Overview of the rationale of the study.
(A) Context: the cerebellum exhibits protracted growth compared to other brain regions (e.g., thalamus), making it a particularly vulnerable region for neurodevelopmental disorders. Its specific microstructural organisation (i.e. layered with Purkinje cells and granular cells) changes between birth and adulthood. (B) The current “standard” is to probe regional growth with manganese-enhanced MRI (MEMRI). However, it is not sensitive to the underlying microstructural changes. (C) Pushing limits: diffusion-weighted MRS (dMRS) can potentially assess cell-specific microstructural changes in given regions during development. Different measures of metabolites diffusion properties (apparent diffusion coefficient, ADC, at long diffusion times, signal attenuation, S, at high diffusion weighting, b-values) can be interpreted with biophysical modelling and help characterise the nature of the microstructural changes.