Assessment & Research

Infantile autism and computerized tomography brain-scan findings: specific versus nonspecific abnormalities.

Balottin et al. (1989) · Journal of autism and developmental disorders 1989
★ The Verdict

CT scans only show vague brain differences in autism, so imaging alone can’t sort or treat kids.

✓ Read this if BCBAs who receive neuropsych or radiology reports in clinic or school meetings.
✗ Skip if Practitioners already focused on skill-based assessments and not using medical imaging.

01Research in Context

01

What this study did

Doctors took CT brain scans of autistic kids and same-age peers. They ran computer counts of ventricle size, brain width, and other shapes.

The team hoped one clear cut-off would pop out and flag autism.

02

What they found

No single CT measure split the groups. Put together, the scans looked slightly different, but the pattern was too messy to use as a test.

The authors called the changes "nonspecific"—background noise, not a signature.

03

How this fits with other research

Burgess et al. (1986) used EEG, not CT, and saw slower waves in autistic kids. Their positive finding shows electrical scans can pick up group traits that early CT missed.

Christensen et al. (2024) returned to the same question with modern DWI. They spotted tiny neurite shifts in the right cerebellum—proof better tools now catch what 1989 CT resolution could not.

Song et al. (2024) and Yao et al. (2025) also report mostly null MRI results, backing the core message: gross brain size is still a weak marker.

04

Why it matters

Skip the hunt for a "brain picture" diagnosis. CT, and even current MRI, rarely give you clear autism flags you can act on. Spend your assessment time on behavior and learning history. If you order imaging, use it to rule out rare medical causes, not to confirm ASD.

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When a parent brings a CT report, highlight the behavior plan, not the scan.

02At a glance

Intervention
not applicable
Design
case control
Sample size
45
Population
autism spectrum disorder
Finding
inconclusive

03Original abstract

The hypothesis that specific computerized tomography brain-scan findings are associated with infantile autism was tested in 45 cases and 19 controls. The autistic group was subdivided into serious and less-serious language-impaired subgroups. The analysis of Euclidean Distances, a type of cluster analysis, showed that neuroradiological parameters of cases and controls, including ventricular sizes, were on the whole significantly different, but no statistically significant difference appeared between the two autistic subgroups. But the analysis of variance of each neuroradiological parameter did not show any significant difference between autistics and controls. It was concluded that autism is nonspecifically associated with brain-scan abnormalities, and that other nonorganic, as well as organic, factors should be taken into account.

Journal of autism and developmental disorders, 1989 · doi:10.1007/BF02212722