Poster No:
1023
Submission Type:
Abstract Submission
Authors:
Anand Joshi1, Jessica Wisnowski2, Sachin Salim1, Richard Leahy1, Vidya Rajagopalan2, David Shattuck3
Institutions:
1University of Southern California, Los Angeles, CA, 2Children's Hospital, Los Angeles, Los Angeles, CA, 3University of California, Los Angeles, Los Angeles, CA
First Author:
Anand Joshi
University of Southern California
Los Angeles, CA
Co-Author(s):
Sachin Salim
University of Southern California
Los Angeles, CA
Introduction:
Infants undergo a critical period of brain maturation during the first year of life, characterized by rapid growth in cortical and subcortical regions, synaptogenesis, and myelination. During this time, gray matter volume nearly doubles, while white matter develops through progressive myelination, which enhances neural connectivity and signal efficiency [2]. These processes are reflected in evolving T1- and T2-weighted MRI signal intensities, corresponding to shifts in water and lipid content. While this maturation follows a typical trajectory, deviations have been linked to neurodevelopmental disorders such as autism and cerebral palsy, underscoring the need for automated, robust methods to analyze developmental changes and detect deviations early. However, analyzing infant brain MRI poses unique challenges, including small brain size, underdeveloped cortical folding, and contrast inversion, where unmyelinated white matter appears hypointense on T1-weighted images and hyperintense on T2-weighted images. We propose a novel deep learning framework that analyzes T1- and T2-weighted MRI data to predict brain age and to monitor developmental changes in infants.
Methods:
We used three datasets in the development and evaluation of our method, which included MRI from a total of N=1548 subjects. These included: (1) the Cambridge Centre for Aging and Neuroscience (CamCAN) project (N3=652) [4] (2) the Baby Open Brains Repository (N1=63) [3]; and (3) Pediatric Imaging dataset (N2=833) [1]. The data from each of these three datasets were subdivided into a training set (80%) and a validation set (20%).
Our approach employed a U-Net-based neural network with a fully-connected layer in the latent space to classify tissue types and predict brain age. To enhance generalizability across varying MRI signal characteristics and achieve robustness to contrast inversion, we applied data augmentation techniques, including simulated contrast inversion on the CamCAN dataset. The model was trained and validated on multiple infant brain MRI datasets to encompass a wide spectrum of developmental features, ensuring robustness across diverse populations (see Fig. 1). Expert-estimated brain ages served as the ground truth for our evaluations. Model performance was assessed using metrics such as accuracy, Dice coefficient scores, and correlations with ground-truth brain ages.

Results:
Our deep learning framework achieved high segmentation accuracy across diverse infant brain MRI datasets, with average Dice coefficients exceeding 0.85 for gray and white matter tissue classification. Brain age predictions demonstrated a correlation (r > 0.9) with corrected age, confirming the model's ability to capture developmental milestones. Augmentation strategies effectively addressed MRI contrast inversion, enabling accurate predictions across different developmental stages. The model predicted brain age with mean absolute error (MAE) of 1.7 ±.0.9 weeks. Figure 2 shows a comparison of ground truth and automatic segmentation for one example subject and violin plots of the differences in age prediction results from expert-determined age and chronological age. This highlights the utility of incorporating regression capabilities into the model for predicting developmental biomarkers.
Conclusions:
We introduced a deep learning framework designed to analyze infant brain MRI for tissue segmentation and estimation of physiologic brain age. The model showed robust performance in tissue classification and brain age prediction despite challenges unique to infant imaging such as contrast inversion, limited anatomical differentiation, and small training sets. Early identification of deviations from normative brain development patterns in infants holds significant potential for detecting neurodevelopmental disorders and informing personalized interventions during critical developmental windows.
Lifespan Development:
Early life, Adolescence, Aging
Normal Brain Development: Fetus to Adolescence 1
Modeling and Analysis Methods:
Classification and Predictive Modeling
Methods Development 2
Neuroanatomy, Physiology, Metabolism and Neurotransmission:
Normal Development
Keywords:
Machine Learning
Modeling
MRI
Myelin
PEDIATRIC
1|2Indicates the priority used for review
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Please indicate below if your study was a "resting state" or "task-activation” study.
Other
Healthy subjects only or patients (note that patient studies may also involve healthy subjects):
Healthy subjects
Was this research conducted in the United States?
Yes
Are you Internal Review Board (IRB) certified?
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Yes, I have IRB or AUCC approval
Were any human subjects research approved by the relevant Institutional Review Board or ethics panel?
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Yes
Were any animal research approved by the relevant IACUC or other animal research panel?
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Not applicable
Please indicate which methods were used in your research:
Structural MRI
For human MRI, what field strength scanner do you use?
1.5T
3.0T
Which processing packages did you use for your study?
FSL
Provide references using APA citation style.
[1] Akinci D’Antonoli, T., et al. (2023). Development and Evaluation of Deep Learning Models for Automated Estimation of Myelin Maturation Using Pediatric Brain MRI Scans. Radiology: Artificial Intelligence, 5(5), e220292.
[2] Dubois, J., et al. (2021). MRI of the neonatal brain: a review of methodological challenges and neuroscientific advances. Journal of Magnetic Resonance Imaging, 53(5), 1318-1343.
[3] Feczko, E., Stoyell,et al. (2024). Baby Open Brains: An Open-Source Repository of Infant Brain Segmentations. bioRxiv, 2024-10.
[4] Taylor, J. R., et al. (2017). The Cambridge Centre for Ageing and Neuroscience (Cam-CAN) data repository: Structural and functional MRI, MEG, and cognitive data from a cross-sectional adult lifespan sample. neuroimage, 144, 262-269.
No