4.7 Article

Corpus callosum alterations in very preterm infants: Perinatal correlates and 2 year neurodevelopmental outcomes

Journal

NEUROIMAGE
Volume 59, Issue 4, Pages 3571-3581

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.neuroimage.2011.11.057

Keywords

Brain; Prematurity; Neonate; Magnetic resonance imaging; Diffusion tensor imaging; Tractography

Funding

  1. VIBeS
  2. Developmental Imaging teams at the Murdoch Childrens Research Institute
  3. National Health and Medical Research Council of Australia [237117, 400317, 628371]
  4. National Institute of Health [R01 RR021885, R01 GM074068, R01 EB008015, P30 HD018655]
  5. United Cerebral Palsy Foundation (USA)
  6. Leila Y. Mathers Charitable Foundation (USA)
  7. Brown Foundation (USA)
  8. Victorian Government

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The aim of this study was to relate altered corpus callosum (CC) integrity in 106 very preterm (VPT) infants (<30 weeks' gestational age or <1250 g birth weight) at term equivalent to perinatal predictors and neurodevelopmental outcomes at two years. T1 and diffusion magnetic resonance images were obtained. The CC was traced, and divided into six sub-regions for cross-sectional area and shape analyses. Fractional anisotropy, mean, axial and radial diffusivity were sampled within the CC, and probabilistic tractography was performed. Perinatal predictors were explored. The Bayley Scales of Infant Development (BSID-II) was administered at two years. Intraventricular hemorrhage was associated with a smaller genu and altered diffusion values within the anterior and posterior CC of VPT infants. White matter injury was associated with widespread alterations to callosal diffusion values, especially posteriorly, and radial diffusivity was particularly elevated, indicating altered myelination. Reduced CC tract volume related to lower gestational age, particularly posteriorly. Reduced posterior callosal skew was associated with postnatal corticosteroid exposure. This more circular CC was associated with delayed cognitive development. Higher diffusivity, particularly in splenium tracts, was associated with impaired motor development. This study elucidates perinatal predictors and adverse neurodevelopmental outcomes associated with altered callosal integrity in VPT infants. (C) 2011 Elsevier Inc. All rights reserved.

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