Functional and structural connectivity of the brain in very preterm babies: relationship with gestational age and

Vassiliki Mouka1, Aikaterini Drougia2, Vasileios G Xydis1

  • 1Medical School, University Hospital of Ioannina, P.O. Box 1186, 45110, Ioannina, Greece.

Insights

Brain connectivity in very preterm infants is linked to prematurity and body growth. Functional connectivity correlates with gestational age, while structural connectivity relates to head circumference and body weight.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Medical Imaging

Background:

  • Premature birth can lead to structural and functional brain alterations.
  • Understanding these changes is crucial for infant neurodevelopmental outcomes.

Purpose of the Study:

  • To investigate the relationship between brain connectivity (functional and structural) and factors like gestational age, body growth, and brain maturation in very preterm infants.
  • To identify key predictors of brain connectivity in this vulnerable population.

Main Methods:

  • Utilized resting-state functional MRI (fMRI) for functional connectivity analysis.
  • Employed diffusion tensor imaging (DTI) and probabilistic tractography for structural connectivity assessment.
  • Studied a cohort of 18 very preterm infants with a mean gestational age of 29.7 weeks.

Main Results:

  • Positive association found between medial orbitofrontal cortex functional connectivity and gestational age.
  • Fractional anisotropy and structural connectivity of the inferior fronto-occipital fasciculus correlated with head circumference.
  • Infant body weight emerged as an independent predictor of medial orbitofrontal cortex structural connectivity.

Conclusions:

  • Brain structural and functional connectivity in very preterm infants are significantly influenced by postnatal body growth and the degree of prematurity.
  • These findings highlight the interconnectedness of physical development and neural maturation in extremely preterm infants.
Abstract

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