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Brain volumes and cortical thickness and associations with cognition in children born extremely preterm
Hedvig Kvanta1, Nelly Padilla2, Daniela Nosko3
1Department of Women's and Children's Health, Karolinska Institute, Solna, Stockholm, Sweden. hedvig.kvanta@ki.se.
Insights
Extremely preterm children
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Radiology
Background:
- Extremely preterm (EPT) birth is associated with altered brain development and lower cognitive function compared to term-born infants.
- Limited research exists on the specific brain-cognition associations in EPT populations.
Purpose of the Study:
- To investigate brain volumes, cortical thickness, and volumetric growth in EPT children compared to term-born controls.
- To explore the relationship between neuroimaging findings and cognitive outcomes at 12 years of age in EPT children.
Main Methods:
- Brain MRI scans were acquired at term-equivalent age and/or 10 years in EPT children and term-born controls.
- Cognitive assessments were performed at 12 years of age.
- Longitudinal data from term to 10 years was analyzed for EPT children.
Main Results:
- Positive associations were found between 10-year brain volumes and cognitive outcomes in both EPT and control groups.
- Negative associations were observed between 10-year cortical thickness and cognitive outcomes in both groups.
- Insular volume at 10 years showed a positive association with cognitive outcomes in EPT children.
Conclusions:
- Brain structure at 10 years relates to cognitive function similarly in EPT and term-born children.
- Insular volume may serve as a potential biomarker for cognitive outcomes in EPT individuals.
- Further research is needed to understand the link between brain volumetric growth and cognition in EPT populations.
Background:
Children born extremely preterm (EPT) have altered brain volumes and cortical thickness and lower cognition than children born at term. Associations between these have remained largely unexplored, due to the lack of studies focusing on children born EPT.
Methods:
Children underwent brain magnetic resonance imaging (MRI) at term and/or 10 years and cognitive assessments at 12 years. The study comprised of 42 children born EPT and 29 term-born controls with cognitive data and MRI data at 10 years, 25 children born EPT had MRI data at term age and 20 had longitudinal MRI data.
Results:
Cognition was positively associated with brain volumes at 10 years, but negatively associated with cortical thickness at 10 years. Most associations between term age brain volumes and cognitive outcomes were non-significant for children born EPT. Growth from term to 10 years in children born EPT was not associated with cognition. Insular volume was positively associated with cognition in children born EPT.
Conclusion:
Imaging assessments at 10 years had similar associations to cognition in children born EPT and term-born controls. Insular volume could be a biomarker for cognitive outcome. Associations between brain volumetric growth and cognition require further investigation.
Impact:
This study investigated brain volumes, volumetric growth, and cortical thickness in children born extremely preterm, who have rarely been studied exclusively, and compared the data with term-born controls. In both groups, brain volumes at 10 years were positively associated with cognitive outcome at 12 years, but cortical thickness at 10 years was negatively associated with cognitive outcome at 12 years. Volumetric growth from term age to 10 years was not associated with cognitive outcome in the subset of children born extremely preterm with longitudinal data. Insular volume may be a potential biomarker for cognitive outcome in children born extremely preterm.
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