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Updated: Jun 27, 2025

Preterm EEG: A Multimodal Neurophysiological Protocol
Published on: February 18, 2012
Regional homogeneity as a marker of sensory cortex dysmaturity in preterm infants
Srikanth R Damera1, Josepheen De Asis-Cruz1, Kevin M Cook1
1Developing Brain Institute, Children's National, 111 Michigan Avenue NW, Washington, DC 20010, USA.
Insights
Preterm birth alters sensory cortex development, reducing brain connectivity. This may increase neurodevelopmental disability risk, including autism, in infants exposed to early ex-utero environments.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Neonatology
Background:
- Atypical sensory experiences in preterm infants may lead to neurodevelopmental disabilities.
- Altered sensory cortex development is a potential mechanism linking preterm birth to these disabilities.
Purpose of the Study:
- To investigate the impact of early ex-utero exposure on sensory cortex development in preterm infants.
- To assess differences in local brain connectivity using regional homogeneity (ReHo) between preterm and term-born infants.
Main Methods:
- Resting-state functional magnetic resonance imaging (fMRI) data were collected from preterm and term-born infants.
- Regional homogeneity (ReHo), a measure of local functional connectivity, was analyzed.
- Infants were scanned between 32 and 48 weeks post-menstrual age.
Main Results:
- The brain-wide distribution of ReHo reflected the established gradient of cortical maturation.
- Preterm birth was associated with a differential reduction in ReHo across primary sensory cortices.
- Reduced ReHo in the auditory cortex of preterm infants correlated with a higher risk of autism at 18 months.
Conclusions:
- Local functional connectivity within sensory cortices exhibits distinct developmental trajectories.
- Preterm birth significantly impacts sensory cortex development and local connectivity.
- Altered sensory cortex connectivity in preterm infants may be linked to later neurodevelopmental outcomes, including autism.
Abstract:
Atypical perinatal sensory experience in preterm infants is thought to increase their risk of neurodevelopmental disabilities by altering the development of the sensory cortices. Here, we used resting-state fMRI data from preterm and term-born infants scanned between 32 and 48 weeks post-menstrual age to assess the effect of early ex-utero exposure on sensory cortex development. Specifically, we utilized a measure of local correlated-ness called regional homogeneity (ReHo). First, we demonstrated that the brain-wide distribution of ReHo mirrors the known gradient of cortical maturation. Next, we showed that preterm birth differentially reduces ReHo across the primary sensory cortices. Finally, exploratory analyses showed that the reduction of ReHo in the primary auditory cortex of preterm infants is related to increased risk of autism at 18 months. In sum, we show that local connectivity within sensory cortices has different developmental trajectories, is differentially affected by preterm birth, and may be associated with later neurodevelopment.
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