Normal brain development is associated with expansion and folding of the cerebral cortex following a highly orchestrated sequence
of gyral–sulcal formation. Although several studies have described the evolution of cerebral cortical development ex vivo
or ex utero, to date, very few studies have characterized and quantified the gyrification process for the in vivo fetal brain.
Recent advances in fetal magnetic resonance imaging and post-processing computational methods are providing new insights into
fetal brain maturation in vivo. In this study, we investigate the in vivo fetal cortical folding pattern in healthy fetuses
between 25 and 35 weeks gestational age using 3-D reconstructed fetal cortical surfaces. We describe the in vivo fetal gyrification
process using a robust feature extraction algorithm applied directly on the cortical surface, providing an explicit delineation
of the sulcal pattern during fetal brain development. We also delineate cortical surface measures, including surface area
and gyrification index. Our data support an exuberant third trimester gyrification process and suggest a non-linear evolution
of sulcal development. The availability of normative indices of cerebral cortical developing in the living fetus may provide
critical insights on the timing and progression of impaired cerebral development in the high-risk fetus.
Keywords Brain development – Cortical surface – Fetal – Gyrification – MRI