Freitag Christine M, Luders Eileen, Hulst Hanneke E, Narr Katherine L, Thompson Paul M, Toga Arthur W, Krick Christoph, Konrad Carsten
Department of Child and Adolescent Psychiatry, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany.
Biol Psychiatry. 2009 Aug 15;66(4):316-9. doi: 10.1016/j.biopsych.2009.03.011. Epub 2009 May 1.
Increased total brain volume (TBV) has been reported for children with autism spectrum disorder (ASD) but studies in older ASD subjects have been contradictory. Similarly, studies of corpus callosum (CC) area in ASD differ with regard to inclusion criteria, age, and IQ.
In the present study, TBV, gray matter (GM), and white matter (WM) volume as well as midsagittal CC area were compared between 15 medication-naïve, high-functioning adolescent and young adult ASD subjects and 15 healthy control individuals, and correlations with visuomotor coordination and imitation abilities were explored. In addition, computational surface-based methods were implemented to encode callosal thickness at high spatial resolution.
Total brain volume, GM, and WM were increased and CC area was decreased in ASD subjects, a finding that was predominantly due to ASD subjects with lower IQ. Positive correlations of IQ with volume measures were observed only in control subjects. Autism spectrum disorder subjects showed reduced thickness in the posterior part of the CC. White matter volume showed a trend for negative correlation with dynamic balance and imitation abilities across groups.
This study replicates previous structural magnetic resonance imaging (MRI) findings in ASD, emphasizes the role of IQ differences, and adds some evidence for functional implications of structural findings.
据报道,自闭症谱系障碍(ASD)儿童的全脑体积(TBV)增加,但针对年龄较大的ASD受试者的研究结果却相互矛盾。同样,关于ASD患者胼胝体(CC)面积的研究在纳入标准、年龄和智商方面也存在差异。
在本研究中,比较了15名未服用过药物、高功能的青少年和青年ASD受试者与15名健康对照个体的全脑体积、灰质(GM)和白质(WM)体积以及矢状面CC面积,并探讨了其与视觉运动协调和模仿能力的相关性。此外,采用基于计算表面的方法以高空间分辨率编码胼胝体厚度。
ASD受试者的全脑体积、灰质和白质增加,而CC面积减小,这一发现主要归因于智商较低的ASD受试者。仅在对照受试者中观察到智商与体积测量值之间存在正相关。ASD受试者的CC后部厚度减小。跨组分析中,白质体积与动态平衡和模仿能力呈负相关趋势。
本研究重复了先前关于ASD的结构磁共振成像(MRI)结果,强调了智商差异的作用,并为结构研究结果的功能意义提供了一些证据。