Longitudinal Chinese Population Structural Fetal Brain Atlases Construction: toward precise fetal brain segmentation

In magnetic resonance imaging (MRI) studies of fetal brain development, structural brain atlases usually serve as essential references for the fetal population. Individual images are spatially normalized into a common or standard atlas space to extract regional information on volumetric or morphological brain variations. However, the existing fetal brain atlases are mostly based on MR images obtained from Caucasian populations and thus are not ideal for the characterization of the brains of the Chinese population due to neuroanatomical differences related to genetic factors. In this paper, we use an unbiased template construction algorithm to create a set of age-specific Chinese fetal atlases between 21-35 weeks of gestation from 115 normally developing fetal brains. Based on the 4D spatiotemporal atlas, the morphologically developmental patterns, e.g., cortical thickness, sulcal and gyral patterns, were quantified from in utero MRI. Additionally, after applying the Chinese fetal atlases and Caucasian fetal atlases to an independent Chinese pediatric dataset, we find that the Chinese fetal atlases result in significantly higher accuracy than the Caucasian fetal atlases in guiding brain tissue segmentation. These results suggest that the Chinese fetal brain atlases are necessary for quantitative analysis of the typical and atypical development of the Chinese fetal population in the future.