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Neural Predictors for the Generalization of Semantic and Phonological Treatment to Discourse Performance in Chronic Post-Stroke Aphasia. 脑卒中后慢性失语症的语义和语音治疗对话语表现的神经预测。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-12-18 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.27
Laura Giglio, Leonardo Bonilha, Julius Fridriksson, Sigfus Kristinsson, Roger Newman-Norlund, Chris Rorden, Brielle C Stark, Janina Wilmskoetter, Dirk B den Ouden

Recovery of language function in post-stroke aphasia is affected by many variables, including aphasia severity, age, lesion site and size, and brain health. Semantic and phonological therapies are often used to target naming abilities, and when successful their benefits can extend to discourse production, which has emerged as a promising task to evaluate language processing and recovery in aphasia. Here, after characterizing the lesion and white matter integrity predictors for discourse production before treatment, we asked whether brain integrity at baseline is predictive of treatment generalization to discourse. In a large sample of participants with chronic aphasia (N = 88), we ran region-based lesion-symptom mapping on discourse measures (including fluency, sentence processing abilities, and error types) at baseline, on discourse changes following phonological and semantic treatment separately, and at 1 month and 6 months post-treatment. Discourse productivity at baseline was associated with the integrity of regions and white matter tracts in the dorsal stream. Lesions in the hippocampal system and cortical temporal regions were associated with less improvement in discourse following both phonological and semantic treatment. Long-term improvement was instead predicted by the integrity of the fornix and temporal cortical regions, suggesting that while the hippocampal system is important for learning, learned functions rely on connectivity with cortical areas. The results suggest that the generalization of word-level treatment to discourse production is facilitated by an intact hippocampal system in the medial temporal lobe.

脑卒中后失语症的语言功能恢复受多种因素影响,包括失语症严重程度、年龄、病变部位和大小以及大脑健康状况。语义学和语音疗法通常用于针对命名能力,如果成功,它们的好处可以扩展到话语产生,这已经成为评估失语症语言处理和恢复的一个有前途的任务。这里,在描述了治疗前话语产生的病变和白质完整性预测因子后,我们询问基线时的脑完整性是否可以预测治疗推广到话语。在大量慢性失语症患者样本中(N = 88),我们对基线时的话语测量(包括流利度、句子处理能力和错误类型)、分别在语音和语义治疗后的话语变化以及治疗后1个月和6个月进行了基于区域的病变-症状映射。基线时的话语生产力与背侧流区域和白质束的完整性有关。在语音和语义治疗后,海马系统和皮层颞区病变与话语改善较少相关。相反,穹窿和颞皮质区域的完整性预测了长期的改善,这表明尽管海马体系统对学习很重要,但学习功能依赖于与皮质区域的连接。研究结果表明,完整的内侧颞叶海马系统促进了词汇水平处理到话语产生的普遍化。
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引用次数: 0
Intracerebral Electrical Stimulation of the Left Occipito-Temporal Cortex Induces Pure Alexia. 脑内电刺激左枕颞皮质诱发纯粹的失读症。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-12-18 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.205
Marion Marchive, Luna Angelini, Aliette Lochy, Louis Maillard, Sophie Colnat-Coulbois, Bruno Rossion, Jacques Jonas

The ability to read relies on the rapid mapping of perceived visual letters and their combinations (i.e., visual word forms) to phonology and meaning. The central role of the left ventral occipito-temporal cortex (VOTC) in processing letter strings, initially suggested by lesion studies, is now widely accepted. Although this brain region has been extensively studied with functional magnetic resonance imaging (fMRI), its causal role as a critical node of a cortical network for reading remains unclear. Here we report a comprehensive case of pure alexia during direct electrical stimulation (DES) of the left VOTC (patient SV, female, 38 yr old, implanted with intracerebral electrodes for refractory epilepsy). During DES of the left posterior occipito-temporal sulcus, but not of neighboring and remote cortical sites, SV was transiently impaired at reading single words while being able to slowly read letter-by-letter. However, SV was impaired when presenting a single letter in a rapid serial visual presentation, which showed that their letter reading is not entirely preserved. In contrast, DES to the same critical sites left performance for oral naming, auditory naming, reading numbers, writing, auditory lexical decision, and semantic matching of pictures unaffected. Intracerebral electrophysiological frequency-tagging investigations showed highly word-selective neural responses at the critical sites. These functional responses were abolished by concurrent DES, which also affected remote word-selective neural activity in the left VOTC. Altogether, these observations provide original evidence for word-selective representations of the left VOTC as a critical node of the cortical reading network.

阅读的能力依赖于对可感知的视觉字母及其组合(即视觉单词形式)与音韵和意义的快速映射。左腹侧枕颞皮质(VOTC)在处理字母串中的核心作用,最初是由病变研究提出的,现在被广泛接受。尽管这一脑区已被功能性磁共振成像(fMRI)广泛研究,但其作为皮层阅读网络关键节点的因果作用尚不清楚。在此,我们报告一例在左侧VOTC直接电刺激(DES)期间出现纯粹失读症的综合病例(患者SV,女性,38岁,植入脑内电极治疗难治性癫痫)。在左侧后枕颞沟DES期间,SV在阅读单个单词时短暂受损,但能够逐个字母缓慢阅读。然而,当在快速连续视觉呈现中呈现单个字母时,SV受损,这表明他们的字母阅读并没有完全保留下来。相比之下,相同关键部位的DES对口头命名、听觉命名、阅读数字、写作、听觉词汇决策和图片语义匹配的表现不受影响。脑内电生理频率标记研究显示在关键部位有高度的词选择性神经反应。这些功能反应被并发的DES所消除,这也影响了左VOTC的远端单词选择神经活动。总之,这些观察结果为左VOTC作为皮质阅读网络的关键节点的单词选择表征提供了原始证据。
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引用次数: 0
Semantic Typicality of Affixes Facilitates Word Processing: MEG Evidence From Arabic. 词缀的语义典型性促进了文字处理:来自阿拉伯语的MEG证据。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.24
Marianne Azar, Alec Marantz

Upon reading a word, we decompose it into meaningful parts-morphemes. Even if novel, we can derive a likely meaning for it based on how its parts typically behave. Given the typical meaning of affix "-ery," we may guess that a bottlery is a place to make bottles, although we may alternatively guess that it is the craft of bottle making. In this study, we operationalize this feature-an affix's semantic typicality-to investigate affix semantics' role in word processing. Using a lexical decision task and a double dissociative design in an MEG setting, we took advantage of Arabic's highly productive word-pattern derivational system to investigate the role of meaning typicality for derivational morphology. We contrasted one affix typically denoting tools and atypically places with another affix having the reverse denotation pattern. We found higher activity for typical-meaning words in the temporal pole, inferior temporal gyrus, and middle temporal gyrus at an earlier time window than previously associated with semantic processing. Additionally, we replicated results on noun/verb ambiguity, where ambiguous words had higher activity in the fusiform gyrus and throughout the temporal lobe. Our results on lexicality-contrasting words versus nonwords-were also consistent with previous literature. A finer-grained distinction between pseudowords with real roots versus pseudoroots further allowed us to explore the role of affixes in processing in the temporal pole and the inferior frontal cortex. Overall, our study contributes importantly to findings on affix semantic processing and contributes generally to growing findings on different stages of morphological decomposition.

在阅读一个单词时,我们把它分解成有意义的部分——语素。即使它是新颖的,我们也可以根据它的各个部分的典型行为得出一个可能的含义。考虑到词缀“-ery”的典型含义,我们可能会猜测,bottery是制造瓶子的地方,尽管我们也可能猜测它是制造瓶子的工艺。在本研究中,我们运用词缀的语义典型性这一特征来研究词缀语义在文字处理中的作用。利用词汇决策任务和MEG设置中的双重解离设计,我们利用阿拉伯语高效的词模式衍生系统来研究意义典型性对衍生形态的作用。我们将一个通常表示工具和非典型地点的词缀与另一个具有相反表示模式的词缀进行了对比。我们发现,在更早的时间窗口中,颞极、下颞回和中颞回对典型意义单词的活动比之前与语义处理相关的活动要高。此外,我们重复了名词/动词歧义的结果,歧义词在梭状回和整个颞叶有更高的活动。我们在词汇量上的结果——对比单词和非单词——也与之前的文献一致。假词的真词根和假根之间的细微差别进一步使我们能够探索词缀在颞极和额叶下皮层加工过程中的作用。总的来说,我们的研究对词缀语义加工的发现做出了重要贡献,并对不同阶段形态分解的发现做出了广泛的贡献。
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引用次数: 0
Implications of Stimulation Modality and Control Condition on BOLD Response: An Example From the MOUS Dataset. 刺激方式和控制条件对BOLD响应的影响:以MOUS数据集为例。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.25
Anna-Lisa Schuler, Ella Teuscher, Nicola Filippini

The choice of control conditions can significantly influence the outcomes of functional MRI (fMRI) studies. Moreover, especially in language experiments, the sensory modality (auditory, visual) of stimuli might have an influence on experimental results. In this study we leverage a repository dataset (Mother of Unification Studies; MOUS), to systematically investigate the influence of control condition and stimulation modality on fMRI results during sentence processing. Here, we explored fMRI data of 187 subjects that underwent sentence comprehension with either auditory or visual task presentation (reading or listening). Sentences were either complex, including a relative clause, or simple, not including a relative clause. Control conditions were randomly scrambled words as constructed out of the latter sentence conditions. While auditory stimulation resulted in strong activation changes in the bilateral auditory cortices, visual stimulation revealed stronger activation changes in the anterior temporal lobe if compared to simple and complex words, but not simple sentences. A direct comparison between the auditory and visual modality revealed stronger involvement of the primary auditory cortices for auditory stimulation and left inferior frontal gyrus for visual stimulation over all four conditions (complex sentences, simple sentences, complex words, simple words). The results of this study suggest that stimulation modality and control condition strongly influence sentence processing fMRI results. Future fMRI studies should bear this in mind for study planning.

控制条件的选择可以显著影响功能磁共振成像(fMRI)研究的结果。此外,特别是在语言实验中,刺激的感觉模态(听觉、视觉)可能对实验结果产生影响。在这项研究中,我们利用存储库数据集(Mother of Unification Studies; mou),系统地研究了句子处理过程中控制条件和刺激方式对fMRI结果的影响。在这里,我们研究了187名受试者的fMRI数据,这些受试者接受了听觉或视觉任务呈现(阅读或听力)的句子理解。句子要么是复杂的,包括一个关系分句,要么是简单的,不包括一个关系分句。对照条件是由后一个句子条件组成的随机打乱的单词。听觉刺激导致双侧听觉皮层出现强烈的激活变化,而视觉刺激在颞叶前部的激活变化比简单词和复杂词更强,而不是简单句。通过对听觉和视觉模态的直接比较发现,在复杂句、简单句、复杂词、简单词四种情况下,初级听觉皮层对听觉刺激的参与和左额下回对视觉刺激的参与都更强。本研究结果表明,刺激方式和控制条件对句子加工的fMRI结果有显著影响。未来的fMRI研究应该在研究计划中考虑到这一点。
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引用次数: 0
Altered Functional Activation Is Associated With Speech Dysfunction in People With Multiple Sclerosis. 多发性硬化症患者功能激活改变与语言功能障碍相关
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-11-13 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.23
Katherine Hope Kenyon, Frederique Boonstra, Gustavo Noffs, Angela Morgan, Adam Vogel, Scott Kolbe, Anneke van der Walt

Dysarthria is a motor speech disorder that is a common symptom of cerebellar dysfunction in people with multiple sclerosis (pwMS). Despite its prevalence, little is known regarding changes in brain functioning associated with dysarthria in this cohort. Management strategies for cerebellar symptoms such as dysarthria are also limited. Fifty-five pwMS and 14 healthy controls participated in this study. We used fMRI to assess changes in speech related functional activation associated with MS, and split our MS cohort into people with and without dysarthria, and with and without cerebellar dysfunction clinically evident as upper limb action tremor. We found that pwMS performed worse on speech production tasks and had overall lower functional activation while preparing for speech than controls. Furthermore, pwMS require additional recruitment of the left Brodmann areas 45 and 46, key motor speech regions, during speech production compared to healthy controls. MS participants presenting with both dysarthria and action tremor performed worst on speech production tasks. These participants had lower functional activation during speech production compared to other MS participants. People with multiple sclerosis display altered functional activation of motor speech areas during speech production, either due to MS injury or reduced activity during preparation. Compensatory activation is reduced in those with both clinical dysarthria and action tremor compared to MS controls and those with tremor only, likely due to more advanced MS.

构音障碍是一种运动语言障碍,是多发性硬化症(pwMS)患者小脑功能障碍的常见症状。尽管它很普遍,但在这个队列中,人们对与构音障碍相关的脑功能变化知之甚少。小脑症状如构音障碍的治疗策略也很有限。55名pwMS患者和14名健康对照者参加了本研究。我们使用fMRI来评估与MS相关的语言相关功能激活的变化,并将我们的MS队列分为有和没有构音障碍的人,有和没有小脑功能障碍的人,临床上表现为上肢动作性震颤。我们发现,与对照组相比,pwMS组在语音生成任务上的表现更差,在准备语音时的整体功能激活也更低。此外,与健康对照组相比,在言语产生过程中,pwMS需要额外招募左Brodmann区45和46,这是关键的运动言语区域。同时出现构音障碍和行动性震颤的MS参与者在言语生成任务中表现最差。与其他多发性硬化症参与者相比,这些参与者在言语产生过程中的功能激活程度较低。多发性硬化症患者在言语产生过程中表现出运动言语区功能激活的改变,这可能是由于多发性硬化症损伤或准备过程中活动减少所致。与MS对照组和仅震颤的患者相比,同时患有临床构音障碍和行动性震颤的患者代偿激活减少,这可能是由于更晚期的MS。
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引用次数: 0
The Effects of Theta-Gamma Peak Stimulation on Sensorimotor Learning During Speech Production. Theta-Gamma峰刺激对言语产生过程中感觉运动学习的影响。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.22
Birtan Demirel, Daniel Lametti, Noa Alony Gilboa, Charlotte J Stagg, Kate E Watkins

Transcranial alternating current stimulation (tACS) is a noninvasive neuromodulatory tool that is thought to entrain intrinsic neural oscillations by supplying low electric currents over the scalp. Recent work has demonstrated the efficacy of theta-gamma phase-amplitude coupled tACS over primary motor cortex to enhance motor skill acquisition and motor recovery after stroke. Here, we wished to assess the efficacy of tACS delivered with 75-Hz gamma coupled to the peak of a 6-Hz theta envelope (theta-gamma peak; TGP) at an intensity of 2 mA peak-to-peak to enhance sensorimotor learning during speech production. Sensorimotor learning was measured by shifting the formant frequency of vowels in real-time as speech is produced and measuring the adaptation to this altered feedback. The study was a between-subjects, single-blind, sham-controlled design. We hypothesised that participants who performed the speech task while receiving TGP tACS over the speech motor cortex (N = 30) would show greater adaptation to altered auditory feedback than those receiving sham stimulation (N = 31). Contrary to this hypothesis, there was no effect of TGP tACS on adaptation to the upwards F1 shift in auditory feedback in either the final 30 trials of the learning phase or in the first 15 trials of the after-effect phase. However, a trend emerged in the TGP tACS group for greater retention of the adapted state and slower return to baseline F1 values in the after-effect phase. This finding was not predicted, and highlights the need for further investigation to deepen our understanding of the effects of TGP tACS on speech motor learning.

经颅交流电刺激(tACS)是一种非侵入性的神经调节工具,被认为是通过在头皮上提供低电流来携带内在的神经振荡。最近的研究表明,在初级运动皮层上,theta-gamma相位振幅耦合tACS可以增强中风后的运动技能习得和运动恢复。在这里,我们希望评估以2 mA峰对峰强度的75 hz伽玛耦合6 hz包络峰(theta-gamma峰;TGP)提供的tACS在语音产生过程中增强感觉运动学习的效果。感觉运动学习是通过在语音产生时实时改变元音的形成峰频率来测量的,并测量对这种改变反馈的适应。该研究是一项受试者间、单盲、假对照设计。我们假设在言语运动皮层接受TGP - tACS的参与者(N = 30)比接受假刺激的参与者(N = 31)对改变的听觉反馈表现出更大的适应性。与这一假设相反,在学习阶段的最后30次试验和后效阶段的前15次试验中,TGP tACS均未对听觉反馈上移的适应产生影响。然而,在TGP - tACS组中出现了一种趋势,即适应状态的保留程度更高,而在效应后阶段恢复到基线F1值的速度更慢。这一发现并没有被预测到,并且强调需要进一步的研究来加深我们对TGP - tACS对言语运动学习的影响的理解。
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引用次数: 0
Assessing the Utility of Predicted Brain Age for Explaining Variability in Language Abilities in Healthy Older Adults. 评估预测脑年龄对解释健康老年人语言能力变异的效用。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.21
Yanina Prystauka, Foyzul Rahman, Natalie Busby, Jens Roeser, Carl-Johan Boraxbekk, Jack Feron, Samuel J E Lucas, Allison Wetterlin, Eunice G Fernandes, Linda Wheeldon, Katrien Segaert

We investigated whether the difference between chronological and modeled brain age explains individual differences in language performance among healthy older adults. Age-related decline in language abilities is widely documented, with considerable variability among healthy older individuals in both language performance and underlying neural substrate. We derived predicted brain age from grey and white matter using machine learning and used this measure to estimate neurological deviations from chronological age. Using Bayesian mixed-effects modeling, we tested whether brain-age deviations predict language performance in a sample of 86 adults aged 60 years and above. We assessed the effect of brain-age deviations on performance across four well-established language processing tasks, each tapping into linguistic domains known to be vulnerable to ageing and show individual variability in skill levels, in both comprehension and production. Our findings suggest that, in healthy older individuals, predicted deviations of brain age from chronological age do not predict language abilities. This challenges the idea that brain age is a reliable determinant of language processing variability, at least in healthy (as opposed to pathological) ageing and highlights the need to consider other neural and cognitive factors when studying language decline.

我们调查了实际年龄和模拟脑年龄之间的差异是否解释了健康老年人语言表现的个体差异。与年龄相关的语言能力下降被广泛记录,在健康的老年人中,语言表现和潜在的神经基质都有相当大的差异。我们使用机器学习从灰质和白质中得出预测的大脑年龄,并使用这种测量方法来估计与实足年龄的神经偏差。使用贝叶斯混合效应模型,我们测试了86名60岁及以上的成年人的大脑年龄偏差是否能预测语言表现。我们评估了大脑年龄偏差对四种既定语言处理任务表现的影响,每一项任务都涉及已知易受衰老影响的语言领域,并在理解和产生方面显示出个人技能水平的差异。我们的研究结果表明,在健康的老年人中,预测大脑年龄与实际年龄的偏差并不能预测语言能力。这挑战了大脑年龄是语言处理变异性的可靠决定因素的观点,至少在健康(而不是病理性)衰老中是如此,并强调了在研究语言衰退时考虑其他神经和认知因素的必要性。
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引用次数: 0
Beyond Letters: Optimal Transport as a Model for Sub-Letter Orthographic Processing. 超越字母:作为子字母正字法处理模型的最佳传输。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.19
Jack E Taylor, Rasmus Sinn, Cosimo Iaia, Christian J Fiebach

Letter processing plays a key role in visual word recognition. However, word recognition models typically overlook or greatly simplify early perceptual processes of letter recognition. We suggest that optimal transport theory may provide a computational framework for describing letter shape processing. We use representational similarity analysis to show that optimal transport cost (Wasserstein distance) between pairs of letters aligns with neural activity elicited by visually presented letters <225 ms after stimulus onset, outperforming an existing approach based on shape overlap. We additionally show that optimal transport can capture the emergence of geometric invariances (e.g., to position or size) observed in letter perception. Finally, we demonstrate that Wasserstein distance predicts neural activity similarly well to features from artificial networks trained to classify images and letters. However, whereas representations in artificial neural networks emerge in a computationally unconstrained manner, our proposal provides a computationally explicit route to modeling the earliest orthographic processes.

字母处理在视觉词识别中起着关键作用。然而,单词识别模型通常忽略或大大简化了字母识别的早期感知过程。我们建议最优输运理论可以为描述字母形状处理提供一个计算框架。我们使用表征相似性分析来显示字母对之间的最佳运输成本(沃瑟斯坦距离)与视觉呈现字母引起的神经活动一致
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引用次数: 0
Recovery of Verbal Working Memory Depends on Left Hemisphere White Matter Tracts. 言语工作记忆的恢复依赖于左脑白质束。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-09-26 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.20
Randi C Martin, Junhua Ding, Ali I Alwani, Steve H Fung, Tatiana T Schnur

Researchers propose that the recovery of language function following stroke depends on the recruitment of perilesional regions in the left hemisphere and/or homologous regions in the right hemisphere. Many investigations of recovery focus on changes in gray matter regions, whereas relatively few examine white matter tracts and none address the role of these tracts in the recovery of verbal working memory. The present study addressed these gaps, examining the role of left versus right hemisphere tracts in the longitudinal recovery of phonological and semantic working memory. For 24 individuals with left hemisphere stroke, we assessed working memory performance within 1 week of stroke (acute time point) and at more than 6 months after stroke (chronic time point). To address whether recovery depends on the recruitment of left or right hemisphere tracts, we assessed whether changes in working memory were related to the integrity of five white matter tracts in the left hemisphere which had been implicated previously in verbal working memory and their right hemisphere analogues. Behavioral results showed significant improvement in semantic but not phonological working memory from the acute to chronic time points. Improvements in semantic working memory significantly correlated with tract integrity as measured by functional anisotropy in the left direct segment of the arcuate fasciculus, inferior fronto-occipital fasciculus and inferior longitudinal fasciculus. The results confirm the role of white matter tracts in language recovery and support the involvement of the left rather than right hemisphere in the recovery of semantic working memory.

研究人员提出,中风后语言功能的恢复取决于左半球和/或右半球相应区域的恢复。许多关于恢复的研究集中在灰质区域的变化上,而相对较少的研究集中在白质束上,也没有研究白质束在言语工作记忆恢复中的作用。本研究解决了这些空白,考察了左右脑束在语音和语义工作记忆纵向恢复中的作用。对24名左半球中风患者,我们评估了中风后1周(急性时间点)和中风后6个多月(慢性时间点)的工作记忆表现。为了确定恢复是否取决于左半球或右半球束的补充,我们评估了工作记忆的变化是否与左半球五个白质束的完整性有关,这些白质束先前与言语工作记忆及其右半球类似物有关。行为学结果显示,从急性时间点到慢性时间点,语义工作记忆有显著改善,但语音工作记忆没有显著改善。通过左弓状束直接段、额枕下束和纵向束的功能各向异性测量,语义工作记忆的改善与束完整性显著相关。研究结果证实了白质束在语言恢复中的作用,并支持了语义工作记忆的恢复是由左脑而不是右脑参与的。
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引用次数: 0
No Support for White Matter Alterations in Adults With Dyslexia: A Fixel-Based Diffusion MRI Study. 成人阅读障碍患者白质改变不支持:一项基于固定体的扩散MRI研究。
IF 3.1 Q1 LINGUISTICS Pub Date : 2025-09-24 eCollection Date: 2025-01-01 DOI: 10.1162/NOL.a.17
Helena Verhelst, Robin Gerrits, Emma M Karlsson

Developmental dyslexia is a common learning disability marked by reading and spelling difficulties. While previous imaging studies aiming to elucidate the neurobiological mechanisms of this disorder have reported white matter alterations, they are inconsistent with regards to which specific tracts are implicated and in what way. These inconsistencies might partially stem from methodological limitations such as small sample sizes and the use of outdated diffusion models. To address these issues, we used fixel-based analyses, an advanced diffusion framework, to compare structural white matter organization between 35 adults with dyslexia and 34 controls across three levels of analysis (whole-brain, tract-specific, and tract-averaged). Contrary to expectations, none of the analyses yielded significant group differences. However, within the dyslexic group only, poorer word reading proficiency was linked to greater fiber density and cross-section of the bilateral inferior longitudinal fasciculus. Taken together with the existing literature, our results suggest that white matter structure might not be altered in (adulthood) dyslexia or might be idiosyncratically impacted to such an extent that group-average studies are unable to detect these changes. Future large-scale research and efforts to pool datasets across studies will prove essential for understanding the white matter correlates of dyslexia.

发展性阅读障碍是一种常见的以阅读和拼写困难为特征的学习障碍。虽然先前的影像学研究旨在阐明这种疾病的神经生物学机制,但它们在涉及哪些特定束以及以何种方式涉及白质改变方面并不一致。这些不一致可能部分源于方法上的限制,如样本量小和使用过时的扩散模型。为了解决这些问题,我们使用了基于固定蛋白的分析,一种先进的扩散框架,通过三个层面的分析(全脑、特定脑道和平均脑道)来比较35名患有阅读障碍的成年人和34名对照者的白质结构。与预期相反,没有一项分析得出显著的组间差异。然而,仅在诵读困难组中,较差的单词阅读能力与更大的纤维密度和双侧下纵束横断面有关。结合现有文献,我们的结果表明,白质结构可能不会在(成年)阅读障碍中发生改变,或者可能受到特殊的影响,以至于群体平均研究无法检测到这些变化。未来的大规模研究和跨研究汇集数据集的努力将证明对理解阅读障碍的白质相关性至关重要。
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Neurobiology of Language
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