Phenotyping the preterm brain: characterizing individual deviations from normative volumetric development in two large infant cohorts
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Published version
OA Location
Author(s)
Type
Journal Article
Abstract
The diverse cerebral consequences of preterm birth create significant challenges for understanding pathogenesis or predicting later outcome. Instead of focusing on describing effects common to the group, comparing individual infants against robust normative data offers a powerful alternative to study brain maturation. Here we used Gaussian process regression to create normative curves characterizing brain volumetric development in 274 term-born infants, modeling for age at scan and sex. We then compared 89 preterm infants scanned at term-equivalent age with these normative charts, relating individual deviations from typical volumetric development to perinatal risk factors and later neurocognitive scores. To test generalizability, we used a second independent dataset comprising of 253 preterm infants scanned using different acquisition parameters and scanner. We describe rapid, nonuniform brain growth during the neonatal period. In both preterm cohorts, cerebral atypicalities were widespread, often multiple, and varied highly between individuals. Deviations from normative development were associated with respiratory support, nutrition, birth weight, and later neurocognition, demonstrating their clinical relevance. Group-level understanding of the preterm brain disguises a large degree of individual differences. We provide a method and normative dataset that offer a more precise characterization of the cerebral consequences of preterm birth by profiling the individual neonatal brain.
Date Issued
2021-04-05
Date Acceptance
2021-02-05
Citation
Cerebral Cortex, 2021, 31 (8), pp.3665-3677
ISSN
1047-3211
Publisher
Oxford University Press
Start Page
3665
End Page
3677
Journal / Book Title
Cerebral Cortex
Volume
31
Issue
8
Copyright Statement
© The Author(s) 2021. Published by Oxford University Press.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/),which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
Commission of the European Communities
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/33822913
PII: 6206863
Grant Number
319456
Subjects
early brain development
heterogeneity
normative modeling
preterm birth
volumetric MRI
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2021-04-05