Libero Lauren E, DeRamus Thomas P, Deshpande Hrishikesh D, Kana Rajesh K
Department of Psychology, University of Alabama at Birmingham, CIRC 235G, 1719 6th Avenue South, Birmingham, AL 35294-0021, USA.
Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Neuropsychologia. 2014 Sep;62:1-10. doi: 10.1016/j.neuropsychologia.2014.07.001. Epub 2014 Jul 11.
Structural neuroimaging studies of autism spectrum disorder (ASD) have uncovered widespread neuroanatomical abnormalities, which may have a significant impact on brain function, connectivity, and on behavioral symptoms of autism. The findings of previous structural MRI studies have largely been distributed across several brain areas, with limited consistency. The current study examined neuroanatomical abnormalities by comparing surface-based measures of cortical morphology (CT: cortical thickness, CSA: cortical surface area, CV: cortical volume, and GI: gyrification index) in 55 high-functioning children and adults with ASD to 60 age-and-IQ-matched typically developing (TD) peers. A few brain areas, the fusiform gyrus (FG), middle temporal gyrus (MTG), and inferior frontal gyrus (IFG), emerged to be primarily different in their morphology between the two groups. Compared to TD participants, ASD participants had significantly smaller CV in left MTG, reduced CSA in bilateral MTG and FG, reduced GI in left supramarginal gyrus, and significantly increased CT in the pars opercularis of the IFG. As a function of age, ASD participants had significant reductions in: CT in the pars opercularis, CSA of the left rostral middle frontal gyrus, and GI for left supramarginal gyrus. Thus, alterations in cortical morphology in ASD were seen primarily in regions that are considered part of the social brain. Overall, these findings point to: neuroanatomical alterations in social brain areas, developmental differences in neuroanatomy, and the need to study neuroanatomy at multiple levels in order to better characterize the cortical architecture of ASD.
自闭症谱系障碍(ASD)的结构神经影像学研究发现了广泛的神经解剖学异常,这可能对大脑功能、连通性以及自闭症的行为症状产生重大影响。以往结构MRI研究的结果大多分布在几个脑区,一致性有限。本研究通过比较55名高功能自闭症儿童和成人与60名年龄和智商匹配的典型发育(TD)同龄人基于表面的皮质形态测量指标(CT:皮质厚度、CSA:皮质表面积、CV:皮质体积、GI:脑回化指数),来检查神经解剖学异常。少数脑区,即梭状回(FG)、颞中回(MTG)和额下回(IFG),在两组之间的形态上表现出主要差异。与TD参与者相比,ASD参与者左MTG的CV显著更小,双侧MTG和FG的CSA减小,左上缘回的GI降低,IFG的 opercular部的CT显著增加。作为年龄的函数,ASD参与者在以下方面有显著降低:opercular部的CT、左额中回喙部的CSA以及左上缘回的GI。因此,ASD中皮质形态的改变主要见于被认为是社会脑一部分的区域。总体而言,这些发现表明:社会脑区存在神经解剖学改变、神经解剖学的发育差异,以及需要在多个层面研究神经解剖学以更好地表征ASD的皮质结构。