A Longitudinal MRI Study of Amygdala and Hippocampal Subfields for Infants with Risk of Autism

Guannan Li1,2, Meng-Hsiang Chen3, Gang Li2

  • 1School of Computer Science and Engineering, Nanjing University of Science and Technology, Nanjing 210094, China.

Graph Learning in Medical Imaging : First International Workshop, GLMI 2019, Held in Conjunction with MICCAI 2019, Shenzhen, China, October 17, 2019, Proceedings
|February 28, 2020
PubMed

Insights

Early autism spectrum disorder (ASD) detection is crucial. This study identifies potential infant brain biomarkers, specifically amygdala and hippocampus overgrowth starting at 6 months, aiding early intervention for autism.

Area of Science:

  • Neuroimaging
  • Developmental Neuroscience
  • Biomarkers

Background:

  • Current autism spectrum disorder (ASD) diagnosis relies on behavioral observations at 3-4 years, missing critical early intervention windows.
  • Early intervention is vital before 2 years old, but effective early biomarkers for infants at risk of ASD are lacking.
  • Previous research shows altered amygdala and hippocampus development in older ASD individuals, but early postnatal trajectories are poorly understood.

Purpose of the Study:

  • To investigate early developmental trajectories of the amygdala and hippocampal subfields in infants at risk of ASD.
  • To identify potential neuroimaging biomarkers for early detection of autism spectrum disorder.
  • To establish volume-based analysis of infant brain structures for ASD risk assessment.

Main Methods:

  • A novel deep-learning approach, dilated-dense U-Net, was developed for accurate segmentation of infant amygdala and hippocampal subfields.
  • Longitudinal brain imaging data from infants at risk of ASD (ages 6, 12, and 24 months) from the National Database for Autism Research (NDAR) were analyzed.
  • Volume-based analysis was performed on segmented amygdala and hippocampal subfields to assess developmental changes.

Main Results:

  • The study observed potential overgrowth in the amygdala and cornu ammonis (CA) sectors 1-3 starting as early as 6 months of age in infants at risk of ASD.
  • Deep learning segmentation successfully addressed challenges of low tissue contrast and small structure size in infant brain imaging.
  • These findings suggest early alterations in specific brain regions may precede typical behavioral diagnosis of ASD.

Conclusions:

  • Overgrowth in the amygdala and specific hippocampal subfields (CA1-3) from 6 months of age may serve as an early neuroimaging biomarker for autism spectrum disorder risk.
  • The developed deep learning segmentation method enables precise analysis of infant brain structures for early ASD detection.
  • Identifying these early biomarkers facilitates timely intervention during a critical developmental window, potentially improving outcomes for infants at risk of ASD.

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