慢性失语症患者图片命名、行为及保留皮质组织过程中额颞叶有效连接的关系
The Relationship between Frontotemporal Effective Connectivity during Picture Naming, Behavior, and Preserved Cortical Tissue in Chronic Aphasia.
作者信息
Meier Erin L, Kapse Kushal J, Kiran Swathi
机构信息
Department of Speech Language and Hearing Sciences, Aphasia Research Laboratory, Sargent College, Boston University, Boston MA, USA.
Children's National Medical Center, Washington DC, USA.
出版信息
Front Hum Neurosci. 2016 Mar 16;10:109. doi: 10.3389/fnhum.2016.00109. eCollection 2016.
While several studies of task-based effective connectivity of normal language processing exist, little is known about the functional reorganization of language networks in patients with stroke-induced chronic aphasia. During oral picture naming, activation in neurologically intact individuals is found in "classic" language regions involved with retrieval of lexical concepts [e.g., left middle temporal gyrus (LMTG)], word form encoding [e.g., left posterior superior temporal gyrus, (LpSTG)], and controlled retrieval of semantic and phonological information [e.g., left inferior frontal gyrus (LIFG)] as well as domain-general regions within the multiple demands network [e.g., left middle frontal gyrus (LMFG)]. After stroke, lesions to specific parts of the left hemisphere language network force reorganization of this system. While individuals with aphasia have been found to recruit similar regions for language tasks as healthy controls, the relationship between the dynamic functioning of the language network and individual differences in underlying neural structure and behavioral performance is still unknown. Therefore, in the present study, we used dynamic causal modeling (DCM) to investigate differences between individuals with aphasia and healthy controls in terms of task-induced regional interactions between three regions (i.e., LIFG, LMFG, and LMTG) vital for picture naming. The DCM model space was organized according to exogenous input to these regions and partitioned into separate families. At the model level, random effects family wise Bayesian Model Selection revealed that models with driving input to LIFG best fit the control data whereas models with driving input to LMFG best fit the patient data. At the parameter level, a significant between-group difference in the connection strength from LMTG to LIFG was seen. Within the patient group, several significant relationships between network connectivity parameters, spared cortical tissue, and behavior were observed. Overall, this study provides some preliminary findings regarding how neural networks for language reorganize for individuals with aphasia and how brain connectivity relates to underlying structural integrity and task performance.
虽然已有多项关于正常语言处理的基于任务的有效连接性研究,但对于中风引起的慢性失语症患者语言网络的功能重组却知之甚少。在口语图片命名过程中,神经功能正常的个体在与词汇概念检索相关的“经典”语言区域(如左颞中回(LMTG))、词形编码区域(如左颞上回后部(LpSTG))、语义和语音信息的受控检索区域(如左额下回(LIFG))以及多重需求网络中的领域通用区域(如左额中回(LMFG))会出现激活。中风后,左半球语言网络特定部位的损伤迫使该系统进行重组。虽然已发现失语症患者在语言任务中会招募与健康对照组相似的区域,但语言网络的动态功能与潜在神经结构和行为表现的个体差异之间的关系仍然未知。因此,在本研究中,我们使用动态因果模型(DCM)来研究失语症患者与健康对照组在图片命名至关重要的三个区域(即LIFG、LMFG和LMTG)之间任务诱发的区域相互作用方面的差异。DCM模型空间是根据这些区域的外部输入进行组织的,并划分为不同的类别。在模型层面,随机效应的逐组贝叶斯模型选择显示,对LIFG有驱动输入的模型最符合对照数据,而对LMFG有驱动输入的模型最符合患者数据。在参数层面,观察到从LMTG到LIFG的连接强度存在显著的组间差异。在患者组内,观察到网络连接参数、保留的皮质组织和行为之间存在若干显著关系。总体而言,本研究提供了一些初步发现,涉及失语症患者的语言神经网络如何重组以及大脑连接性与潜在结构完整性和任务表现之间的关系。
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