Neuroimaging Shows Preemies May Have Weakened Brain Networks

A new study shows that babies born prematurely are at greater risk of having neurological and psychiatric problems. This may be due to weakened connections in brain networks associated with attention, communication, and the processing of emotions, say the researchers from Washington University School of Medicine in St. Louis.

For the study, researchers analyzed the brain scans of premature and full-term babies in order to identify any differences in the brain that may underlie such problems.

“The brain is particularly ‘plastic’ very early in life and potentially could be modified by early intervention,” said lead researcher Cynthia Rogers, M.D., assistant professor of child psychiatry.

“We usually can’t begin interventions until after symptoms develop, but what we’re trying to do is develop objective measures of brain development in preemies that can indicate whether a child is likely to have later problems so that we can then intervene with extra support and therapy early on to try to improve outcomes.”

One in nine infants born in the U.S. is a preemie. These babies face an increased risk of cognitive difficulties, problems with motor skills, and attention deficit-hyperactivity disorder (ADHD), autism spectrum disorders, and anxiety.

To gain a better understanding of how premature birth affects the brain, the researchers used functional magnetic resonance imaging and diffusion tensor brain imaging to compare 58 babies born at full term with 76 infants born at least 10 weeks early. Each full-term baby was scanned on his or her second or third day of life. Each premature baby, meanwhile, received a brain scan within a few days of his or her due date.

The findings revealed that certain key brain networks — those involved in attention, communication, and emotion — are weaker in premature infants, offering an explanation for why children born prematurely may have an elevated risk of psychiatric disorders.

“We found significant differences in the white matter tracts and abnormalities in brain circuits in the infants born early, compared with those of infants born at full term,” said Rogers, who treats patients at St. Louis Children’s Hospital.

White matter tracts in the brain are made of axons that connect brain regions to form networks. The researchers also found differences in preemies’ resting-state brain networks, particularly in a pair of networks previously implicated in learning and developmental problems.

Among these resting-state networks is the default mode network, which tends to be most active when people are least active. The greatest differences between full-term and preterm babies were seen in this network and in the frontoparietal network. Both networks involve brain circuits associated with emotion and have also been linked to ADHD and autism spectrum disorders.

Rogers said these brain circuit abnormalities likely contribute to problems that materialize as the children get older.

The researchers are continuing to follow the babies in the study. They have completed follow-up evaluations when the children reached age two, and again on some at age five. The researchers plan another series of brain scans in a few years as the original study participants reach the ages of nine or 10.

“We’re analyzing the data we’ve already gathered, but we want to bring the children back when they are nine or 10 and continue to follow their development,” she said. “We want to look at the evolution of brain development in full-term versus preterm babies, and we want to know how that may affect who is impaired and who is not.”

That information may help doctors and scientists target abnormalities in the brains of preterm babies and, potentially, change the course of their development.

The findings were presented at Neuroscience 2015, the annual scientific meeting of the Society for Neuroscience.

Source: Washington University School of Medicine