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Probing the Brain in Autism Using fMRI and Diffusion Tensor Imaging
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Brain and behavior development in autism from birth through infancy.

Mark D Shen1, Joseph Piven1

  • 1Carolina Institute for Developmental Disabilities and Department of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.

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|February 6, 2018
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Early brain imaging in infancy shows promise for predicting autism spectrum disorder (ASD) before symptoms appear. Identifying these early markers can lead to timely interventions for better child outcomes.

Keywords:
autismautism spectrum disorderbiomarkerbrain developmentcortical surface areadiffusion tensor imagingearly detectionearly predictionearly risk signextra-axial cerebrospinal fluidfunctional connectivityinfancy

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Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatrics

Background:

  • Autism spectrum disorder (ASD) is a developmental condition diagnosed behaviorally, often after age 3.
  • Current diagnostic timelines delay early intervention, despite evidence that earlier treatment improves outcomes.
  • Heterogeneity in ASD etiology complicates the development of targeted treatments.

Purpose of the Study:

  • To review the current scientific understanding of early brain and behavioral markers for ASD in infancy.
  • To explore the potential of these markers for early prediction and understanding ASD's developmental trajectory.
  • To examine the implications of early detection for improving treatment outcomes.

Main Methods:

  • Review of recent studies on early brain development and behavior in infants.
  • Analysis of neuroimaging findings in the first year of life.
  • Examination of behavioral changes during the first two years of life.

Main Results:

  • Autism-specific brain imaging features are detectable as early as 6 months of age.
  • Age-specific brain and behavioral changes indicate a developmental nature of ASD within the first two years.
  • Early brain imaging shows potential for presymptomatic prediction of ASD.

Conclusions:

  • Early identification of ASD through infant brain imaging and behavioral analysis is a promising frontier.
  • Understanding early developmental trajectories can help address ASD's heterogeneity.
  • Earlier intervention, facilitated by early detection, is crucial for more successful outcomes in children with ASD.