期刊
NEUROPSYCHIATRIC DISEASE AND TREATMENT
卷 17, 期 -, 页码 2003-2010出版社
DOVE MEDICAL PRESS LTD
DOI: 10.2147/NDT.S306596
关键词
autism spectrum disorder; child & adolescent psychiatry; diffuse tensor image; neuroimaging in psychiatry; tract-based spatial statistics
资金
- National Natural Science Foundation of China [81701111, 81771807]
- Sanming project of Medicine in Shenzhen [SZSM 201612036]
Analysis of white matter tracts in preschool children with autism spectrum disorder revealed reduced integrity primarily in the left cerebral hemisphere, which may be a neural substrate for social communication deficits and correlated with the severity of social interaction. The reduced fractional anisotropy of certain tracts in the five-level anatomical model could serve as a substantial biomarker for children with ASD.
Purpose: To analyze the changes in white matter tracts in preschool children with autism spectrum disorder (ASD), and the correlation between these changes and social communication deficits. Methods: Diffuse tensor imaging was used to assess white matter integrity using tract-based spatial statistics in a sample of 50 right-handed children with ASD aged 2-6 years vis a reference sample of 46 typically developing children aged 2-6 years. We then correlated these significant different fiber tracts between groups with communication and social interaction scores using the Autism Diagnostic Interview-Revised Assessment (ADI-R) Scale. Results: We observed decreased fractional anisotropy (FA) in tracts including the left superior longitudinal fasciculus (SLF), the splenium of the corpus callosum (splCC), the left corticospinal tracts, and the left inferior longitudinal fasciculus (ILF) in children with ASD. Specifically, there was reduced white matter integrity of these tracts in the left cerebral hemisphere. In addition, we found that the decreased FA of left SLF and ILF was negatively associated with the ADI-R scores in children with ASD. Conclusion: The structural integrity of some white matter tracts in the five-level anatomical model for the social communication was reduced. The reduced integrity white matter that we observed primarily in the left cerebral hemisphere may be a neural substrate of social communication deficits in preschool children with ASD, and we speculate that the reduction is associated with the severity of social interaction. The reduced FA of the splCC might be a substantial biomarker for children with ASD.
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