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Updated: Feb 18, 2026

Preterm EEG: A Multimodal Neurophysiological Protocol
Published on: February 18, 2012
Cortical morphometry and cognition in very preterm and term-born children at early school age
Ines Mürner-Lavanchy1, Christian Rummel2, Maja Steinlin3
1Division of Neuropediatrics, Development and Rehabilitation, Children's University Hospital, Inselspital, Bern University Hospital, University of Bern, Switzerland; Support Center for Advanced Neuroimaging (SCAN), University Institute for Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Switzerland.
Insights
Very preterm birth impacts brain structure and cognitive development. The relationship between brain morphometry and cognition differs significantly in very preterm children compared to term-born peers.
Area of Science:
- Neuroscience
- Developmental Biology
- Pediatrics
Background:
- Very preterm birth (<32 weeks gestation) can alter brain development, potentially affecting cognitive functions.
- Understanding the relationship between brain structure and cognitive outcomes in these children is crucial.
Purpose of the Study:
- To investigate the structure-function relationship between cortical morphometry and cognition in school-aged very preterm children and term-born controls.
- To identify differences in brain-cognition correlations between the two groups.
Main Methods:
- Neuropsychological testing administered to 41 very preterm and 30 term-born children (ages 7-12).
- Cortical thickness and surface area measured using FreeSurfer from T1-weighted MRI scans.
- Statistical analysis to compare morphometry and cognition and their interrelations.
Main Results:
- Global cortical thickness in the right hemisphere was greater in very preterm children than controls.
- No significant differences in cortical surface area were observed between groups.
- The correlation between cortical morphometry and cognitive domains varied significantly between very preterm and control children, with both positive and negative associations found in the preterm group.
Conclusions:
- The structure-function relationship in the brain differs between very preterm and term-born children.
- These differences are region-specific and dependent on the cognitive function assessed.
- Findings highlight unique developmental trajectories in very preterm individuals.
Abstract:
Very preterm birth influences brain development and may result in alterations of cortical morphometry. These structural alterations may interact with cognitive development. The aim of the present study was to investigate the structure-function relationship in school-aged very preterm and term-born control children. A comprehensive neuropsychological test battery was administered to 41 very preterm (<32 weeks of gestation) and 30 term-born control children aged seven to twelve years. The automated method FreeSurfer was used to obtain cortical thickness and cortical surface area measures from T1-weighted MRI images. Regional cortical thickness differed between groups but differences disappeared when controlling for age. Global cortical thickness differed between groups in the right hemisphere (very preterm children>controls). No group differences occurred for cortical surface area. The relationship between cortical morphometry and cognition differed between very preterm and control children. In very preterm children, some cognitive domains correlated positively and others negatively with regional cortical thickness and cortical surface area. Our findings contribute to the understanding of the structure-function relationship in very preterm children and their term-born peers. They add to the notion that this relationship varies depending on the brain region and the cognitive function in question and suggest developmental differences between very preterm and term-born children.
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