Constructing an Axonal‐Specific Myelin Developmental Graph and its Application to Childhood Absence Epilepsy

Autor: Albert P. Aldenkamp, Mariette H. J. A. Debeij-van Hall, Jacobus F.A. Jansen, Gerhard S. Drenthen, R. Jeroen Vermeulen, Walter H. Backes, Sylvia Klinkenberg, Eric L. A. Fonseca Wald
Přispěvatelé: Beeldvorming, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Klinische Neurowetenschappen, MUMC+: MA Niet Med Staf Neurologie (9), MUMC+: DA BV Klinisch Fysicus (9), MUMC+: MA Med Staf Spec Neurologie (9)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Neuroimaging
Journal of Neuroimaging, 30(3), 308-314. Wiley
ISSN: 1552-6569
1051-2284
Popis: BACKGROUND AND PURPOSE: The process of myelination starts in utero around 20 weeks of gestation and continues through adulthood. We first set out to characterize the maturation of the tract-specific myelin content in healthy subjects from childhood (7-12 years) into adulthood (18-32 years). Second, we apply the resulting development graph to children with childhood absence epilepsy (CAE), a pediatric epilepsy that was previously characterized by changes in myelin content.METHODS: In a prospective cross-sectional study, 15 healthy children (7-12 years), 14 healthy adult participants (18-32 years) and 17 children with a clinical diagnosis of CAE (6-12 years) were included. For each participant, diffusion weighted images were acquired to reconstruct bundles of white matter tracts and multi-echo multi-slice GRASE images were acquired for myelin-water estimation. Subsequently, a tract-specific myelin development graph was constructed using the percentual difference in myelin-water content from childhood (12 year) to adulthood (25 year).RESULTS: The graph revealed myelination patterns, where tracts in the central regions myelinate prior to peripheral tracts and intra-hemispheric tracts as well as tracts in the left hemisphere myelinate prior to inter-hemispheric tracts and tracts in the right hemisphere, respectively. No significant differences were found in myelin-water content between children with CAE and healthy children for neither the early developing tracts, nor the tracts that develop in a later stage. However, the difference between the myelin-water of late and early developing tracts is significantly smaller in the children with CAE.CONCLUSION: These results indicate that CAE is associated with widespread neurodevelopmental myelin differences.
Databáze: OpenAIRE