Sunita Gudwani1,2, S. Senthil Senthil Kumaran3, Rajesh Sagar4, Madhuri Behari5, Manju Mehta6, Vaishna Narang7, SN Dwivedi8, and NR Jagannathan3
1Department of ENT, Escorts Heart Institute and Research Center, New Delhi, India, 2Former Department of NMR and MRI Facility, Former ALL INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, India, 3Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India, 4Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India, 5Department of Neurology, Fortis Hospital, New Delhi, India, 6Department of Psychiatry (Psychology Unit), All India Institute of Medical Sciences, New Delhi, India, 7Department of Linguistics, School of Language, Jawahar Lal Nehru University, New Delhi, India, 8Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
Synopsis
Reading
skill is window to the world that we acquire with development. Dual-route model
predicts our proficiency of grapheme (text) to phoneme (sound) conversion and
semantic decoding (understanding content) for visual words. Fast processing by
frontoparietal pathway while meaningful word reading but lexical decision to
pseudowords proceeds slowly and exhaustively. Pseudoword successful
orthographic mapping recruits ventral and then dorsal areas. This phonological
proficiency and exhaustive mental lexicon search during reading is automatized with
skill development. Current study evidences recruitment of inferior frontal
gyrus (BA44 and 45), insula, thalamus, caudate nucleus and cortical
reorganizations of skill developmental with age
Introduction
Learning to read requires phonological interface with lexicosemantic and orthographic
features [1, 2]. Computation of orthographic input (visual word) [3] is facilitated
by appropriate lexical selection from semantic mental storage [4]. Dual--route
model explains fast mapping visually (orthographic representations), the words
from pseudowords onto stored word-form representations [1, 3] Early readers rely
on phonology-based grapheme-phoneme conversion attributed to left dorsal
temporoparietal circuit [5]. Efficient readers involve automatic
visual-orthographic lexical decoding due to communication between frontal and
posterior areas [5, 6, 7]. Coordinated interplay of the dorsal-ventral streams during
development is proportionate with reading efficiency [6, 7]. So the present
study explored the dual-route model during development by comparing the word-pseudoword
processing of typical reading children and adults.Methods
The study was carried
out on healthy typical reading children (CH; n= 20; age range 8 to 15 years)
and adult subjects (AD; n=16; age range 25 to 45 years) after IEC approval. Inclusion criteria
were: right handedness, high proficiency in
reading Hindi (shallow orthography) and given written consent. Exclusion
criteria were left handedness, any sensory impairment (hearing/ vision),
neurological or psychiatric problems, and any contraindication for MRI. The
Blood oxygen level dependent (BOLD) data was acquired with clinical 3T whole body MR scanner with 32 channel head coil (Achieva 3.0T TX, Philips, Netherlands). Single-shot echo planar imaging (EPI)
sequence was used with slice thickness 5 mm, number of slices = 29, TR: 2000 ms, TE: 30 ms,
flip angle = 90°, FOV = 230 mm, Dynamics: 222, Resolution: 64x64, overlaid on render template. The visual text stimuli were presented using Eprime
(version 1.1, Psychology Software Tools Inc, USA) and MR compatible LCD monitor
(NordicNeuroLab, Norway). The task comprised of Meaningful words (MW) (5 event
x 4 blocks) and Pseudowords (PW)(5x4) in Hindi where each event was of 2.5 sec
duration. The paradigm included baseline 28 sec (i.e. background noise with
black screen display), then block of MW of 2-3 syllables, second baseline 28
sec followed by block of PW (2-3), similarly ABCABC four cycles. The response
was oral reading of the text displayed and the total duration was 444 sec. Pre- and post-processing
was done using SPM8 (Wellcome Department of Cognitive Neurology, London, UK).
The BOLD clusters were converted from MNI template to the Talairach and Tornoux
coordinates, for estimation of anatomical areas. The group data was analyzed by
one-way ANOVA test (p<0.001, cluster threshold 10).Results and Discussion
Hindi is
orthographically shallow language where readers rely on phonology-based processes
(i.e., grapheme-phoneme conversion) unlike English (deep orthography) its whole-word
recognition (may have ambiguous grapheme-phoneme mapping [5]. The BOLD data in
adult (AD) participants showed that on comparison of MW vs PW left hemispheric
dominance of middle frontal gyrus (MFG), caudate, cingulated gyrus, culmen and right
dominance of inferior parietal, superior frontal, precentral gyrus. On comparison of PW vs MW left precentral, inferior
frontal gyrus (BA44, BA 45 and BA46), fusiform and right medial frontal gyrus
showed significant BOLD activity. The fusiform gyrus provides access code to semantic
or phonological information represented in posterior left middle temporal gyrus
(MTG) [5. 6]. Neural activity in the left inferior frontal gyrus (IFG, BA44), anterior insula, thalamus and caudate nucleus, supports
grapheme to phoneme conversion during visual word processing [2, 5]. BOLD activity for PW vs MW in healthy
children (CH) was similar to adults but was represented bilaterally (Table 1
and Table 2) [8]. Group comparison (Children vs Adults analysis) MW show
anterior cingulate and PW show insula activation. Dorsal-ventral participation
for meaningful words and dorsal control for pseudowords differences in adults
and children is due to non-automatized (Figure 1) [5]. This study suggests that
differences in dorsal pathway activation for PW in two groups are due to
non-atomization of reading skill in children [5, 9].Conclusion
The
results indicate that pseudoword reading reflects the need for a more
exhaustive search in the mental lexicon. The study evidences the dual-route model of lexical decision and there is switching of
faster pathway for grapheme to phoneme conversion. Automatization of reading skill during development with age is
attributed to neural reorganizations.Acknowledgements
No acknowledgement found.References
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