健康右利手和左利多语受试者弓状束的轨迹分析及其与功能磁共振成像上语言侧化的关系。

Tractography of the arcuate fasciculus in healthy right-handed and left-handed multilingual subjects and its relation to language lateralization on functional MRI.

机构信息

Medical School, Hotel-Dieu de France Hospital, Saint Joseph University, Boulevard Alfred Naccache, Achrafieh, PO Box 166830, Beirut, Lebanon.

出版信息

Sci Rep. 2021 Oct 22;11(1):20936. doi: 10.1038/s41598-021-00490-5.

Abstract

Functional MRI (fMRI) enables evaluation of language cortical organization and plays a central role in surgical planning. Diffusion Tensor Imaging (DTI) or Tractography, allows evaluation of the white matter fibers involved in language. Unlike fMRI, DTI does not rely on the patient's cooperation. In monolinguals, there is a significant correlation between the lateralization of language on fMRI and on DTI. Our objective is to delineate the arcuate fasciculus (AF) in right- and left-handed trilinguals and determine if the AF laterality on DTI is correlated to language lateralization on fMRI. 15 right and 15 left-handed trilingual volunteers underwent fMRI and DTI. Laterality Index was determined on fMRI (fMRI-LI). Mean Diffusivity, Fractional Anisotropy (FA), Number of Fibers, Fiber Length, Fiber Volume and Laterality Index (DTI-LI) of the AF were calculated on DTI. 28 of the 30 subjects presented a bilateral AF. Most subjects (52%) were found to have a bilateral language lateralization of the AF on DTI. Only 4 subjects had bilateral lateralization of language on fMRI. The right AF demonstrated lower diffusivity than the left AF in the total participants, the right-handed, and the left-handed subjects. FA, Volume and Length of the AF were not significantly different between the two hemispheres. No correlation was found between the DTI-LI of the AF and the fMRI-LI. A prominent role of the right AF and a bilateral structural organization of the AF was present in our multilingual population regardless of their handedness. While in prior studies DTI was able to determine language lateralization in monolingual subjects, this was not possible in trilingual highly educated subjects.

摘要

功能磁共振成像(fMRI)可用于评估语言皮质组织,在手术规划中起着核心作用。弥散张量成像(DTI)或纤维束追踪技术可用于评估涉及语言的白质纤维。与 fMRI 不同,DTI 不依赖于患者的配合。在单语者中,fMRI 上语言的偏侧化与 DTI 上的语言偏侧化之间存在显著相关性。我们的目的是描绘右利手和左利手三语者的弓状束(AF),并确定 DTI 上的 AF 偏侧性是否与 fMRI 上的语言偏侧化相关。15 名右利手和 15 名左利手三语志愿者接受了 fMRI 和 DTI 检查。在 fMRI 上确定侧化指数(fMRI-LI)。在 DTI 上计算 AF 的平均弥散度、分数各向异性(FA)、纤维数量、纤维长度、纤维体积和侧化指数(DTI-LI)。在 30 名受试者中,有 28 名受试者的双侧 AF 存在。大多数受试者(52%)的 DTI 显示双侧 AF 语言偏侧化。只有 4 名受试者在 fMRI 上显示双侧语言偏侧化。在总参与者、右利手和左利手受试者中,右侧 AF 的弥散度均低于左侧 AF。AF 的 FA、体积和长度在两侧之间没有显著差异。AF 的 DTI-LI 与 fMRI-LI 之间未发现相关性。在我们的多语言人群中,无论其惯用手如何,右侧 AF 均起着重要作用,且 AF 具有双侧结构组织。尽管在先前的研究中 DTI 能够确定单语受试者的语言偏侧化,但在受过高等教育的三语受试者中却无法实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f118/8536719/7e0b0de68729/41598_2021_490_Fig1_HTML.jpg

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