Cross-Population White Matter Atlas Creation for Concurrent Mapping of Brain Connections in Neonates and Adults with Diffusion MRI Tractography

Comparing white matter (WM) connections between adults and neonates using diffusion MRI (dMRI) can advance our understanding of typical brain development and potential biomarkers for neurological disorders. However, existing WM atlases are population-specific (adult or neonatal) and reside in separate spaces, preventing direct cross-population comparisons. A unified WM atlas spanning both neonates and adults is still lacking. In this study, we propose a neonatal/adult brain atlas (NABA), a WM tractography atlas built from dMRI data of both neonates and adults. NABA is constructed using a robust, data-driven fiber clustering pipeline, enabling group-wise WM atlasing across populations despite substantial anatomical variability. The atlas provides a standardized template for WM parcellation, allowing direct comparison of WM tracts between neonates and adults. Using NABA, we conduct four analyses: (1) evaluating the feasibility of joint WM mapping across populations, (2) characterizing WM development across neonatal ages relative to adults, (3) assessing sex-related differences in neonatal WM development, and (4) examining the effects of preterm birth. Our results show that NABA robustly identifies WM tracts in both populations. We observe rapid fractional anisotropy (FA) development in long-range association tracts, including the arcuate fasciculus and superior longitudinal fasciculus II, whereas intra-cerebellar tracts develop more slowly. Neonatal females exhibit faster overall FA development than males. Although preterm neonates show lower overall FA development rates, they demonstrate relatively higher FA growth in specific tracts, including the corticospinal tract, corona radiata-pontine pathway, and intracerebellar tracts. These findings demonstrate that NABA is a useful tool for investigating WM development across neonates and adults.