acquisition and processing to address the methodological challenges specific to this population, such as sensitivity to motion. MR sequences must be adapted to the brains of newborns and infants to obtain relevant good soft-tissue contrast, given the small size of the cerebral structures and the incomplete maturation of tissues. The use of age-specific image postprocessing tools is also essential, as signal and contrast differ from the adult brain. Appropriate methodologies then make it possible to explore multiple neurodevelopmental mechanisms in a precise way, and assess changes with age or differences between groups of subjects, particularly through large-scale projects. Although MRI measurements only indirectly reflect the complex series of dynamic processes observed throughout development at the molecular and cellular levels, this technique can provide information on brain morphology, structural connectivity, microstructural properties of gray and white matter, and on the functional architecture. Finally, MRI measures related to clinical, behavioral, and electrophysiological markers have a key role to play from a diagnostic and prognostic perspective in the implementation of early interventions to avoid long-term disabilities in children. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY STAGE: 1.
Author Hüppi, Petra S.
Counsell, Serena J.
Dubois, Jessica
Alison, Marianne
Hertz‐Pannier, Lucie
Benders, Manon J.N.L.
AuthorAffiliation 3 Department of Pediatric Radiology APHP, Robert‐Debré Hospital Paris France
5 Division of Development and Growth, Department of Woman, Child and Adolescent University Hospitals of Geneva Geneva Switzerland
1 University of Paris NeuroDiderot, INSERM,Paris France
6 Department of Neonatology University Medical Center Utrecht, Utrecht University Utrecht the Netherlands
2 UNIACT, NeuroSpin, CEA; Paris‐Saclay University Gif‐sur‐Yvette France
4 Centre for the Developing Brain School of Biomedical Engineering & Imaging Sciences, King's College London London UK
AuthorAffiliation_xml – name: 6 Department of Neonatology University Medical Center Utrecht, Utrecht University Utrecht the Netherlands
– name: 5 Division of Development and Growth, Department of Woman, Child and Adolescent University Hospitals of Geneva Geneva Switzerland
– name: 2 UNIACT, NeuroSpin, CEA; Paris‐Saclay University Gif‐sur‐Yvette France
– name: 1 University of Paris NeuroDiderot, INSERM,Paris France
– name: 4 Centre for the Developing Brain School of Biomedical Engineering & Imaging Sciences, King's College London London UK
– name: 3 Department of Pediatric Radiology APHP, Robert‐Debré Hospital Paris France
Author_xml – sequence: 1
  givenname: Jessica
  orcidid: 0000-0003-4865-8111
  surname: Dubois
  fullname: Dubois, Jessica
  email: jessica.dubois@centraliens.net
  organization: UNIACT, NeuroSpin, CEA; Paris‐Saclay University
– sequence: 2
  givenname: Marianne
  surname: Alison
  fullname: Alison, Marianne
  organization: APHP, Robert‐Debré Hospital
– sequence: 3
  givenname: Serena J.
  surname: Counsell
  fullname: Counsell, Serena J.
  organization: School of Biomedical Engineering & Imaging Sciences, King's College London
– sequence: 4
  givenname: Lucie
  surname: Hertz‐Pannier
  fullname: Hertz‐Pannier, Lucie
  organization: UNIACT, NeuroSpin, CEA; Paris‐Saclay University
– sequence: 5
  givenname: Petra S.
  surname: Hüppi
  fullname: Hüppi, Petra S.
  organization: University Hospitals of Geneva
– sequence: 6
  givenname: Manon J.N.L.
  surname: Benders
  fullname: Benders, Manon J.N.L.
  organization: University Medical Center Utrecht, Utrecht University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32420684$$D View this record in MEDLINE/PubMed
https://inserm.hal.science/inserm-04307240$$DView record in HAL
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2020 The Authors. Journal of Magnetic Resonance Imaging published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine.
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– notice: 2020. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Issue 5
Keywords brain development
functional MRI
infants
diffusion MRI
quantitative MRI
anatomical MRI
newborns
Language English
License Attribution
2020 The Authors. Journal of Magnetic Resonance Imaging published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine.
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PMCID: PMC8247362
Review article for the Journal of Magnetic Resonance Imaging (JMRI) April 24th 2020
Contract grant sponsor: Fondation de France (to J.D., call Neurodevelopment 2012); Contract grant sponsor: Fyssen Foundation (to J.D., 2009); Contract grant sponsor: Médisite Foundation (to J.D., 2018); Contract grant sponsor: European Union's Horizon 2020 Research and Innovation Programme (to J.D., HBP 2013). This study contributed to the IdEx Université de Paris (J.D., ANR‐18‐IDEX‐0001). Some data were provided by the developing Human Connectome Project, KCL‐Imperial‐Oxford Consortium funded by the European Research Council under the European Union Seventh Framework Programme (FP/2007–2013) / ERC Grant Agreement no. 319456. We thank the families who supported this trial.
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Snippet In recent years, exploration of the developing brain has become a major focus for researchers and clinicians in an attempt to understand what allows children...
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SubjectTerms anatomical MRI
Brain
brain development
Cellular structure
Children
Data acquisition
diffusion MRI
Disabilities
Functional magnetic resonance imaging
functional MRI
Image contrast
Infants
Life Sciences
Magnetic resonance imaging
Medical imaging
Morphology
Neonates
Neural networks
Neurodevelopmental disorders
Neuroimaging
Neurons and Cognition
Newborn babies
newborns
quantitative MRI
Review
Scanners
Sequences
Substantia alba
Title MRI of the Neonatal Brain: A Review of Methodological Challenges and Neuroscientific Advances
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjmri.27192
https://www.ncbi.nlm.nih.gov/pubmed/32420684
https://www.proquest.com/docview/2512138191
https://www.proquest.com/docview/2404382867
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Volume 53
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