Functional organization of the human visual system at birth and across late gestation

Understanding how the brain's functional architecture emerges prior to substantial postnatal visual experience is crucial for determining what initial capabilities infants possess and how they learn from their environment. Using resting-state fMRI from 584 neonates in the Developing Human Connectome Project, we provide the first comprehensive systems-level characterization of human visual cortex within hours of birth and across the third trimester of gestation. We discover that newborns possess a sophisticated visual architecture already functionally organized into three distinct pathways (ventral, lateral, and dorsal), each exhibiting posterior-to-anterior hierarchical structure and adult-like topographic organization. This tripartite visual organization differs from the bipartite organization observed in macaques, suggesting this architecture emerges through intrinsic developmental mechanisms rather than being a product of extensive postnatal experience and environmental adaptation. Moreover, pathway segregation, hierarchical ordering, and connectivity maturity all strengthen progressively with gestational age, revealing that visual cortical organization emerges through an active developmental program that unfolds across late gestation. Yet, despite this large-scale structure, individual pathways follow strikingly different maturation trajectories: dorsal areas exhibit a near-adult-like functional organization, even at the earliest gestational timepoints tested, whereas ventral areas remain immature and poised for experience-dependent refinement. These findings reframe our understanding of early visual development by revealing that complex functional networks emerge before substantial visual experience, yet are differentially prepared for plasticity, providing crucial insights into how evolution has optimized the brain for rapid learning while maintaining the flexibility needed for adaptation to diverse environments.