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Yet, the structural connectivity of brainstem nuclei in living humans remains understudied. These tiny structures are difficult to locate using conventional in vivo MRI, and ex vivo brainstem nuclei atlases lack precise and automatic transformability to in vivo images. To fill this gap, we mapped our recently developed probabilistic brainstem nuclei atlas developed in living humans to high\u2010spatial resolution (1.7\u2009mm isotropic) and diffusion weighted imaging (DWI) at 7\u2009Tesla in 20 healthy participants. To demonstrate clinical translatability, we also acquired 3\u2009Tesla DWI with conventional resolution (2.5\u2009mm isotropic) in the same participants. Results showed the structural connectome of 15 autonomic, pain, limbic, and sensory (including vestibular) brainstem nuclei\/nuclei complex (superior\/inferior colliculi, ventral tegmental area\u2010parabrachial pigmented, microcellular tegmental\u2013parabigeminal, lateral\/medial parabrachial, vestibular, superior olivary, superior\/inferior medullary reticular formation, viscerosensory motor, raphe magnus\/pallidus\/obscurus, parvicellular reticular nucleus\u2010alpha part), derived from probabilistic tractography computation. Through graph measure analysis, we identified network hubs and demonstrated high intercommunity communication in these nuclei. We found good (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.5) translational capability of the 7\u2009Tesla connectome to clinical (i.e., 3\u2009Tesla) datasets. Furthermore, we validated the structural connectome by building diagrams of autonomic\/pain\/limbic connectivity, vestibular connectivity, and their interactions, and by inspecting the presence of specific links based on human and animal literature. These findings offer a baseline for studies of these brainstem nuclei and their functions in health and disease, including autonomic dysfunction, chronic pain, psychiatric, and vestibular disorders.<\/jats:p>","DOI":"10.1002\/hbm.25836","type":"journal-article","created":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T15:00:04Z","timestamp":1647702004000},"page":"3086-3112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Structural connectivity of autonomic, pain, limbic, and sensory brainstem nuclei in living humans based on 7 Tesla and 3\u00a0Tesla MRI"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4772-372X","authenticated-orcid":false,"given":"Kavita","family":"Singh","sequence":"first","affiliation":[{"name":"Brainstem Imaging Laboratory, Department of Radiology Athinoula A. 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Piaggio University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey P.","family":"Staab","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology Mayo Clinic  Rochester Minnesota USA"},{"name":"Department of Otorhinolaryngology \u2013 Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iole","family":"Indovina","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging University of Messina  Italy"},{"name":"Laboratory of Neuromotor Physiology IRCCS Santa Lucia Foundation  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Bianciardi","sequence":"additional","affiliation":[{"name":"Brainstem Imaging Laboratory, Department of Radiology Athinoula A. 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