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Updated: Jun 30, 2026

Infant Auditory Processing and Event-related Brain Oscillations
Published on: July 1, 2015
Structural and functional connectivity in infancy relate to communication skills at age 2 in children born very
Jennifer Vannest1, Mekibib Altaye2,3, Junqi Wang4
1Department of Communication Sciences and Disorders, University of Cincinnati and Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Insights
Early brain connectivity in very preterm infants predicts later communication skills. Both positive and negative associations were found, suggesting complex neural development pathways for communication in this high-risk group.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Preterm birth (≤32 weeks gestation) increases the risk of communication difficulties.
- Early neural markers for these communication outcomes in preterm infants are not well understood.
- Identifying early predictors is crucial for timely intervention.
Purpose of the Study:
- To investigate the association between infant brain connectivity and communication skills at 24-30 months in very preterm children.
- To explore if structural and functional connectivity patterns differ across various communication domains (verbal, gestural, social-affective, symbolic).
Main Methods:
- Used MRI (resting-state functional and diffusion) at term-equivalent age in 180 very preterm infants.
- Derived structural and functional brain connectomes.
- Assessed communication skills using the Communication and Symbolic Behavior Scales (CSBS) at follow-up; analyzed associations using LASSO regression.
Main Results:
- Significant associations were found between both functional and structural connectivity and overall communication scores.
- Positive associations: Functional connectivity in left/right temporal regions linked to higher communication scores.
- Negative associations: Several structural connections (cortical, cerebellar, subcortical) linked to communication outcomes, suggesting complex or compensatory network organization.
Conclusions:
- Early brain connectivity variability in very preterm infants is associated with later communication development.
- Distinct connectivity patterns relate to different communication domains.
- Multimodal neuroimaging can identify early neural correlates, aiding in risk assessment and intervention for preterm populations.
Abstract:
Preterm birth is associated with increased risk for communication difficulties, yet early neural markers of later outcomes remain poorly understood. This study examined associations between structural and functional brain connectivity in infancy and communication skills at 24to 30 months in children born very preterm (≤32 weeks gestation). Participants (n = 180) MRI at term-equivalent age during natural sleep. Resting-state functional and diffusion data were used to derive structural and functional connectivity across regions implicated in communication. At follow-up, communication outcomes were assessed using Communication and Symbolic Behavior Scales (CSBS), which captures verbal, gestural, social-affective, and symbolic communication skills. We analyzed 22×22 functional and structural connectomes among selected ROIs, using a LASSO regression approach to identify connectivity associated with CSBS scores adjusting for demographic and medical covariates. Significant relationships were observed between both functional and structural connectivity and communication skills, differing by domain. Functional connectivity between left and right temporal regions was positively associated with overall communication scores, whereas several structural connections involving cortical, cerebellar, and subcortical regions showed negative associations. Distinct connectivity patterns were also associated with gestural, verbal, social-affective, and symbolic communication skills. These findings demonstrate that variability in early brain connectivity is associated with later communication outcomes in children born very preterm. We found both significant positive and negative associations after adjusting for relevant covariates; these patterns potentially reflect compensatory or atypical network organization. These results highlight the value of multimodal neuroimaging in identifying early neural correlates of communication in this high-risk population.
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