Trajectories of hippocampal subregion development in the first years of life and their association with school-aged episodic memory outcomes.

Brain networks that support episodic memory development in the first years of life remain poorly understood. Protracted growth of regions such as the hippocampus have been suggested as a causal role in episodic memory development, but development of these memory brain networks and their role in episodic memory development is not yet fully elucidated. In this study, subcortical memory network regions (hippocampus, thalamus, amygdala) were segmented from MRI images in 835 visits spanning 0-4 years of age across 322 participants in the Baby Connectome Project. Hippocampal segmentations were further subdivided into head, body, and tail subregions manually for 426 visits, which were used to train models that automatically segmented hippocampal subregions for the remaining visits. 58 participants returned for an early school-age follow-up, including two episodic memory tasks. Volumetric growth trajectories differed across regions and across subregions within the hippocampus, with the head of the hippocampus showing steep growth that plateaued months later than the body or tail of the hippocampus. In the right hemisphere's hippocampal head, age- and sex- adjusted volumes positively predicted future early school-age episodic memory performance. After accounting for total brain volume, the right thalamus also predicted memory performance. Total sleep duration at the follow-up visit accounted for performance variance above and beyond brain volume correlations. Altogether, results suggest that trajectories of growth and relationships between volume and episodic memory performance are region and subregion specific, and provide evidence for the important role of sleep in associations between brain networks and early episodic memory development.