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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medvis</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская визуализация</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Visualization</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-0763</issn><issn pub-type="epub">2408-9516</issn><publisher><publisher-name>RDS-Media Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24835/1607-0763-1523</article-id><article-id custom-type="elpub" pub-id-type="custom">medvis-1523</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ГОЛОВА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>HEAD</subject></subj-group></article-categories><title-group><article-title>Магнитно-резонансная морфометрия головного мозга у детей с детальной оценкой височных долей</article-title><trans-title-group xml:lang="en"><trans-title>Features of voxel-based morphometry in children: focusing on the temporal lobes</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0034-7413</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семибратов</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Semibratov</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Семибратов Николай Николаевич – врач-рентгенолог отделения амбулаторного лечения с дневным стационаром в составе радиотерапевтического отделения ГБУЗ “Санкт-Петербургский клинический научно-практический центр специализированных видов медицинской помощи (онкологический) имени Н.П. Напалкова”, Санкт-Петербургhttps://orcid.org/0000-0002-0034-7413</p></bio><bio xml:lang="en"><p>Nikolay N. Semibratov – Radiologist at the Radiotherapy outpatient department with a day hospital within the radiotherapy department at the Saint-Petersburg Clinical Scientific and Practical Center for Specialised Types of Medical Care (Oncological), St. Petersburghttps://orcid.org/0000-0002-0034-7413</p></bio><email xlink:type="simple">nsemibr@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7885-9024</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фокин</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Fokin</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фокин Владимир Александрович – доктор мед. наук, профессор кафедры лучевой диагностики и медицинской визуализации с клиникой, заведующий отделом лучевой диагностики, заведующий НИЛ магнитно-резонансной томографии ФГБУ “Национальный медицинский исследовательский центр им. В.А. Алмазова” Минздрава России, Санкт-Петербургhttps://orcid.org/0000-0001-7885-9024</p></bio><bio xml:lang="en"><p>Vladimir A. Fokin – Doct. of Sci. (Med.), Professor at the Department of Radiation Diagnostics and Medical Imaging with Clinic, Head of the Department of Radiation Diagnostics, Head of the Research Laboratory of Magnetic Resonance Imaging at the Almazov National Medical Research Centre, St. Petersburghttps://orcid.org/0000-0001-7885-9024</p></bio><email xlink:type="simple">vladfokin@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1611-5000</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Труфанов</surname><given-names>Г. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Trufanov</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Труфанов Геннадий Евгеньевич – доктор мед. наук, профессор, заведующий кафедрой лучевой диагностики и медицинской визуализации с клиникой, заведующий НИО лучевой диагностики ФГБУ “Национальный медицинский исследовательский центр им. В.А. Алмазова” Минздрава России, Санкт-Петербургhttps://orcid.org/0000-0002-1611-5000</p></bio><bio xml:lang="en"><p>Gennadiy E. Trufanov – Doct. of Sci. (Med.), Head of the Department of Radiation Diagnostics and Medical Imaging with Clinic, Head of the Research Institute of Radiation Diagnostics at the Almazov National Medical Research Centre, St. Petersburghttps://orcid.org/0000-0002-1611-5000</p></bio><email xlink:type="simple">trufanovge@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2249-1405</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ефимцев</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Efimtsev</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ефимцев Александр Юрьевич – доктор мед. наук, профессор кафедры лучевой диагностики и медицинской визуализации с клиникой, ведущий научный сотрудник НИЛ лучевой визуализации ФГБУ “Национальный медицинский исследовательский центр им. В.А. Алмазова” Минздрава России, Санкт-Петербургhttps://orcid.org/0000-0003-2249-1405</p></bio><bio xml:lang="en"><p>Aleksandr Y. Efimtsev – Doct. of Sci. (Med.), Professor at the Department of Radiation Diagnostics and Medical Imaging with Clinic, Leading Researcher at the Research Institute of Radiation Imaging at the Almazov National Medical Research Centre, St. Petersburghttps://orcid.org/0000-0003-2249-1405</p></bio><email xlink:type="simple">atralf@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1290-3659</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абрамов</surname><given-names>К. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Abramov</surname><given-names>K. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Абрамов Константин Борисович – канд. мед. наук, заместитель главного врача, врач-нейрохирург Российского научно-исследовательского нейрохирургического института им. проф. А.Л. Поленова – филиала Национального медицинского исследовательского центра им. В. А. Алмазова, Санкт-Петербургhttps://orcid.org/0000-0002-1290-3659</p></bio><bio xml:lang="en"><p>Konstantin B. Abramov – Cand. of Sci. (Med.), Deputy Chief Physician for Neurosurgery, Neurosurgeon at the Polenov Neurosurgery Institute – the branch of the Almazov National Medical Research Centre, St. Petersburghttps://orcid.org/0000-0002-1290-3659</p></bio><email xlink:type="simple">kalyghanin@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1462-6907</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кондратьев</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kondratiev</surname><given-names>G. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кондратьев Глеб Валентинович – ассистент кафедры онкологии, детской онкологии и лучевой терапии, врач-детский онколог ФГБОУ ВО “Санкт-Петербургский государственный педиатрический медицинский университет” Минздрава России, Санк-Петербургhttps://orcid.org/0000-0002-1462-6907</p></bio><bio xml:lang="en"><p>Gleb V. Kondratiev – Assistant Department of Oncology, Pediatric Oncology and Radiation Therapy, Pediatric Oncologist at Saint Petersburg State Pediatric Medical University, St. Petersburghttps://orcid.org/0000-0002-1462-6907</p></bio><email xlink:type="simple">spbgvk@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8848-3136</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Левчук</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Levchuk</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Левчук Анатолий Геннадьевич – младший научный сотрудник НИЛ магнитно-резонансной томографии ФГБУ “Национальный медицинский исследовательский центр им. В.А. Алмазова” Минздрава России, Санкт-Петербургhttps://orcid.org/0000-0002-8848-3136</p></bio><bio xml:lang="en"><p>Anatoly G. Levchuk – Junior Researcher at Research Laboratory of Magnetic Resonance Imaging at the Almazov National Medical Research Centre, St. Petersburghttps://orcid.org/0000-0002-8848-3136</p></bio><email xlink:type="simple">feuerlag999@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ “Санкт-Петербургский клинический научно-практический центр специализированных видов медицинской помощи (онкологический) имени Н.П. Напалкова”</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint-Petersburg Clinical Scientific and Practical Center for Specialised Types of Medical Care (Oncological)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ “Национальный медицинский исследовательский центр им. В.А. Алмазова” Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО “Санкт-Петербургский государственный педиатрический медицинский университет” Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint Petersburg State Pediatric Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>11</month><year>2025</year></pub-date><volume>29</volume><issue>4</issue><fpage>22</fpage><lpage>35</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Семибратов Н.Н., Фокин В.А., Труфанов Г.Е., Ефимцев А.Ю., Абрамов К.Б., Кондратьев Г.В., Левчук А.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Семибратов Н.Н., Фокин В.А., Труфанов Г.Е., Ефимцев А.Ю., Абрамов К.Б., Кондратьев Г.В., Левчук А.Г.</copyright-holder><copyright-holder xml:lang="en">Semibratov N.N., Fokin V.A., Trufanov G.E., Efimtsev A.Y., Abramov K.B., Kondratiev G.V., Levchuk A.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medvis.rdsmedia.ru/jour/article/view/1523">https://medvis.rdsmedia.ru/jour/article/view/1523</self-uri><abstract><sec><title>Введение</title><p>Введение. Постоянное совершенствование методов нейровизуализации и количественного анализа изображений способствует расширению наших знаний об анатомии головного мозга. В настоящее время методика магнитно-резонансной морфометрии позволяет проводить анализ структурных изменений головного мозга на разных уровнях – от крупных областей до отдельных извилин. Несмотря на значимость, количество исследований, посвященных изучению структурных изменений у детей в процессе нормального онтогенеза, остается ограниченным. В раннем детстве, когда происходит интенсивное развитие мозга, височные доли подвергаются значительным структурным изменениям. Исследование этих изменений у детей может расширить наше понимание в определении нормального развития нервной системы и помочь в выявлении патологий, связанных с неврологическими расстройствами, такими как эпилепсия и нейродегенеративные заболевания.</p></sec><sec><title>Цель исследования</title><p>Цель исследования: провести морфометрический анализ структур височных долей головного мозга у неврологически здоровых детей с целью выявления возрастных и половых различий.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. В исследование включили 49 детей в возрасте от 6 мес до 18 лет. Наблюдения были разделены на 2 возрастные группы: первая группа – от 0 до 7 лет (17 человек), вторая группа – от 7 до 18 лет (32 человека). Для анализа была проведена автоматическая МР-морфометрия с использованием программного обеспечения FreeSurfer, в ходе которой определялись морфометрические показатели: объем для каждой структуры височных долей, площадь поверхности и толщина коры.</p></sec><sec><title>Результаты</title><p>Результаты. В ходе исследования были обнаружены возрастные изменения в объеме, площади и толщине различных структур височной доли у детей. Несмотря на отсутствие статистически значимых гендерных различий в морфометрических показателях этих структур, наблюдалась тенденция к увеличению относительных размеров (рассчитанных относительно внутричерепного объема) у мальчиков по сравнению с девочками. Данные результаты свидетельствуют о сложной и разнонаправленной динамике развития височной доли в процессе взросления, проявляющейся в симметричных и асимметричных изменениях.</p></sec><sec><title>Заключение</title><p>Заключение. Данное исследование демонстрирует эффективность МР-морфометрии для оценки развития структур височных долей у неврологически здоровых детей. Представленные морфометрические показатели могут быть использованы в качестве референсных значений при изучении детей с нейродегенеративными заболеваниями, позволяя выявлять отклонения от нормы.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Advances in neuroimaging and quantitative image analysis have enhanced our understanding of cerebral anatomy. Voxel-based morphometry (VBM) enables precise evaluation of structural brain changes. Early childhood is a critical period of rapid brain maturation. Research focusing on structural changes of the temporal lobes in children during normal ontogeny remains limited. Investigating these structural changes could improve diagnostics for neurological disorders such as epilepsy and neurodegenerative conditions. Investigating these structural changes in children may deepen our understanding of normal nervous system development and improve diagnostics for neurological disorders such as epilepsy and neurodegenerative diseases.</p></sec><sec><title>Aim</title><p>Aim. To perform morphometric analysis of temporal lobes structures in neurologically healthy children and analyze age- and gender-related variations.</p></sec><sec><title>Methods</title><p>Methods. VBM was performed using FreeSurfer software, determining morphometric parameters volume (mm3), area (mm2), and thickness (mm) for each structure of the temporal lobes. The study included 49 MRI data from children aged between 6 months and 18 years. All participants were divided into two age groups: from 0 to 7 years (17 individuals) and from 7 to 18 years (32 individuals).</p></sec><sec><title>Results</title><p>Results. Age-related differences in the volume, surface area, and thickness were observed across temporal lobes regions in children. While no statistically significant gender differences in the morphometric parameters of these structures were observed, boys exhibited a tendency for greater relative sizes (normalized to intracranial volume) compared to girls. These results indicate a complex and dynamic developmental pattern of the temporal lobes, with evidence of both symmetric and asymmetric changes.</p></sec><sec><title>Conclusion</title><p>Conclusion. MRI morphometry is shown to be an effective method for assessing temporal lobes development in neurologically healthy children in this study. The morphometric data presented here can serve as reference points for identifying deviations from normal development in children with neurodegenerative disorders.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>магнитно-резонансная томография</kwd><kwd>магнитно-резонансная морфометрия</kwd><kwd>височная доля</kwd><kwd>дети</kwd><kwd>старение</kwd><kwd>рост и развитие</kwd><kwd>головной мозг</kwd></kwd-group><kwd-group xml:lang="en"><kwd>magnetic resonance imaging</kwd><kwd>voxel-based morphometry</kwd><kwd>temporal lobe</kwd><kwd>children</kwd><kwd>aging</kwd><kwd>growth and development</kwd><kwd>brain</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Bartzokis G., Beckson M., Lu P.H. et al. Age-related changes in frontal and temporal lobe volumes in men: a magnetic resonance imaging study. Arch. Gen. 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