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Structure and function: how to connect?
1Diagnostic Imaging, Neurosciences and Mental Health Programme, Hospital for Sick Children, 555 University Ave., Toronto, Ontario, Canada. margot.taylor@sickkids.ca
Insights
Predicting cognitive difficulties in very preterm infants is crucial. Multimodal MRI studies show early brain differences correlate with later outcomes, aiding timely interventions.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Medical Imaging
Background:
- Most very preterm-born infants experience cognitive challenges.
- Early prediction of these difficulties is essential for targeted interventions.
Purpose of the Study:
- To identify early predictors of cognitive outcomes in very preterm infants.
- To understand the neurodevelopmental trajectory of preterm-born children.
Main Methods:
- Multimodal structural and functional magnetic resonance imaging (MRI) in preterm infants.
- Longitudinal behavioral and neuroimaging assessments up to 4 years of age.
- Neuroimaging in school-aged preterm children.
Main Results:
- Early MRI measures (preterm to term age) correlate with 2-year outcomes.
- Both functional and structural brain differences are observed in school-aged preterm children.
- Examples of these findings are presented.
Conclusions:
- Longitudinal structural and functional MRI studies in preterm populations offer critical insights.
- These studies help elucidate brain-behavior relationships.
- Predicting outcomes in high-risk preterm individuals is facilitated by neuroimaging.
Introduction:
The majority, but not all, of very preterm-born infants have difficulties with a variety of cognitive functions as children. It is critical to be able to predict as early as possible those who will have difficulties, to be able to direct appropriate interventions.
Methods:
We are conducting multimodal structural and functional MRI studies in very preterm-born infants and following them with behavioural and neuroimaging assessments until 4 years of age. We are also completing structural and more complex functional imaging in school-aged very preterm-born children.
Results:
A number of MRI measures between preterm and term age correlate with outcome at 2 years of age. Functional and structural differences are also seen at school age; examples from these various studies are presented.
Conclusion:
Structural and functional studies in preterm-born versus term-born infants and children, particularly if completed longitudinally, provide important information on the evolution of brain-behaviour correlates and can help predict outcome in this high-risk population.
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