Growth charts of brain morphometry for preschool children

Neuroimage. 2022 Jul 15:255:119178. doi: 10.1016/j.neuroimage.2022.119178. Epub 2022 Apr 14.

Abstract

Brain development from 1 to 6 years of age anchors a wide range of functional capabilities and carries early signs of neurodevelopmental disorders. However, quantitative models for depicting brain morphology changes and making individualized inferences are lacking, preventing the identification of early brain atypicality during this period. With a sample size of 285, we characterized the age dependence of the cortical thickness and subcortical volume in neurologically normal children and constructed quantitative growth charts of all brain regions for preschool children. While the cortical thickness of most brain regions decreased with age, the entorhinal and parahippocampal regions displayed an inverted-U shape of age dependence. Compared to the cortical thickness, the normalized volume of subcortical regions exhibited more divergent trends, with some regions increasing, some decreasing, and some displaying inverted-U-shaped trends. The growth curve models for all brain regions demonstrated utilities in identifying brain atypicality. The percentile measures derived from the growth curves facilitate the identification of children with developmental speech and language disorders with an accuracy of 0.875 (area under the receiver operating characteristic curve: 0.943). Our results fill the knowledge gap in brain morphometrics in a critical development period and provide an avenue for individualized brain developmental status evaluation with demonstrated sensitivity. The brain growth charts are shared with the public (http://phi-group.top/resources.html).

Keywords: Brain development; Brain structure; Childhood development; Developmental brain disorder; Diagnostic imaging; Growth curve.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain
  • Brain Mapping / methods
  • Child, Preschool
  • Growth Charts
  • Humans
  • Magnetic Resonance Imaging* / methods
  • Neurodevelopmental Disorders*