Sex effects on cortical alterations in infants with complex congenital heart disease
Bibliographic record
Abstract
Congenital heart disease is linked to substantial variability in neurodevelopmental outcomes, with sex being a key contributing factor. Compared with females, male congenital heart disease infants often show greater impairments in motor, cognitive, and language development. However, studies on sex differences in early brain development among congenital heart disease patients remain limited. To fill these gaps, this study included 79 infants with complex congenital heart disease (42 males, 37 females) and 87 healthy controls (47 males, 40 females), collecting magnetic resonance imaging data, clinical information, and neurodevelopmental assessments. We examined sex-specific effects on global and regional brain development in congenital heart disease infants aged 1 to 2 yr using imaging and statistical analysis. Male congenital heart disease infants showed global brain volume reduction and regional cortical delays, including increased cortical thickness and gray matter volume. In contrast, female congenital heart disease infants had no significant global volume change but exhibited localized structural abnormalities, such as reduced surface area and increased cortical thickness. Notably, reduced global brain volume in congenital heart disease males was associated with poorer gross motor skills. Distinct sex differences in brain development exist among congenital heart disease infants during early life. Recognizing these differences is critical for developing sex-specific treatment and neuroprotective strategies.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".