Examining Cross-Paradigm fNIRS Brain Activity in Neonates across The Gambia and UK

SignificanceNeonates undergo rapid development, yet the examination of emerging brain markers across paradigms, cognitive domains and diverse global populations remains limited. AimThis study investigated whether brain responses at one-month-of-age could be interrogated across paradigms to offer deeper context-specific insights into neurodevelopment. ApproachFunctional near-infrared spectroscopy (fNIRS) was used to assess frontal and temporal brain responses during natural sleep in 181 Gambian (GM) and 58 UK infants during three auditory paradigms: Social Selectivity, Habituation and Novelty Detection (HaND) and Functional Connectivity (FC). Paradigm-level brain responses were analysed using threshold-free cluster enhancement and cross-paradigm comparisons of individual responses. ResultsAt the group level, both GM and UK infants showed habituation but not novelty responses, higher inter-versus intra-hemispheric connectivity, stronger inter-hemispheric connectivity in temporal regions relative to frontal regions, stronger inter-regional connectivity between right temporal and left frontal regions, and UK infants also showed non-vocal > vocal selectivity. ConclusionsCross-cohort differences in the cross-paradigm analyses suggest context-specific developmental markers are evident within the first month of life and show high individual variability. Cross-paradigm analyses revealed that greater vocal selectivity (UK) was associated with higher inter-hemispheric connectivity, potentially allowing us to identify biomarkers of more mature neurodevelopment within the first weeks of postnatal life.