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Research ArticlePediatric Neuroimaging
Open Access

Gestational Age at Birth and Brain White Matter Development in Term-Born Infants and Children

X. Ou, C.M. Glasier, R.H. Ramakrishnaiah, A. Kanfi, A.C. Rowell, R.T. Pivik, A. Andres, M.A. Cleves and T.M. Badger
American Journal of Neuroradiology December 2017, 38 (12) 2373-2379; DOI: https://doi.org/10.3174/ajnr.A5408
X. Ou
aFrom the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
bPediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
cArkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
dDepartment of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas.
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C.M. Glasier
aFrom the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
bPediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
dDepartment of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas.
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R.H. Ramakrishnaiah
aFrom the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
dDepartment of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas.
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A. Kanfi
aFrom the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
dDepartment of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas.
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A.C. Rowell
aFrom the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
dDepartment of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas.
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R.T. Pivik
bPediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
cArkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
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A. Andres
bPediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
cArkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
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M.A. Cleves
bPediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
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T.M. Badger
bPediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
cArkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
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    Fig 1.

    Tract-based spatial statistics analysis of the correlation between gestational age at birth and DTI parameters (FA, MD, AD, and RD) in term infants. Background images are FA maps; major white matter tracts are green; voxels in the tract with significant positive correlations (P < .05, corrected) are red; voxels with significant negative correlations (P < .05, corrected) are blue. Widespread positive correlations between FA and gestational age at birth and negative correlations between MD, AD, and RD and gestational age at birth were observed.

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    Fig 2.
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    Fig 2.

    Scatterplots for correlation analyses between gestational age at birth and DTI parameters in white matter ROIs of term infants and children. Data for term infants are in red, and data for 8-year-old children are in blue. Least-square fit lines are also shown. Units for DTI parameters are: FA (no unit); MD, AD, and RD (μm2/ms). Positive correlations (P < .05) between gestational age and FA were observed in many ROIs (marked with an asterisk) for the term infants, but not in any ROI for the 8-year-old children. Likewise, negative correlations (P < .05) between gestational age and MD, AD, and RD were observed for most ROIs (marked with an asterisk) for the term infants, but none were observed for any ROI for the 8-year-old children. (Details of correlation statistics are provided in Table 3.)

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    Table 1:

    Demographic information for the healthy term infants and 8-year-old term-born children

    DemographicsInfantsChildren
    No. of patients4463
    Gestational age at birth, wks (mean ± SD [min, max])39.3 ± 1.0 [37.3, 40.7]39.4 ± 1.2 [37.0, 42.1]
    Age at MRI (mean ± SD [min, max])a14.3 ± 1.6 [11, 19]7.90 ± 0.25 [7.52, 8.51]
    Gender (M, F)23, 2128, 35
    RIAS IQ (mean ± SD [min, max])N/A110.8 ± 12.5 [82, 147]
    • Note:—IQ indicates intelligence quotient; max, maximum; min, minimum; RIAS, Reynolds Intellectual Assessment Scales.

    • ↵a Unit for infant ages is weeks; for children, years.

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    Table 2:

    Percentage of imaging voxels in major white matter tracts that showed significant correlation (P < .05, corrected) between DTI parameters (FA, MD, AD, and RD) and gestational age at birth

    InfantsaChildrena
    FA80, all positive0
    MD91, all negative0
    AD87, all negative0
    RD91, all negative0
    • ↵a Information presented as percentage of voxels, correlation type.

    • View popup
    Table 3:

    Correlation coefficients (r values) and correlation statistics (P values) between gestational age at birth and DTI parameters in white matter ROIs for the term infants and children

    FA CorrelationMD CorrelationAD CorrelationRD Correlation
    r ValueP Valuer ValueP Valuer ValueP Valuer ValueP Value
    Infants
        GN0.28.07−0.24.13−0.06.72−0.29.06
        SP−0.02.900.06.73−0.05.780.06.69
        BCC−0.06.70−0.15.34−0.25.10−0.08.60
        PLIC0.29.06−0.67<.001a−0.54<.001a−0.59<.001a
        ALIC0.18.25−0.72<.001a−0.59<.001a−0.61<.001a
        EC0.45.003a−0.71<.001a−0.65<.001a−0.69<.001a
        CG0.32.04a−0.63<.001a−0.51<.001a−0.62<.001a
        SCR0.48.001a−0.63<.001a−0.54<.001a−0.63<.001a
        SLF0.59<.001a−0.65<.001a−0.63<.001a−0.66<.001a
        AWM0.60<.001a−0.69<.001a−0.66<.001a−0.67<.001a
        PWM0.23.13−0.59<.001a−0.61<.001a−0.52<.001a
        OR0.28.07−0.52<.011a−0.49.001a−0.47.001a
        IFO0.66<.001a−0.72<.001a−0.70<.001a−0.70<.001a
        ILF0.24.13−0.71<.001a−0.69<.001a−0.68<.001a
    Children
        GN−0.25.050.16.21−0.15.250.22.08
        SP−0.05.680.04.78−0.03.790.04.78
        BCC−0.13.330.03.810.00.990.06.63
        PLIC−0.03.81−0.02.88−0.04.730.01.93
        ALIC0.08.54−0.05.680.09.51−0.10.46
        EC−0.05.69−0.00.95−0.07.610.01.93
        CG−0.08.53−0.19.14−0.02.10−0.16.21
        SCR−0.17.18−0.02.91−0.24.060.04.77
        SLF0.01.95−0.01.94−0.02.84−0.02.89
        AWM−0.01.91−0.10.44−0.06.64−0.09.49
        PWM−0.19.14−0.00.97−0.18.170.08.52
        OR−0.04.76−0.05.72−0.00.99−0.04.77
        IFO−0.21.10−0.04.77−0.22.090.05.71
        ILF−0.21.100.00.98−0.24.060.10.43
    • Note:—ALIC indicates anterior limb of internal capsule; AWM, anterior white matter; BCC, body of corpus callosum; CG, cingulum; EC, external capsule; GN, genu of corpus callosum; IFO, inferior frontal occipital fasciculus; ILF, inferior longitudinal fasciculus; OR, optic radiation; PLIC, posterior limb of internal capsule; PWM, posterior white matter; SCR, superior corona radiata; SLF, superior longitudinal fasciculus; SP, splenium of corpus callosum.

    • ↵a Indicates P values for significant correlations.

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American Journal of Neuroradiology: 38 (12)
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X. Ou, C.M. Glasier, R.H. Ramakrishnaiah, A. Kanfi, A.C. Rowell, R.T. Pivik, A. Andres, M.A. Cleves, T.M. Badger
Gestational Age at Birth and Brain White Matter Development in Term-Born Infants and Children
American Journal of Neuroradiology Dec 2017, 38 (12) 2373-2379; DOI: 10.3174/ajnr.A5408

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Gestational Age at Birth and Brain White Matter Development in Term-Born Infants and Children
X. Ou, C.M. Glasier, R.H. Ramakrishnaiah, A. Kanfi, A.C. Rowell, R.T. Pivik, A. Andres, M.A. Cleves, T.M. Badger
American Journal of Neuroradiology Dec 2017, 38 (12) 2373-2379; DOI: 10.3174/ajnr.A5408
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