Association of Reduced Tract Integrity with Social Communication Deficits in Preschool Autism Children: A Tract-Based Spatial Statistics Study

作者：Yi Yin, Shoujun Xu, Chao Li, Meng Li, Mengchen Liu, Jianhao Yan, Zhihong Lan, Wenfeng Zhan, Guihua Jiang, Junzhang Tian · 发表于：Neuropsychiatric Disease and Treatment · 年份：2021 · DOI：10.2147/ndt.s306596 · 被引用次数：5 · 研究领域：Autism Spectrum Disorder Research、Advanced Neuroimaging Techniques and Applications、Cerebral Palsy and Movement Disorders

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...