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Abstract #0868

Longitudinal Brain Morphometry and NIH Toolbox Performance in Adolescents Before and After COVID-19

Meghann Ryan1,2, Pedro Rodriguez Rivera1,2, Huajun Liang1, Amal Isaiah2,3,4, Thomas Ernst1,2, and Linda Chang1,2,5,6
1Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States, 2Program in Neuroscience, University of Maryland School of Medicine, Baltimore, MD, United States, 3Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD, United States, 4Pediatrics, University of Maryland School of Medicine, Baltimore, MD, United States, 5Neurology, University of Maryland School of Medicine, Baltimore, MD, United States, 6Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Synopsis

Keywords: Gray Matter, Brain, Morphometry, brain development, COVID-19, ABCD Study, neuroinflammation, NIH Toolbox

Motivation: A major gap in our current knowledge exists in understanding how SARS-CoV-2 infection during adolescence may impact brain structure and cognitive abilities.

Goal(s): This study aimed to utilize pre-/post-pandemic MRI brain morphometry and NIH Toolbox cognitive data from the ABCD Study to evaluate whether neuroinflammation in youth with a history of COVID-19 would show persistent brain abnormalities, which in turn might mediate poorer cognitive performance.

Approach: Longitudinal analyses using linear mixed effects models to compare COVID and Controls.

Results: Despite the typically milder COVID symptomology in adolescents, abnormalities on brain morphometry, beyond age-related changes, are observed on structural MRI after infection.

Impact: SARS-CoV-2 infected >16 million US children and may impact their brain development. We found morphometric abnormalities in adolescents with COVID-19, which necessitates further evaluation of long-term effects on brain development trajectories and possible interventions to mitigate cognitive consequences.

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Keywords