Chien-Hung Lu1, Yu-Jen Chen2, Yu-Chun Lo2, Yu-Chun Hsu2, Susan Shur-Fen Gau3,4, and Wen-Yih Isaac Tseng2,4
1School of Medicine, National Taiwan University, Taipei, Taiwan, 2Institute of Medical Device and Imaging, National Taiwan University, Taipei, Taiwan, 3Department of Psychiatry, National Taiwan University College of Medicine, Taipei, Taiwan, 4Molecular Imaging Center, National Taiwan University, Taipei, Taiwan
Synopsis
The corpus callosum (CC) has been the most investigated white matter tract in autismspectrum disorder (ASD). However, whether the development of the CC is altered in ASD is not clearly identified. In this study, we performed diffusion spectrum imaging using tract specificanalysis to measure the generalized fractional anisotropy of 16 segments of the CC. A GFA–age hyperbolic model was applied to test the age effect. The CC connecting bilateral temporal lobes was signficantly different between ASD and TD. Our results identify the unique time trajectory of the CC in ASD.Purpose
The corpus callosum (CC) has
long been investigated in autism spectrum disorder (ASD)
1, suggesting
a hypothetically important role of aberrant interhemispheric connectivity in
this mental disorder. Previous neuroimaging studies on brain structures have consistently
reported reductions of the tract integrity in ASD as compared to typically
developing (TD) subjects in the period of adolescence and adulthood. Few have investigated
the developmental difference of the CC between ASD and TD. In this study, we
performed diffusion spectrum imaging (DSI) to estimate the generalized
fractional anisotropy (GFA) value which was considered to reflect the tract
integrity. A template-based tract-specific analysis named tract-based automatic
analysis (TBAA)
2 was used to explore structural development of the CC
in ASD participants over a wide range of age. We hypothesized that there was age-related
abnormalities of the CC in ASD.
Methods
Eighty-five males with ASD
and 96 age and handiness matched TD participants (ASD: 15.02 ± 4.37, range:
7.8-27.8 years old; TD: 15.82 ± 5.66, range: 8.8-29.0 years old), were
recruited in the study. Images were acquired on a 3T MRI system with a
32-channel head coil (Tim Trio, Siemens, Germany). DSI was performed using a
twice-refocused balanced echo diffusion echo planar imaging sequence (TR/TE =
9600/130 ms, image matrix size = 80 x 80, spatial resolution = 2.5 x 2.5 mm^2,
slice thickness = 2.5 mm, and 102 diffusion encoding gradients with maximum bmax = 4000 s/mm^2). For DSI analysis, TBAA
method was applied via a high quality DSI template and predetermined white
matter tracts in the whole brain. The DSI template was constructed by
coregistering 122 healthy participants’ DSI datasets using a registration
method under the Large Deformation Diffeomorphic Metric Mapping (LDDMM)
framework
3. Sixteen white matter tracts of the CC were reconstructed
on the template using multiple regions of interest defined in the Automatic
Anatomical Labeling system. Each reconstructed tract was subdivided into 100
steps with even spacing and the step coordinates along tracts were saved as
sampling coordinates. The procedures of the TBAA method were as follow. 1) A
study specific template (SST) was created via coregistering all participants’
DSI datasets using LDDMM. 2) The SST was coregistered to the DSI template. 3)
Sampling coordinates of the tracts were transformed from the DSI template to
individual DSI datasets via the transformation matrix between DSI template and
SST as well as the matrix between SST and individual DSI. 4) GFA values were
sampled in the native DSI space using the transformed sampling coordinates,
resulting in a 2D array (16 tracts x 100 steps) of GFA profiles for each
subject. In this study, mean GFA for each segment of the CC was chosen for our
purpose. To minimize multiple testings, 16 tracts were classified into 7
portions according to their cortical connections, from frontal lobe -
prefrontal part, frontal lobe - motor part, paracentral gyrus, parietal lobe,
temporal lobe, limbic lobe, to occipital lobe. A hyperbolic model was applied
to fit the age-GFA nonlinear model for each portion. F test was applied to test
the difference in model comparison between ASD and TD. Benjamini-Hochberg
testing was applied to correct multiple comparisons.
Results
Among the 7 portions of the
CC, only the temporal lobe portion showed significant difference in age effect between
ASD and TD (p = 0.049, corrected) (Figure 1). This portion comprised three commissural
tracts, i.e. the CC to bilateral superior temporal lobes, the CC to bilateral middle
temporal lobes, and the CC to bilateral temporal poles (Figure 2). The fitted
age-GFA curves showed delayed growth pattern in ASD from the period of adolescence
to early adulthood.
Discussion
In this study, we performed
a tract-specific analysis of the callosal fibers in ASD and TD participants over
a wide range of age to investigate the growth pattern of the interhemispheric
connections. The CC connecting bilateral temporal lobes showed significant difference
in the age-GFA model between the two groups. Delayed growths of the GFA values
were found in the period of adolescence and early adulthood in ASD group. As
GFA values are often considered to reflect microstructural integrity of the white
matter, the finding may suggest a maturation delay in the CC to bilateral temporal
lobes in patients with ASD. The maturation delay may implicate the deficits
regarding to the functions of the temporal lobes, such as language, semantics,
and sensory processing in ASD patients.
Conclusions
An atypical age-GFA
pattern found in the CC connecting bilateral temporal lobes suggests a developmental
delay of the white matter tracts in the CC in ASD patients. A longitudinal study
is warranted for further investigation.
Acknowledgements
No acknowledgement found.References
1. Brittany G.
Travers, Nagesh Adluru, Chad Ennis, Andrew L. Alexander et al. Diffusion Tensor
Imaging in Autism Spectrum Disorder: A Review. Autism Research. 2012;Oct;5(5):289-313
2. Chen YJ, et al., Automatic whole brain tract-based analysis using
predefined tracts in a diffusion spectrum imaging template and an accurate
registration strategy. Human Brain Mapping. 2015; 36: 3441–3458
3. Hsu YC, Hsu CH, Tseng WY. A large deformation
diffeomorphic metric mapping solution for diffusion spectrum imaging datasets.
Neuroimage 2012 63(2):818-34.