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  2. Altered Neurobehavioral White Matter Integrity In Preterm Children: A Confounding-controlled Analysis Using The Adolescent Brain And Cognitive Development (abcd) Study.
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  2. Altered Neurobehavioral White Matter Integrity In Preterm Children: A Confounding-controlled Analysis Using The Adolescent Brain And Cognitive Development (abcd) Study.

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Altered neurobehavioral white matter integrity in preterm children: A confounding-controlled analysis using the

Hailong Li1, Yuwen Hung2, Junqi Wang3

  • 1Imaging Research Center, Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Neurodevelopmental Disorders Prevention Center, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Neuroimage
|November 23, 2025

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
Diffusion tensor imagingPreterm childrenWhite matter integrity

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Children born preterm show altered brain white matter integrity, impacting attention and processing speed. These findings highlight the need for early neuro-rehabilitation interventions to support healthy development.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatric Medicine

Background:

  • Premature birth is linked to atypical brain development and neurodevelopmental issues.
  • Limited understanding exists on outcomes unconfounded by medical complications.
  • This study investigates neural and behavioral outcomes in children born preterm without medical complications.

Purpose of the Study:

  • Identify unconfounded neurobehavioral biomarkers for childhood vulnerability after premature birth.
  • Examine neural and behavioral outcomes in non-medically complex preterm children.
  • Inform interventions to mitigate adverse outcomes in preterm populations.

Main Methods:

  • Utilized the Adolescent Brain and Cognitive Development (ABCD) Study dataset.
  • Employed a case-control design with rigorous confounding control.
  • Included 612 children (9-11 years): 306 preterm and 306 full-term, matched for key demographics.
  • Assessed neurocognitive outcomes and brain connectome integrity using diffusion tensor imaging (DTI).
  • Main Results:

    • Significant differences in microstructural and axonal integrity of frontal-limbic tracts between preterm and full-term children.
    • Altered structural connectivity in the anterior thalamic radiation was observed in preterm children.
    • A modified brain-behavioral regulatory relationship was found concerning attention and processing speed tasks.

    Conclusions:

    • Identified unconfounded neurobehavioral risk biomarkers associated with premature birth.
    • Preterm children exhibit reduced white matter integrity in the frontal-limbic connectome.
    • Diminished adaptability in attention and processing speed increases neurodevelopmental risk, necessitating targeted interventions.