Lv Xuerui, Tian Pu, Zhu Xiaona, Bian Bingyang, Liu Zhuohang, Zhao Tianyi, Dou Le, Jie Yige, Jia Feiyong, Li Dan
Department of Radiology, the First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Department of Developmental and Behavioral Pediatrics, the First Hospital of Jilin University, Changchun, No. 71, Xinmin Street, Jilin, 130021, China.
Eur J Pediatr. 2025 Jul 14;184(8):480. doi: 10.1007/s00431-025-06325-z.
UNLABELLED: Children with autism spectrum disorder (ASD) exhibit diverse language abilities, yet magnetic resonance imaging (MRI) studies have not systematically examined white matter microstructural differences based on language difficulties. This study aimed to use diffusional kurtosis imaging (DKI) and tract-based spatial statistics (TBSS) to investigate white matter variations in boys with ASD and explore their relationship with language abilities. The study included 61 boys with ASD and 30 typically developing (TD) peers. The ASD group was divided into mild (n = 28) and severe (n = 33) language difficulties subgroups based on the Griffiths Development Scales-Chinese Edition (GDS-C) scores. DKI data were collected for all participants, while clinical symptoms were assessed in the ASD group using the GDS-C and Autism Behavior Checklist (ABC) scales. Correlation analyses examined the relationship between diffusion metrics and clinical scale scores in ASD. Compared to TD peers, children with ASD exhibited significantly reduced white matter microstructural integrity in the corpus callosum (CC), fornix, bilateral corona radiata (CR), inferior longitudinal fasciculus (ILF), inferior fronto-occipital fasciculus (IFOF), and superior longitudinal fasciculus (SLF), with more pronounced reductions in the severe language difficulties subgroup. Additionally, in the mild language difficulties subgroup, mean kurtosis (MK) in the left CR was positively associated with GDS-C language subscale scores. In the severe language difficulties subgroup, MK in the right IFOF showed a positive association with GDS-C language subscale scores, while kurtosis fractional anisotropy (KFA) in the CC was negatively associated with ABC language subscale scores. CONCLUSION: These findings suggest that reduced white matter microstructural integrity in these tracts may be an important neurobiological factor associated with language difficulties in boys with ASD. Additionally, boys with severe language difficulties may exhibit more distinct and widespread white matter differences compared to those with mild difficulties. WHAT IS KNOWN: • Children with ASD often present with varying degrees of language difficulties; language delay is an early and sensitive indicator of ASD. • Previous DTI studies have identified white matter abnormalities in ASD, particularly in tracts related to language processing. WHAT IS NEW: • DKI analyses revealed graded white matter alterations in ASD children based on the severity of language difficulties. • Microstructural changes in specific language-related white matter tracts were significantly associated with language abilities.
未标注:自闭症谱系障碍(ASD)儿童表现出多样的语言能力,但磁共振成像(MRI)研究尚未基于语言困难系统地检查白质微观结构差异。本研究旨在使用扩散峰度成像(DKI)和基于纤维束的空间统计学(TBSS)来研究ASD男孩的白质变化,并探讨其与语言能力的关系。该研究纳入了61名患有ASD的男孩和30名发育正常(TD)的同龄人。根据格里菲斯发育量表中文版(GDS-C)得分,将ASD组分为轻度(n = 28)和重度(n = 33)语言困难亚组。收集了所有参与者的DKI数据,同时使用GDS-C和自闭症行为检查表(ABC)量表对ASD组的临床症状进行了评估。相关性分析检验了ASD组中扩散指标与临床量表得分之间的关系。与TD同龄人相比,ASD儿童在胼胝体(CC)、穹窿、双侧放射冠(CR)、下纵束(ILF)、下额枕束(IFOF)和上纵束(SLF)中的白质微观结构完整性显著降低,在重度语言困难亚组中降低更为明显。此外,在轻度语言困难亚组中,左侧CR中的平均峰度(MK)与GDS-C语言子量表得分呈正相关。在重度语言困难亚组中,右侧IFOF中的MK与GDS-C语言子量表得分呈正相关,而CC中的峰度分数各向异性(KFA)与ABC语言子量表得分呈负相关。 结论:这些发现表明,这些纤维束中白质微观结构完整性的降低可能是与ASD男孩语言困难相关的一个重要神经生物学因素。此外,与轻度语言困难的男孩相比,重度语言困难的男孩可能表现出更明显和广泛的白质差异。 已知信息:• ASD儿童常伴有不同程度的语言困难;语言延迟是ASD的早期敏感指标。• 先前的DTI研究已确定ASD存在白质异常之处,尤其是在与语言处理相关的纤维束中。 新发现:• DKI分析揭示了基于语言困难严重程度的ASD儿童白质改变的分级情况。• 特定语言相关白质纤维束的微观结构变化与语言能力显著相关。
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