Investigating the neural substrates of verbal working memory in children with dyslexia: An effective connectivity study
Fu Yu Kwok1, Beth Ann O'Brien2, Kiat Hong Stacey Tay3, and SH Annabel Chen1,4

1Division of Psychology, Nanyang Technological University, Singapore, Singapore, 2National Institute of Education, Nanyang Technological University, Singapore, Singapore, 3Paediatric Neurology and Developmental Paediatrics, National University Hospital, National University of Singapore, Singapore, Singapore, 4Centre for Research And Development Learning, Nanyang Technological University, Singapore, Singapore

Synopsis

Dynamic causal modeling was utilized to examine the effective connectivity during verbal working memory in children with dyslexia and typically developing children. Seven regions of interest—FG, IFG, IOG, IPL, thalamus, inferior cerebellum and superior cerebellum were included into the analyses. Results indicated that the effect of dyslexia led to shift in effective network connectivity. The present study furthered our understanding of the cerebro-cerebellar effective network connectivity in both children with dyslexia and typically developing children. In addition, it provided new insights about the effects of dyslexia on this network.

Introduction

Converging findings from behavioral and neuroimaging studies have shown that verbal working memory (VWM) is one of the core deficit seen in children with dyslexia. Previous findings from Chen and Desmond [1, 2] provided evidence for two cerebro-cerebellar networks for verbal working memory—a frontal/superior cerebellar articulatory control system and a parietal/inferior cerebellar phonological storage system. However, the dynamics of effective connectivity in children during verbal working memory tasks in a cerebro-cerebellar network has yet to be verified. The present study aimed at clarifying the dynamics of effective connectivity in both typically developing children and children with dyslexia using Dynamic Causal Modeling (DCM) during a verbal working memory task.

Methodology

8 children with dyslexia (mean age=9.0; SD=0.92) and 4 age-matched children (mean age=8.6; SD=0.69) were recruited for the study. Participants studied in mainstream school and were administered a health questionnaire to ensure that they were right-handed and did not have a history of neurological or psychiatric disorder. As part of the study, participants performed a Sternberg VWM task (Fig.1) in a 3T MRI Scanner (Trio, Siemens). Functional imaging data were acquired using: TR=1000ms, TE=30ms, slice thickness=2mm, 60 slices, and 2x2x2mm3 voxels. Image processing and connectivity analyses were performed using SPM12 and DCM12 (Fig.2), respectively. The optimum model was determined from 8 models using the random effects Bayesian model selection method.

Results

Comparison of Bayesian model selection results indicated that children with dyslexia had a clear preference for model 2 (Fig. 3) while typical developing children show a distinct preference for model 7 (Fig. 4).

Conclusion

To the best of our knowledge, this is the first study to examine the dynamics of effective connectivity in typically developing children and children with dyslexia. Our findings demonstrated that during working memory, children with dyslexia only modulated the pathway from the IFG to the IPL. For typically developing children, results indicated bilateral modulatory connectivity between the IFG and IPL in addition to the modulatory connectivity observed on both the articulatory control (fronto/superior cerebellar) and phonological WM (parieto/inferior cerebellar) cerebro-cerebellar pathways. Collectively, the present study showed that the effect of dyslexia caused a shift in the effective connectivity within the cerebro-cerebellar VWM network.

Acknowledgements

This work was supported by a grant from the Singapore Ministry of Education AcRF Tier 1 (RG63/14).

References

[1] Chen, S. A., & Desmond, J. E. (2005). Temporal dynamics of cerebro-cerebellar network recruitment during a cognitive task. Neuropsychologia, 43(9), 1227- 1237.

[2] Desmond, J. E., Chen, S. H., & Shieh, P. B. (2005). Cerebellar transcranial magnetic stimulation impairs verbal working memory. Annals of Neurology,58(4), 553- 560.

Figures

Fig 1. Sternberg verbal working memory task paradigm

Fig 2. DCM Models

Fig 3. DCM results: Winning model (model 2) for children with dyslexia. Blue arrow indicates driving input. Dotted lines represents intrinsic effects, modulatory effects represented by continuous line.

Fig 4. DCM results: Winning model (model 7) for typically developing children. Blue arrow indicates driving input. Dotted lines represents intrinsic effects, modulatory effects represented by continuous line.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
1665