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Updated: May 24, 2026

Probing the Brain in Autism Using fMRI and Diffusion Tensor Imaging
Published on: September 12, 2011
Differences in white matter fiber tract development present from 6 to 24 months in infants with autism
Jason J Wolff1, Hongbin Gu, Guido Gerig
1Carolina Institute for Developmental Disabilities and the Department of Psychiatry, University of North Carolina, Chapel Hill, USA. jason.wolff@cidd.unc.edu
Insights
Aberrant white matter development in high-risk infants may precede autism spectrum disorder (ASD) symptoms. Longitudinal imaging reveals distinct fiber tract organization differences from 6 to 24 months in infants who later developed ASD.
Area of Science:
- Neuroscience
- Developmental Psychology
- Medical Imaging
Background:
- Early symptoms of autism spectrum disorders (ASDs) typically emerge in the late first or early second year of life.
- A period of relatively typical development often precedes the onset of these early autistic symptoms.
Purpose of the Study:
- To prospectively examine white matter fiber tract organization in high-risk infants from 6 to 24 months of age.
- To identify early neuroimaging markers associated with the later development of autism spectrum disorders (ASDs).
Main Methods:
- Utilized diffusion tensor imaging (DTI) to assess white matter microstructure in 92 high-risk infant siblings.
- Collected imaging data at 6 months, with additional data at 12 and/or 24 months.
- Characterized fractional anisotropy (FA) and diffusivity measures in key white matter tracts.
Main Results:
- Significant differences in fractional anisotropy (FA) trajectories were observed in 12 of 15 analyzed white matter tracts between infants who developed ASDs and those who did not.
- Infants who developed ASDs exhibited higher FA values at 6 months, followed by slower developmental changes, resulting in lower FA by 24 months.
- These findings suggest altered white matter maturation trajectories in early development for infants later diagnosed with ASDs.
Conclusions:
- Aberrant development of white matter pathways in infancy may precede the clinical manifestation of autistic symptoms.
- Longitudinal neuroimaging data are crucial for understanding the dynamic, age-related brain changes associated with autism spectrum disorders.
- Early identification of white matter alterations could inform future diagnostic and intervention strategies for ASDs.
Objective:
Evidence from prospective studies of high-risk infants suggests that early symptoms of autism usually emerge late in the first or early in the second year of life after a period of relatively typical development. The authors prospectively examined white matter fiber tract organization from 6 to 24 months in high-risk infants who developed autism spectrum disorders (ASDs) by 24 months.
Method:
The participants were 92 high-risk infant siblings from an ongoing imaging study of autism. All participants had diffusion tensor imaging at 6 months and behavioral assessments at 24 months; a majority contributed additional imaging data at 12 and/or 24 months. At 24 months, 28 infants met criteria for ASDs and 64 infants did not. Microstructural properties of white matter fiber tracts reported to be associated with ASDs or related behaviors were characterized by fractional anisotropy and radial and axial diffusivity.
Results:
The fractional anisotropy trajectories for 12 of 15 fiber tracts differed significantly between the infants who developed ASDs and those who did not. Development for most fiber tracts in the infants with ASDs was characterized by higher fractional anisotropy values at 6 months followed by slower change over time relative to infants without ASDs. Thus, by 24 months of age, those with ASDs had lower values.
Conclusions:
These results suggest that aberrant development of white matter pathways may precede the manifestation of autistic symptoms in the first year of life. Longitudinal data are critical to characterizing the dynamic age-related brain and behavior changes underlying this neurodevelopmental disorder.
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