A 16-year study of longitudinal volumetric brain development in males with autism

Neuroimage. 2021 Aug 1:236:118067. doi: 10.1016/j.neuroimage.2021.118067. Epub 2021 Apr 18.

Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental disorder with unknown brain etiology. Our knowledge to date about structural brain development across the lifespan in ASD comes mainly from cross-sectional studies, thereby limiting our understanding of true age effects within individuals with the disorder that can only be gained through longitudinal research. The present study describes FreeSurfer-derived volumetric findings from a longitudinal dataset consisting of 607 T1-weighted magnetic resonance imaging (MRI) scans collected from 105 male individuals with ASD (349 MRIs) and 125 typically developing male controls (258 MRIs). Participants were six to forty-five years of age at their first scan, and were scanned up to 5 times over a period of 16 years (average inter-scan interval of 3.7 years). Atypical age-related volumetric trajectories in ASD included enlarged gray matter volume in early childhood that approached levels of the control group by late childhood, an age-related increase in ventricle volume resulting in enlarged ventricles by early adulthood and reduced corpus callosum age-related volumetric increase resulting in smaller corpus callosum volume in adulthood. Larger corpus callosum volume was related to a lower (better) ADOS score at the most recent study visit for the participants with ASD. These longitudinal findings expand our knowledge of volumetric brain-based abnormalities in males with ASD, and highlight the need to continue to examine brain structure across the lifespan and well into adulthood.

Keywords: Autism spectrum disorder; Brain volumes; Corpus callosum; Longitudinal development; MRI; Ventricles.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Autism Spectrum Disorder* / diagnostic imaging
  • Autism Spectrum Disorder* / pathology
  • Autism Spectrum Disorder* / physiopathology
  • Cerebral Ventricles* / diagnostic imaging
  • Cerebral Ventricles* / growth & development
  • Cerebral Ventricles* / pathology
  • Child
  • Corpus Callosum* / diagnostic imaging
  • Corpus Callosum* / growth & development
  • Corpus Callosum* / pathology
  • Gray Matter* / diagnostic imaging
  • Gray Matter* / growth & development
  • Gray Matter* / pathology
  • Human Development* / physiology
  • Humans
  • Longitudinal Studies
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Young Adult