News Release

Autism-associated brain differences can be observed in the womb

Study is the first to analyze prenatal MRI scans of children later diagnosed with autism

Peer-Reviewed Publication

Experimental Biology

Prenatal brain scan analysis

image: Images representative of the process researchers used to analyze prenatal brain scans. (a-b) In-utero MRI images used in the study, (c) an MRI image after processing to mask the brain from the external tissue, (d) automatic segmentation of the brain structures, and (e) analysis of the segmented structures. The regional segmentation process was done in collaboration with Yangming Ou at Boston Children’s Hospital. view more 

Credit: Alpen Ortug and Emi Takahashi, Harvard Medical School

Philadelphia (April 5, 2022) – A new study using prenatal brain scans revealed significant differences in brain structures at around 25 weeks’ gestation between children who were later diagnosed with ASD and those who were not. The study adds to mounting evidence that autism begins in early development and suggests possible opportunities to identify the disorder at an earlier age.


“Earlier detection means better treatment,” said Alpen Ortug, PhD, a postdoctoral research fellow at Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, first author of the study. “Our results suggest that an increased volume of the insular lobe may be a strong prenatal MRI biomarker that could predict the emergence of ASD later in life.”


Ortug will present the research at the American Association for Anatomy annual meeting during the Experimental Biology (EB) 2022 meeting, held in Philadelphia April 2–5


ASD, diagnosed in 1 in 68 children in the U.S., is a complex neurodevelopmental disorder that can cause challenges with communication, cognitive processing, emotional awareness and perception. The causes of ASD are unknown but both genetic and environmental factors are thought to play a role. While early treatment has been shown to improve language and cognitive abilities, current diagnostic tools can only identify the disorder around 18 months of age.


To find out if brain scans taken prenatally could help identify signs of ASD earlier, the researchers retrospectively analyzed 39 fetal MRI brain scans taken at Boston Children’s Hospital. Nine of the children were later diagnosed with ASD, 20 were neurotypical and 10 did not have ASD but had other health conditions that were also observed in the children with ASD. The brain scans had been taken at about 25 weeks’ gestation, on average.


After preprocessing, the researchers used an atlas-based automated anatomical labeling method to segment the brain scans and then compared the segmented brain regions between the different groups. The biggest differences were found in the brain’s insular lobe, which had a significantly larger volume in the ASD group compared with the other three control groups. The insula is a region deep inside the brain that is thought to have a role in perceptual awareness, social behavior and decision-making, among other functions.


The findings align with other recent studies that have reported changes in the insular cortex in adults with autism and suggests these differences may begin in the womb. The researchers also found that the scans from children with ASD showed a significantly larger amygdala and hippocampal commissure compared with children who had other health conditions but not ASD.


“Given that many genetic and environmental factors could affect the emergence of ASD starting in the fetal stages, it is ideal to identify the earliest signature of brain abnormalities in prospective autism patients,” said Ortug. “To the best of our knowledge, this is the first attempt to semi-automatically segment the brain regions in the prenatal stage in patients who are diagnosed with autism later and compare different groups of controls.”


Ortug conducted the research while in a former position as a postdoctoral research fellow at Boston Children’s Hospital. The study was led by Harvard Medical School Assistant Professor Emi Takahashi, PhD, whose lab recently moved from Boston Children’s Hospital to the Athinoula A. Martinos Center for Biomedical Imaging at Massachusetts General Hospital.


Ortug will present this research from 9:30–9:45 a.m. Tuesday, April 5, in Room 108A, Pennsylvania Convention Center (abstract). Contact the media team for more information or to obtain a free press pass to attend the meeting.


Images available.





About Experimental Biology 2022

Experimental Biology (EB) is the annual meeting of five scientific societies bringing together thousands of scientists and 25 guest societies in one interdisciplinary community. With a mission to share the newest research findings shaping clinical advances, EB offers an unparalleled opportunity to tap into the latest research in anatomy, biochemistry, molecular biology, investigative pathology, pharmacology and physiology. The Experimental Biology 2022 meeting will be held April 2–5 at the Pennsylvania Convention Center in Philadelphia. #expbio


About the American Association for Anatomy (AAA)

AAA is the professional home for an international community of biomedical researchers and educators focusing on the structural foundation of health and disease. Founded in 1888, the Association advances anatomical science through research, education, and professional development.


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