Developmental changes in diffusion MRI metrics along the perivascular space in children during the first 5 years of

Maria Camila Cortes-Albornoz1,2, Sergio Valencia1,2, Jeremy N Ford1,2

  • 1Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, United States.

Pediatric Radiology
|March 20, 2026
PubMed

Insights

The Along the Perivascular Space (ALPS) index increases with age in children under five, particularly in the right hemisphere. This suggests early developmental differences in brain fluid transport and provides key normative data.

Area of Science:

  • Neuroscience
  • Radiology
  • Developmental Biology

Background:

  • The glymphatic system is crucial for brain waste clearance and neural health.
  • Understanding its development is key to pediatric brain health.

Purpose of the Study:

  • To evaluate age-related changes in the Along the Perivascular Space (ALPS) index using MRI in children under 5.
  • To establish normative data for early brain development.

Main Methods:

  • Diffusion-weighted MRI data from the Baby Connectome Project (BCP) were analyzed.
  • The ALPS index was computed using diffusion tensor imaging (DTI).
  • Statistical analyses (linear regression, ANOVA) assessed age, sex, and motion effects.

Main Results:

  • ALPS index values significantly increased with age, especially in the right hemisphere.
  • Age was a positive predictor of ALPS values (P<0.001).
  • No significant effects of sex or head motion were observed.

Conclusions:

  • ALPS index increases with age in early childhood, indicating developmental changes in perivascular water diffusivity.
  • Findings suggest early hemispheric asymmetry in this process.
  • This study provides normative reference data for pediatric neuroimaging.
Abstract

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