Psychiatry Investig.  2018 Mar;15(3):292-299. 10.30773/pi.2017.08.15.

Impaired White Matter Integrity and Social Cognition in High-Function Autism: Diffusion Tensor Imaging Study

Affiliations
  • 1Department of Psychiatry and Myunggok Medical Research Institute, Konyang University College of Medicine, Daejeon, Republic of Korea.
  • 2Department of Medicine, the Graduate School of Yonsei University, Seoul, Republic of Korea.
  • 3Department of Psychiatry, Seoul Metropolitan Eunpyeong Hospital, Seoul, Republic of Korea.
  • 4Department of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea. dhsong@yuhs.ac
  • 5Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
  • 6Yonsei Soul Psychiatric Clinic, Seoul, Republic of Korea.

Abstract


OBJECTIVE
It is known that many of the cognitive and social deficits associated with autism can arise from abnormal functional connectivity between brain networks. This aberrant functional connectivity in autism spectrum disorders (ASD) can be explained by impaired integrity of white matter tracts that link distant regions of the networks.
METHODS
We investigated white matter in 9 children with high-function autism (HFA) compared to 13 typically developing controls using diffusion tensor imaging (DTI). The aim of this research is to provide supporting evidence for abnormalities in neural connectivity as an underlying pathophysiology of the main characteristics of ASD.
RESULTS
We found impairment of neural connectivity, mainly in association fiber tracts as evidenced by decreased fractional anisotropy (FA), the index of white matter integrity, of these tracts. Among them, inferior fronto-occipital fasciculus (IFOF) had a significant relationship with ADI-R score. The inferior longitudinal fasciculus (ILF) and superior longitudinal fasciculus (SLF) also showed decreased FA. Decreased FA of ILF and SLF had negative correlations with scores of social interaction.
CONCLUSION
These findings suggest that widespread abnormalities in association fiber tracts may contribute to both core and associated symptoms of ASD.

Keyword

High-function autism; Diffusion tensor imaging; Brain network; Functional connectivity; White matter

MeSH Terms

Anisotropy
Autism Spectrum Disorder
Autistic Disorder*
Brain
Child
Cognition*
Diffusion Tensor Imaging*
Diffusion*
Humans
Interpersonal Relations
White Matter*
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