1
|
Lee MM, Stoodley CJ. Neural bases of reading fluency: A systematic review and meta-analysis. Neuropsychologia 2024; 202:108947. [PMID: 38964441 DOI: 10.1016/j.neuropsychologia.2024.108947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 06/26/2024] [Accepted: 06/29/2024] [Indexed: 07/06/2024]
Abstract
Reading fluency, the ability to read quickly and accurately, is a critical marker of successful reading and is notoriously difficult to improve in reading disabled populations. Despite its importance to functional literacy, fluency is a relatively under-studied aspect of reading, and the neural correlates of reading fluency are not well understood. Here, we review the literature of the neural correlates of reading fluency as well as rapid automatized naming (RAN), a task that is robustly related to reading fluency. In a qualitative review of the neuroimaging literature, we evaluated structural and functional MRI studies of reading fluency in readers from a range of skill levels. This was followed by a quantitative activation likelihood estimate (ALE) meta-analysis of fMRI studies of reading speed and RAN measures. We anticipated that reading speed, relative to untimed reading and reading-related tasks, would harness ventral reading pathways that are thought to enable the fast, visual recognition of words. The qualitative review showed that speeded reading taps the entire canonical reading network. The meta-analysis indicated a stronger role of the ventral reading pathway in rapid reading and rapid naming. Both reviews identified regions outside the canonical reading network that contribute to reading fluency, such as the bilateral insula and superior parietal lobule. We suggest that fluent reading engages both domain-specific reading pathways as well as domain-general regions that support overall task performance and discuss future avenues of research to expand our understanding of the neural bases of fluent reading.
Collapse
Affiliation(s)
- Marissa M Lee
- Department of Neuroscience, American University, USA; Center for Applied Brain and Cognitive Sciences, Tufts University, USA
| | - Catherine J Stoodley
- Department of Neuroscience, American University, USA; Developing Brain Institute, Children's National Hospital, USA; Departments of Neurology and Pediatrics, The George Washington University School of Medicine and Health Sciences, USA.
| |
Collapse
|
2
|
Gengeç Benli Ş, İçer S, Demirci E, Karaman ZF, Ak Z, Acer İ, Sağır GR, Aker E, Sertkaya B. Data-driven exploratory method investigation on the effect of dyslexia education at brain connectivity in Turkish children: a preliminary study. Brain Struct Funct 2024; 229:1697-1712. [PMID: 39003410 PMCID: PMC11374831 DOI: 10.1007/s00429-024-02820-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Accepted: 06/11/2024] [Indexed: 07/15/2024]
Abstract
Dyslexia is a specific learning disability that is neurobiological in origin and is characterized by reading and/or spelling problems affecting the development of language-related skills. The aim of this study is to reveal functional markers based on dyslexia by examining the functions of brain regions in resting state and reading tasks and to analyze the effects of special education given during the treatment process of dyslexia. A total of 43 children, aged between 7 and 12, whose native language was Turkish, participated in the study in three groups including those diagnosed with dyslexia for the first time, those receiving special education for dyslexia, and healthy children. Independent component analysis method was employed to analyze functional connectivity variations among three groups both at rest and during the continuous reading task. A whole-brain scanning during task fulfillment and resting states revealed that there were significant differences in the regions including lateral visual, default mode, left frontoparietal, ventral attention, orbitofrontal and lateral motor network. Our results revealed the necessity of adding motor coordination exercises to the training of dyslexic participants and showed that training led to functional connectivity in some brain regions similar to the healthy group. Additionally, our findings confirmed that impulsivity is associated with motor coordination and visuality, and that the dyslexic group has weaknesses in brain connectivity related to these conditions. According to our preliminary results, the differences obtained between children with dyslexia, group of dyslexia with special education and healthy children has revealed the effect of education on brain functions as well as enabling a comprehensive examination of dyslexia.
Collapse
Affiliation(s)
- Şerife Gengeç Benli
- Department of Biomedical Engineering, Engineering Faculty, Erciyes University, Kayseri, Turkey.
| | - Semra İçer
- Department of Biomedical Engineering, Engineering Faculty, Erciyes University, Kayseri, Turkey
| | - Esra Demirci
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Zehra Filiz Karaman
- Department of Pediatric Radiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Zeynep Ak
- Department of Biomedical Engineering, Graduate School of Natural and Applied Sciences, Erciyes University, Kayseri, Turkey
| | - İrem Acer
- Department of Biomedical Engineering, Graduate School of Natural and Applied Sciences, Erciyes University, Kayseri, Turkey
| | - Gizem Rüveyda Sağır
- Department of Biomedical Engineering, Graduate School of Natural and Applied Sciences, Erciyes University, Kayseri, Turkey
| | - Ebru Aker
- Department of Biomedical Engineering, Graduate School of Natural and Applied Sciences, Erciyes University, Kayseri, Turkey
| | - Büşra Sertkaya
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| |
Collapse
|
3
|
Qi T, Mandelli ML, Pereira CLW, Wellman E, Bogley R, Licata AE, Chang EF, Oganian Y, Gorno-Tempini ML. Anatomical and behavioral correlates of auditory perception in developmental dyslexia. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2023.05.09.539936. [PMID: 37214875 PMCID: PMC10197694 DOI: 10.1101/2023.05.09.539936] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Developmental dyslexia is typically associated with difficulties in basic auditory processing and in manipulating speech sounds. However, the neuroanatomical correlates of auditory difficulties in developmental dyslexia (DD) and their contribution to individual clinical phenotypes are still unknown. Recent intracranial electrocorticography findings associated processing of sound amplitude rises and speech sounds with posterior and middle superior temporal gyrus (STG), respectively. We hypothesize that regional STG anatomy will relate to specific auditory abilities in DD, and that auditory processing abilities will relate to behavioral difficulties with speech and reading. One hundred and ten children (78 DD, 32 typically developing, age 7-15 years) completed amplitude rise time and speech in noise discrimination tasks. They also underwent a battery of cognitive tests. Anatomical MRI scans were used to identify regions in which local cortical gyrification complexity correlated with auditory behavior. Behaviorally, amplitude rise time but not speech in noise performance was impaired in DD. Neurally, amplitude rise time and speech in noise performance correlated with gyrification in posterior and middle STG, respectively. Furthermore, amplitude rise time significantly contributed to reading impairments in DD, while speech in noise only explained variance in phonological awareness. Finally, amplitude rise time and speech in noise performance were not correlated, and each task was correlated with distinct neuropsychological measures, emphasizing their unique contributions to DD. Overall, we provide a direct link between the neurodevelopment of the left STG and individual variability in auditory processing abilities in neurotypical and dyslexic populations.
Collapse
|
4
|
Hauw F, Béranger B, Cohen L. Subtitled speech: the neural mechanisms of ticker-tape synaesthesia. Brain 2024; 147:2530-2541. [PMID: 38620012 PMCID: PMC11224615 DOI: 10.1093/brain/awae114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 02/21/2024] [Accepted: 03/21/2024] [Indexed: 04/17/2024] Open
Abstract
The acquisition of reading modifies areas of the brain associated with vision and with language, in addition to their connections. These changes enable reciprocal translation between orthography and the sounds and meaning of words. Individual variability in the pre-existing cerebral substrate contributes to the range of eventual reading abilities, extending to atypical developmental patterns, including dyslexia and reading-related synaesthesias. The present study is devoted to the little-studied but highly informative ticker-tape synaesthesia, in which speech perception triggers the vivid and irrepressible perception of words in their written form in the mind's eye. We scanned a group of 17 synaesthetes and 17 matched controls with functional MRI, while they listened to spoken sentences, words, numbers or pseudowords (Experiment 1), viewed images and written words (Experiment 2) or were at rest (Experiment 3). First, we found direct correlates of the ticker-tape synaesthesia phenomenon: during speech perception, as ticker-tape synaesthesia was active, synaesthetes showed over-activation of left perisylvian regions supporting phonology and of the occipitotemporal visual word form area, where orthography is represented. Second, we provided support to the hypothesis that ticker-tape synaesthesia results from atypical relationships between spoken and written language processing: the ticker-tape synaesthesia-related regions overlap closely with cortices activated during reading, and the overlap of speech-related and reading-related areas is larger in synaesthetes than in controls. Furthermore, the regions over-activated in ticker-tape synaesthesia overlap with regions under-activated in dyslexia. Third, during the resting state (i.e. in the absence of current ticker-tape synaesthesia), synaesthetes showed increased functional connectivity between left prefrontal and bilateral occipital regions. This pattern might reflect a lowered threshold for conscious access to visual mental contents and might imply a non-specific predisposition to all synaesthesias with a visual content. These data provide a rich and coherent account of ticker-tape synaesthesia as a non-detrimental developmental condition created by the interaction of reading acquisition with an atypical cerebral substrate.
Collapse
Affiliation(s)
- Fabien Hauw
- Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, Institut du Cerveau, ICM, Paris 75013, France
- AP-HP, Hôpital de La Pitié Salpêtrière, Fédération de Neurologie, Paris 75013, France
| | - Benoît Béranger
- Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, Institut du Cerveau, ICM, Paris 75013, France
| | - Laurent Cohen
- Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, Institut du Cerveau, ICM, Paris 75013, France
- AP-HP, Hôpital de La Pitié Salpêtrière, Fédération de Neurologie, Paris 75013, France
| |
Collapse
|
5
|
Perkins SC, Shaun Ho S, Evans GW, Liberzon I, Gopang M, Swain JE. Language processing following childhood poverty: Evidence for disrupted neural networks. BRAIN AND LANGUAGE 2024; 252:105414. [PMID: 38640643 DOI: 10.1016/j.bandl.2024.105414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 01/31/2024] [Accepted: 04/10/2024] [Indexed: 04/21/2024]
Abstract
Childhood poverty is related to deficits in multiple cognitive domains including adult language function. It is unknown if the brain basis of language is disrupted in adults with childhood poverty backgrounds, controlling for current functioning. Fifty-one adults (age 24) from an existing longitudinal study of childhood poverty, beginning at age 9, were examined on behavioral phonological awareness (LP) and completed an event-related fMRI speech/print processing LP task. Adults from childhood poverty backgrounds exhibited lower LP in adulthood. The middle-income group exhibited greater activation of the bilateral IFG and hippocampus during language processing. In psychophysiological interaction (PPI) analyses, the childhood poverty group exhibited greater coupling between ventral Broca's and the middle temporal gyrus (MTG) as well as coupling between Wernicke's region and bilateralization. Childhood poverty disrupts language processing neural networks in adulthood, after controlling for LP, suggesting that poverty in childhood influences the neurophysiological basis for language processing into adulthood.
Collapse
Affiliation(s)
- Suzanne C Perkins
- Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, United States.
| | - S Shaun Ho
- Department of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794-8434, United States
| | - Gary W Evans
- Departments of Human Centered Design and Psychology, Cornell University, Ithaca, NY 14853-4401, United States
| | - Israel Liberzon
- Department of Psychiatry, Texas A&M University, Bryan, TX 77802, United States
| | - Meroona Gopang
- Department of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794-8434, United States; Program in Public Health, Department of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794-8434, United States
| | - James E Swain
- Department of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794-8434, United States; Psychology, Obstetrics, Gynecology & Reproductive Medicine, Program in Public Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794-8434, United States
| |
Collapse
|
6
|
Ashburn SM, Matejko AA, Eden GF. Activation and functional connectivity of cerebellum during reading and during arithmetic in children with combined reading and math disabilities. Front Neurosci 2024; 18:1135166. [PMID: 38741787 PMCID: PMC11090247 DOI: 10.3389/fnins.2024.1135166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 02/06/2024] [Indexed: 05/16/2024] Open
Abstract
Background Reading and math constitute important academic skills, and as such, reading disability (RD or developmental dyslexia) and math disability (MD or developmental dyscalculia) can have negative consequences for children's educational progress. Although RD and MD are different learning disabilities, they frequently co-occur. Separate theories have implicated the cerebellum and its cortical connections in RD and in MD, suggesting that children with combined reading and math disability (RD + MD) may have altered cerebellar function and disrupted functional connectivity between the cerebellum and cortex during reading and during arithmetic processing. Methods Here we compared Control and RD + MD groups during a reading task as well as during an arithmetic task on (i) activation of the cerebellum, (ii) background functional connectivity, and (iii) task-dependent functional connectivity between the cerebellum and the cortex. Results The two groups (Control, RD + MD) did not differ for either task (reading, arithmetic) on any of the three measures (activation, background functional connectivity, task-dependent functional connectivity). Conclusion These results do not support theories that children's deficits in reading and math originate in the cerebellum.
Collapse
Affiliation(s)
| | | | - Guinevere F. Eden
- Center for the Study of Learning, Department of Pediatrics, Georgetown University Medical Center, Washington, DC, United States
| |
Collapse
|
7
|
Conte G, Quadrana L, Zotti L, Di Garbo A, Oliveri M. Prismatic adaptation coupled with cognitive training as novel treatment for developmental dyslexia: a randomized controlled trial. Sci Rep 2024; 14:7148. [PMID: 38531968 DOI: 10.1038/s41598-024-57499-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 03/19/2024] [Indexed: 03/28/2024] Open
Abstract
Despite intense and costly treatments, developmental dyslexia (DD) often persists into adulthood. Several brain skills unrelated to speech sound processing (i.e., phonology), including the spatial distribution of visual attention, are abnormal in DD and may represent possible treatment targets. This study explores the efficacy in DD of rightward prismatic adaptation (rPA), a visuomotor adaptation technique that enables visuo-attentive recalibration through shifts in the visual field induced by prismatic goggles. A digital intervention of rPA plus cognitive training was delivered weekly over 10 weeks to adolescents with DD (aged 13-17) assigned either to treatment (N = 35) or waitlist (N = 35) group. Efficacy was evaluated by repeated measures MANOVA assessing changes in working memory index (WMI), processing speed index (PSI), text reading speed, and words/pseudowords reading accuracy. rPA treatment was significantly more effective than waitlist (p ≤ 0.001; ηp2 = 0.815). WMI, PSI, and reading speed increased in the intervention group only (p ≤ 0.001, ηp2 = 0.67; p ≤ 0.001, ηp2 = 0.58; p ≤ 0.001, ηp2 = 0.29, respectively). Although modest change was detected for words and pseudowords accuracy in the waitlist group only (words: p ≤ 0.001, d = 0.17, pseudowords: p = 0.028; d = 0.27), between-group differences were non-significant. rPA-coupled cognitive training enhances cognitive and reading abilities in adolescents with DD. This innovative approach could have implications for early remedial treatment.
Collapse
Affiliation(s)
- Giulia Conte
- Child and Adolescent Neuropsychiatry Division, Department of Human Neuroscience, Sapienza University of Rome, 108 via dei Sabelli, 00185, Rome, Italy.
| | - Lauro Quadrana
- Child and Adolescent Neuropsychiatry Division, Department of Human Neuroscience, Sapienza University of Rome, 108 via dei Sabelli, 00185, Rome, Italy
| | - Lilian Zotti
- Child and Adolescent Neuropsychiatry Division, Department of Human Neuroscience, Sapienza University of Rome, 108 via dei Sabelli, 00185, Rome, Italy
| | - Agnese Di Garbo
- NeuroTeam Life & Science, 112 via della Libertà, 90143, Palermo, Italy
| | - Massimiliano Oliveri
- Department of Biomedicine, Neurosciences and Advanced Diagnostics (BiND), University of Palermo, 129 via del Vespro, 90127, Palermo, Italy
| |
Collapse
|
8
|
Pantaleo MM, Arcuri G, Manfredi M, Proverbio AM. Music literacy improves reading skills via bilateral orthographic development. Sci Rep 2024; 14:3506. [PMID: 38347056 PMCID: PMC10861541 DOI: 10.1038/s41598-024-54204-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 02/09/2024] [Indexed: 02/15/2024] Open
Abstract
Considerable evidence suggests that musical education induces structural and functional neuroplasticity in the brain. This study aimed to explore the potential impact of such changes on word-reading proficiency. We investigated whether musical training promotes the development of uncharted orthographic regions in the right hemisphere leading to better reading abilities. A total of 60 healthy, right-handed culturally matched professional musicians and controls took part in this research. They were categorised as normo-typical readers based on their reading speed (syl/sec) and subdivided into two groups of relatively good and poor readers. High density EEG/ERPs were recorded while participants engaged in a note or letter detection task. Musicians were more fluent in word, non-word and text reading tests, and faster in detecting both notes and words. They also exhibited greater N170 and P300 responses, and target-non target differences for words than controls. Similarly, good readers showed larger N170 and P300 responses than poor readers. Increased reading skills were associated to a bilateral activation of the occipito/temporal cortex, during music and word reading. Source reconstruction also showed a reduced activation of the left fusiform gyrus, and of areas devoted to attentional/ocular shifting in poor vs. good readers, and in controls vs. musicians. Data suggest that music literacy acquired early in time can shape reading circuits by promoting the specialization of a right-sided reading area, whose activity was here associated with enhanced reading proficiency. In conclusion, music literacy induces measurable neuroplastic changes in the left and right OT cortex responsible for improved word reading ability.
Collapse
Affiliation(s)
- Marta Maria Pantaleo
- Cognitive Electrophysiology Lab, Department of Psychology, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, 20162, Milan, Italy
| | - Giulia Arcuri
- Cognitive Electrophysiology Lab, Department of Psychology, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, 20162, Milan, Italy
| | - Mirella Manfredi
- Psychologisches Institut, University of Zurich, Zurich, Switzerland
| | - Alice Mado Proverbio
- Cognitive Electrophysiology Lab, Department of Psychology, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo 1, 20162, Milan, Italy.
- Milan Center for Neuroscience, NeuroMI, Milan, Italy.
| |
Collapse
|
9
|
van der Molen MW, Snellings P, Aravena S, Fraga González G, Zeguers MHT, Verwimp C, Tijms J. Dyslexia, the Amsterdam Way. Behav Sci (Basel) 2024; 14:72. [PMID: 38275355 PMCID: PMC10813111 DOI: 10.3390/bs14010072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 12/20/2023] [Accepted: 12/22/2023] [Indexed: 01/27/2024] Open
Abstract
The current aim is to illustrate our research on dyslexia conducted at the Developmental Psychology section of the Department of Psychology, University of Amsterdam, in collaboration with the nationwide IWAL institute for learning disabilities (now RID). The collaborative efforts are institutionalized in the Rudolf Berlin Center. The first series of studies aimed at furthering the understanding of dyslexia using a gamified tool based on an artificial script. Behavioral measures were augmented with diffusion modeling in one study, and indices derived from the electroencephalogram were used in others. Next, we illustrated a series of studies aiming to assess individuals who struggle with reading and spelling using similar research strategies. In one study, we used methodology derived from the machine learning literature. The third series of studies involved intervention targeting the phonics of language. These studies included a network analysis that is now rapidly gaining prominence in the psychopathology literature. Collectively, the studies demonstrate the importance of letter-speech sound mapping and word decoding in the acquisition of reading. It was demonstrated that focusing on these abilities may inform the prediction, classification, and intervention of reading difficulties and their neural underpinnings. A final section examined dyslexia, conceived as a neurobiological disorder. This analysis converged on the conclusion that recent developments in the psychopathology literature inspired by the focus on research domain criteria and network analysis might further the field by staying away from longstanding debates in the dyslexia literature (single vs. a multiple deficit, category vs. dimension, disorder vs. lack of skill).
Collapse
Affiliation(s)
- Maurits W. van der Molen
- Developmental Psychology, Department of Psychology, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
- Rudolf Berlin Center for Learning Disabilities, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
| | - Patrick Snellings
- Developmental Psychology, Department of Psychology, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
- Rudolf Berlin Center for Learning Disabilities, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
| | | | | | - Maaike H. T. Zeguers
- Samenwerkingsverband VO Amsterdam-Diemen, Bijlmermeerdreef 1289, 1103 TV Amsterdam, The Netherlands
| | - Cara Verwimp
- Developmental Psychology, Department of Psychology, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
- Rudolf Berlin Center for Learning Disabilities, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
| | - Jurgen Tijms
- Developmental Psychology, Department of Psychology, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
- Rudolf Berlin Center for Learning Disabilities, University of Amsterdam, 1018 WS Amsterdam, The Netherlands
| |
Collapse
|
10
|
Turker S, Kuhnke P, Jiang Z, Hartwigsen G. Disrupted network interactions serve as a neural marker of dyslexia. Commun Biol 2023; 6:1114. [PMID: 37923809 PMCID: PMC10624919 DOI: 10.1038/s42003-023-05499-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 10/24/2023] [Indexed: 11/06/2023] Open
Abstract
Dyslexia, a frequent learning disorder, is characterized by severe impairments in reading and writing and hypoactivation in reading regions in the left hemisphere. Despite decades of research, it remains unclear to date if observed behavioural deficits are caused by aberrant network interactions during reading and whether differences in functional activation and connectivity are directly related to reading performance. Here we provide a comprehensive characterization of reading-related brain connectivity in adults with and without dyslexia. We find disrupted functional coupling between hypoactive reading regions, especially between the left temporo-parietal and occipito-temporal cortices, and an extensive functional disruption of the right cerebellum in adults with dyslexia. Network analyses suggest that individuals with dyslexia process written stimuli via a dorsal decoding route and show stronger reading-related interaction with the right cerebellum. Moreover, increased connectivity within networks is linked to worse reading performance in dyslexia. Collectively, our results provide strong evidence for aberrant task-related connectivity as a neural marker for dyslexia that directly impacts behavioural performance. The observed differences in activation and connectivity suggest that one effective way to alleviate reading problems in dyslexia is through modulating interactions within the reading network with neurostimulation methods.
Collapse
Affiliation(s)
- Sabrina Turker
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, 04103, Leipzig, Germany.
- Wilhelm Wundt Institute for Psychology, Leipzig University, 04103, Leipzig, Germany.
| | - Philipp Kuhnke
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, 04103, Leipzig, Germany
- Wilhelm Wundt Institute for Psychology, Leipzig University, 04103, Leipzig, Germany
| | - Zhizhao Jiang
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, 04103, Leipzig, Germany
| | - Gesa Hartwigsen
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, 04103, Leipzig, Germany
- Wilhelm Wundt Institute for Psychology, Leipzig University, 04103, Leipzig, Germany
| |
Collapse
|
11
|
Turker S, Kuhnke P, Schmid FR, Cheung VKM, Weise K, Knoke M, Zeidler B, Seidel K, Eckert L, Hartwigsen G. Adaptive short-term plasticity in the typical reading network. Neuroimage 2023; 281:120373. [PMID: 37696425 PMCID: PMC10577446 DOI: 10.1016/j.neuroimage.2023.120373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 09/07/2023] [Accepted: 09/08/2023] [Indexed: 09/13/2023] Open
Abstract
The left temporo-parietal cortex (TPC) is crucial for phonological decoding, i.e., for learning and retaining sound-letter mappings, and appears hypoactive in dyslexia. Here, we tested the causal contribution of this area for reading in typical readers with transcranial magnetic stimulation (TMS) and explored the reading network's response with fMRI. By investigating the underlying neural correlates of stimulation-induced modulations of the reading network, we can help improve targeted interventions for individuals with dyslexia. 28 typical adult readers overtly read simple and complex words and pseudowords during fMRI after effective and sham TMS over the left TPC. To explore differences in functional activation and effective connectivity within the reading network, we performed univariate and multivariate analyses, as well as dynamic causal modeling. While TMS-induced effects on reading performance and brain activation showed large individual variability, multivariate analyses revealed a shift in activation in the left inferior frontal cortex for pseudoword reading after effective TMS. Furthermore, TMS increased effective connectivity from the left ventral occipito-temporal cortex to the left TPC. In the absence of effects on reading performance, the observed changes in task-related activity and the increase in functional coupling between the two core reading nodes suggest successful short-term compensatory reorganization in the reading network following TMS-induced disruption. This study is the first to explore neurophysiological changes induced by TMS to a core reading node in typical readers while performing an overt reading task. We provide evidence for remote stimulation effects and emphasize the relevance of functional interactions in the reading network.
Collapse
Affiliation(s)
- S Turker
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, Leipzig 04103, Germany; Wilhelm Wundt Institute for Psychology, University of Leipzig, Germany.
| | - P Kuhnke
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, Leipzig 04103, Germany; Wilhelm Wundt Institute for Psychology, University of Leipzig, Germany
| | - F R Schmid
- CBC Center for Brain and Cognition, Universitat Pompeu Fabra, Barcelona, Spain
| | - V K M Cheung
- Institute of Information Science, Academia Sinica, Taipei, Taiwan
| | - K Weise
- Methods and Development Group Brain Networks, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - M Knoke
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, Leipzig 04103, Germany
| | - B Zeidler
- Centre for Systematic Musicology, University of Graz, Austria
| | - K Seidel
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, Leipzig 04103, Germany
| | - L Eckert
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, Leipzig 04103, Germany
| | - G Hartwigsen
- Lise Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, Leipzig 04103, Germany; Wilhelm Wundt Institute for Psychology, University of Leipzig, Germany
| |
Collapse
|
12
|
Ashburn SM, Lynn Flowers D, Eden GF. A comparison of functional activation and connectivity of the cerebellum in adults and children during single word processing. BRAIN AND LANGUAGE 2023; 246:105346. [PMID: 37994829 PMCID: PMC10722870 DOI: 10.1016/j.bandl.2023.105346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 08/17/2023] [Accepted: 10/10/2023] [Indexed: 11/24/2023]
Abstract
Meta-analyses on reading show cerebellar activation in adults, but not children, suggesting a possible age-dependent role of the cerebellum in reading. However, the few studies that compare adults and children during reading report mixed cerebellar activation results. Here, we studied (i) cerebellar activation during implicit word processing in adults and children and (ii) functional connectivity (FC) between the cerebellum and left cortical regions involved in reading. First, both groups activated bilateral cerebellum for word processing when compared to fixation, but not when compared to the active control. There were no differences between adults and children. Second, we found intrinsic FC between several cerebellar seed regions and cortical target regions in adults and children, as well as between-group differences. However, task-modulated FC specific to word processing revealed no within- nor between-group results. Together this study does not provide support for a role of the cerebellum in word processing at either age.
Collapse
Affiliation(s)
- Sikoya M Ashburn
- Center for the Study of Learning, Department of Pediatrics, Georgetown University Medical Center, Washington, DC, United States
| | - D Lynn Flowers
- Center for the Study of Learning, Department of Pediatrics, Georgetown University Medical Center, Washington, DC, United States
| | - Guinevere F Eden
- Center for the Study of Learning, Department of Pediatrics, Georgetown University Medical Center, Washington, DC, United States.
| |
Collapse
|
13
|
Potier Watkins C, Dehaene S, Friedmann N. Characterizing different types of developmental dyslexias in French: The Malabi screener. Cogn Neuropsychol 2023; 40:319-350. [PMID: 38831527 DOI: 10.1080/02643294.2024.2327665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 02/16/2024] [Indexed: 06/05/2024]
Abstract
Reading is a complex process involving multiple stages. An impairment in any of these stages may cause distinct types of reading deficits- distinct types of dyslexia. We describe the Malabi, a screener to identify deficits in various orthographic, lexical, and sublexical components of the reading process in French. The Malabi utilizes stimuli that are sensitive to different forms of dyslexia, including "attentional dyslexia", as it is traditionally refered to, characterized by letter-to-word binding impairments leading to letter migrations between words (e.g., "bar cat" misread as "bat car"), and "letter-position dyslexia", resulting in letter transpositions within words (e.g., "destiny" misread as "density"). After collecting reading error norms from 138 French middle-school students, we analyzed error types of 16 students with developmental dyslexia. We identified three selective cases of attentional dyslexia and one case of letter-position dyslexia. Further tests confirmed our diagnosis and demonstrate, for the first time, how these dyslexias are manifested in French. These results underscore the significance of recognizing and discussing the existence of multiple dyslexias, both in research contexts when selecting participants for dyslexia studies, and in practical settings where educators and practitioners work with students to develop personalized support. The test and supporting materials are available on Open Science Framework (https://osf.io/3pgzb/).
Collapse
Affiliation(s)
- Cassandra Potier Watkins
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Saclay, NeuroSpin Center, Gif/Yvette, France
- Collège de France, Université Paris-Sciences-Lettres (PSL), Paris, France
| | - Stanislas Dehaene
- Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Saclay, NeuroSpin Center, Gif/Yvette, France
- Collège de France, Université Paris-Sciences-Lettres (PSL), Paris, France
| | - Naama Friedmann
- Language and Brain Lab, Tel Aviv University, Tel Aviv, Israel
| |
Collapse
|
14
|
Zhang K, Sun X, Yu CL, Eggleston RL, Marks RA, Nickerson N, Caruso VC, Hu XS, Tardif T, Chou TL, Booth JR, Kovelman I. Phonological and morphological literacy skills in English and Chinese: A cross-linguistic neuroimaging comparison of Chinese-English bilingual and monolingual English children. Hum Brain Mapp 2023. [PMID: 37483170 PMCID: PMC10400794 DOI: 10.1002/hbm.26419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 06/20/2023] [Accepted: 07/05/2023] [Indexed: 07/25/2023] Open
Abstract
Over the course of literacy development, children learn to recognize word sounds and meanings in print. Yet, they do so differently across alphabetic and character-based orthographies such as English and Chinese. To uncover cross-linguistic influences on children's literacy, we asked young Chinese-English simultaneous bilinguals and English monolinguals (N = 119, ages 5-10) to complete phonological and morphological awareness (MA) literacy tasks. Children completed the tasks in the auditory modality in each of their languages during functional near-infrared spectroscopy neuroimaging. Cross-linguistically, comparisons between bilinguals' two languages revealed that the task that was more central to reading in a given orthography, such as phonological awareness (PA) in English and MA in Chinese, elicited less activation in the left inferior frontal and parietal regions. Group comparisons between bilinguals and monolinguals in English, their shared language of academic instruction, revealed that the left inferior frontal was less active during phonology but more active during morphology in bilinguals relative to monolinguals. MA skills are generally considered to have greater language specificity than PA skills. Bilingual literacy training in a skill that is maximally similar across languages, such as PA, may therefore yield greater automaticity for this skill, as reflected in the lower activation in bilinguals relative to monolinguals. This interpretation is supported by negative correlations between proficiency and brain activation. Together, these findings suggest that both the structural characteristics and literacy experiences with a given language can exert specific influences on bilingual and monolingual children's emerging brain networks for learning to read.
Collapse
Affiliation(s)
- Kehui Zhang
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Xin Sun
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
- Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Chi-Lin Yu
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Rachel L Eggleston
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Rebecca A Marks
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
- Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
| | - Nia Nickerson
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Valeria C Caruso
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Xiao-Su Hu
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Twila Tardif
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Tai-Li Chou
- Department of Psychology, National Taiwan University, Taipei, Taiwan
| | - James R Booth
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Ioulia Kovelman
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| |
Collapse
|
15
|
Haugg A, Frei N, Menghini M, Stutz F, Steinegger S, Röthlisberger M, Brem S. Self-regulation of visual word form area activation with real-time fMRI neurofeedback. Sci Rep 2023; 13:9195. [PMID: 37280217 DOI: 10.1038/s41598-023-35932-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 05/25/2023] [Indexed: 06/08/2023] Open
Abstract
The Visual Word Form Area (VWFA) is a key region of the brain's reading network and its activation has been shown to be strongly associated with reading skills. Here, for the first time, we investigated whether voluntary regulation of VWFA activation is feasible using real-time fMRI neurofeedback. 40 adults with typical reading skills were instructed to either upregulate (UP group, N = 20) or downregulate (DOWN group, N = 20) their own VWFA activation during six neurofeedback training runs. The VWFA target region was individually defined based on a functional localizer task. Before and after training, also regulation runs without feedback ("no-feedback runs") were performed. When comparing the two groups, we found stronger activation across the reading network for the UP than the DOWN group. Further, activation in the VWFA was significantly stronger in the UP group than the DOWN group. Crucially, we observed a significant interaction of group and time (pre, post) for the no-feedback runs: The two groups did not differ significantly in their VWFA activation before neurofeedback training, but the UP group showed significantly stronger activation than the DOWN group after neurofeedback training. Our results indicate that upregulation of VWFA activation is feasible and that, once learned, successful upregulation can even be performed in the absence of feedback. These results are a crucial first step toward the development of a potential therapeutic support to improve reading skills in individuals with reading impairments.
Collapse
Affiliation(s)
- Amelie Haugg
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland.
| | - Nada Frei
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Milena Menghini
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Felizia Stutz
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Sara Steinegger
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Martina Röthlisberger
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Silvia Brem
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland
- Neuroscience Center Zurich, University of Zurich and ETH Zurich, Zurich, Switzerland
| |
Collapse
|
16
|
Martinez-Lincoln A, Fotidzis TS, Cutting LE, Price GR, Barquero LA. Examination of common and unique brain regions for atypical reading and math: a meta-analysis. Cereb Cortex 2023; 33:6959-6989. [PMID: 36758954 PMCID: PMC10233309 DOI: 10.1093/cercor/bhad013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 12/20/2022] [Accepted: 12/21/2022] [Indexed: 02/11/2023] Open
Abstract
The purpose of this study is to identify consistencies across functional neuroimaging studies regarding common and unique brain regions/networks for individuals with reading difficulties (RD) and math difficulties (MD) compared to typically developing (TD) individuals. A systematic search of the literature, utilizing multiple databases, yielded 116 functional magnetic resonance imaging and positron emission tomography studies that met the criteria. Coordinates that directly compared TD with either RD or MD were entered into GingerALE (Brainmap.org). An activation likelihood estimate (ALE) meta-analysis was conducted to examine common and unique brain regions for RD and MD. Overall, more studies examined RD (n = 96) than MD (n = 20). Across studies, overactivation for reading and math occurred in the right insula and inferior frontal gyrus for atypically developing (AD) > TD comparisons, albeit in slightly different areas of these regions; however, inherent threshold variability across imaging studies could diminish overlying regions. For TD > AD comparisons, there were no similar or overlapping brain regions. Results indicate there were domain-specific differences for RD and MD; however, there were some similarities in the ancillary recruitment of executive functioning skills. Theoretical and practical implications for researchers and educators are discussed.
Collapse
Affiliation(s)
- Amanda Martinez-Lincoln
- Department of Special Education, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, United States
| | - Tess S Fotidzis
- Department of Special Education, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, United States
| | - Laurie E Cutting
- Department of Special Education, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, United States
- Vanderbilt University Medical Center, Vanderbilt Kennedy Center, 110 Magnolia Circle, Nashville, TN 37203, United States
| | - Gavin R Price
- Department of Psychology, University of Exeter, Washington Singer Building Perry Road Exeter EX44QG, United Kingdom
| | - Laura A Barquero
- Department of Special Education, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, United States
| |
Collapse
|
17
|
Turesky TK, Luetje MM, Eden GF. An fMRI study of finger movements in children with and without dyslexia. Front Neurosci 2023; 17:1135437. [PMID: 37274202 PMCID: PMC10233035 DOI: 10.3389/fnins.2023.1135437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 04/24/2023] [Indexed: 06/06/2023] Open
Abstract
Introduction Developmental dyslexia is a language-based reading disability, yet some have reported motor impairments, usually attributed to cerebellar dysfunction. Methods Using fMRI, we compared children with and without dyslexia during irregularly paced, left or right-hand finger tapping. Next, we examined seed-to-voxel intrinsic functional connectivity (iFC) using six seed regions of the motor system (left and right anterior lobe of the cerebellum, SM1 and SMA). Results A whole-brain task-evoked analysis revealed relatively less activation in the group with dyslexia in right anterior cerebellum during right hand tapping. For iFC, we found the group with dyslexia to have greater iFC between the right SM1 seed and a medial aspect of right postcentral gyrus for left hand tapping; and greater iFC between the left SM1 seed and left thalamus, as well as weaker local iFC around the left SM1 seed region for right hand tapping. Lastly, extracted activity and connectivity values that had been identified in these between-group comparisons were not correlated with measures of reading. Discussion We conclude that there are some aberrations in motor system function in children with dyslexia, but these are not tied to reading ability.
Collapse
Affiliation(s)
| | | | - Guinevere F. Eden
- Center for the Study of Learning, Georgetown University Medical Center, Washington, DC, United States
| |
Collapse
|
18
|
Joshi F, Wang JZ, Vaden KI, Eckert MA. Deep Learning Classification of Reading Disability with Regional Brain Volume Features. Neuroimage 2023; 273:120075. [PMID: 37054828 PMCID: PMC10167676 DOI: 10.1016/j.neuroimage.2023.120075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 12/02/2022] [Accepted: 03/30/2023] [Indexed: 04/15/2023] Open
Abstract
Developmental reading disability is a prevalent and often enduring problem with varied mechanisms that contributes to its phenotypic heterogeneity. This mechanistic and phenotypic variation, as well as relatively modest sample sizes, may have limited the development of accurate neuroimaging-based classifiers for reading disability, including because of the large feature space of neuroimaging datasets. An unsupervised learning model was used to reduce deformation-based data to a lower-dimensional manifold and then supervised learning models were used to classify these latent representations in a dataset of 96 reading disability cases and 96 controls (mean age: 9.86 ± 1.56). A combined unsupervised autoencoder and supervised convolutional neural network approach provided an effective classification of cases and controls (accuracy: 77%; precision: 0.75; recall: 0.78). Brain regions that contributed to this classification accuracy were identified by adding noise to the voxel-level image data, which showed that reading disability classification accuracy was most influenced by the superior temporal sulcus, dorsal cingulate, and lateral occipital cortex. Regions that were most important for the accurate classification of controls included the supramarginal gyrus, orbitofrontal, and medial occipital cortex. The contribution of these regions reflected individual differences in reading-related abilities, such as non-word decoding or verbal comprehension. Together, the results demonstrate an optimal deep learning solution for classification using neuroimaging data. In contrast with standard mass-univariate test results, results from the deep learning model also provided evidence for regions that may be specifically affected in reading disability cases.
Collapse
Affiliation(s)
- Foram Joshi
- School of Computing, Clemson University, Clemson, S.C. U.S.A
| | - James Z Wang
- School of Computing, Clemson University, Clemson, S.C. U.S.A
| | - Kenneth I Vaden
- Department of Otolaryngology - Head and Neck Surgery Medical University of South Carolina, Charleston, S.C. U.S.A
| | - Mark A Eckert
- Department of Otolaryngology - Head and Neck Surgery Medical University of South Carolina, Charleston, S.C. U.S.A..
| |
Collapse
|
19
|
Werth R. Dyslexia: Causes and Concomitant Impairments. Brain Sci 2023; 13:brainsci13030472. [PMID: 36979282 PMCID: PMC10046374 DOI: 10.3390/brainsci13030472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 02/07/2023] [Accepted: 03/06/2023] [Indexed: 03/12/2023] Open
Abstract
In recent decades, theories have been presented to explain the nature of dyslexia, but the causes of dyslexia remained unclear. Although the investigation of the causes of dyslexia presupposes a clear understanding of the concept of cause, such an understanding is missing. The present paper proposes the absence of at least one necessary condition or the absence of all sufficient conditions as causes for impaired reading. The causes of impaired reading include: an incorrect fixation location, too short a fixation time, the attempt to recognize too many letters simultaneously, too large saccade amplitudes, and too short verbal reaction times. It is assumed that a longer required fixation time in dyslexic readers results from a functional impairment of areas V1, V2, and V3 that require more time to complete temporal summation. These areas and areas that receive input from them, such as the fusiform gyrus, are assumed to be impaired in their ability to simultaneously process a string of letters. When these impairments are compensated by a new reading strategy, reading ability improves immediately.
Collapse
Affiliation(s)
- Reinhard Werth
- Institute for Social Pediatrics and Adolescent Medicine, Ludwig-Maximilians-University of Munich, Haydnstr. 5, D-80336 München, Germany
| |
Collapse
|
20
|
Di Pietro SV, Willinger D, Frei N, Lutz C, Coraj S, Schneider C, Stämpfli P, Brem S. Disentangling influences of dyslexia, development, and reading experience on effective brain connectivity in children. Neuroimage 2023; 268:119869. [PMID: 36639004 DOI: 10.1016/j.neuroimage.2023.119869] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 12/29/2022] [Accepted: 01/09/2023] [Indexed: 01/12/2023] Open
Abstract
Altered brain connectivity between regions of the reading network has been associated with reading difficulties. However, it remains unclear whether connectivity differences between children with dyslexia (DYS) and those with typical reading skills (TR) are specific to reading impairments or to reading experience. In this functional MRI study, 132 children (M = 10.06 y, SD = 1.46) performed a phonological lexical decision task. We aimed to disentangle (1) disorder-specific from (2) experience-related differences in effective connectivity and to (3) characterize the development of DYS and TR. We applied dynamic causal modeling to age-matched (ndys = 25, nTR = 35) and reading-level-matched (ndys = 25, nTR = 22) groups. Developmental effects were assessed in beginning and advanced readers (TR: nbeg = 48, nadv = 35, DYS: nbeg = 24, nadv = 25). We show that altered feedback connectivity between the inferior parietal lobule and the visual word form area (VWFA) during print processing can be specifically attributed to reading impairments, because these alterations were found in DYS compared to both the age-matched and reading-level-matched TR. In contrast, feedforward connectivity from the VWFA to parietal and frontal regions characterized experience in TR and increased with age and reading skill. These directed connectivity findings pinpoint disorder-specific and experience-dependent alterations in the brain's reading network.
Collapse
Affiliation(s)
- Sarah V Di Pietro
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland; URPP Adaptive Brain Circuits in Development and Learning (AdaBD), University of Zurich, Zurich, Switzerland
| | - David Willinger
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland; Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Nada Frei
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland
| | - Christina Lutz
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland
| | - Seline Coraj
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland
| | - Chiara Schneider
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Switzerland
| | - Philipp Stämpfli
- MR-Center of the Department of Psychiatry, Psychotherapy and Psychosomatics and the Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric Hospital, University of Zurich, Zurich, Switzerland
| | - Silvia Brem
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland; URPP Adaptive Brain Circuits in Development and Learning (AdaBD), University of Zurich, Zurich, Switzerland; MR-Center of the Department of Psychiatry, Psychotherapy and Psychosomatics and the Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric Hospital, University of Zurich, Zurich, Switzerland.
| |
Collapse
|
21
|
Lorusso ML, Toraldo A. Revisiting Multifactor Models of Dyslexia: Do They Fit Empirical Data and What Are Their Implications for Intervention? Brain Sci 2023; 13:brainsci13020328. [PMID: 36831871 PMCID: PMC9954758 DOI: 10.3390/brainsci13020328] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/09/2023] [Accepted: 02/11/2023] [Indexed: 02/17/2023] Open
Abstract
Developmental dyslexia can be viewed as the result of the effects of single deficits or multiple deficits. This study presents a test of the applicability of a multifactor-interactive model (MFi-M) with a preliminary set of five variables corresponding to different neuropsychological functions involved in the reading process. The model has been tested on a sample of 55 school-age children with developmental dyslexia. The results show that the data fit a model in which each variable contributes to the reading ability in a non-additive but rather interactive way. These findings constitute a preliminary validation of the plausibility of the MFi-M, and encourage further research to add relevant factors and specify their relative weights. It is further discussed how subtype-based intervention approaches can be a suitable and advantageous framework for clinical intervention in a MFi-M perspective.
Collapse
Affiliation(s)
- Maria Luisa Lorusso
- Scientific Institute IRCCS E. Medea, 23842 Bosisio Parini, Italy
- Correspondence:
| | - Alessio Toraldo
- Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy
- Milan Center for Neuroscience, NeuroMI, 20126 Milan, Italy
| |
Collapse
|
22
|
Lee MM, Drury BC, McGrath LM, Stoodley CJ. Shared grey matter correlates of reading and attention. BRAIN AND LANGUAGE 2023; 237:105230. [PMID: 36731345 PMCID: PMC10153583 DOI: 10.1016/j.bandl.2023.105230] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 01/13/2023] [Accepted: 01/17/2023] [Indexed: 05/04/2023]
Abstract
Disorders of reading (developmental dyslexia) and attention (ADHD) have a high rate of comorbidity (25-40%), yet little is known about the neural underpinnings of this phenomenon. The current study investigated the shared and unique neural correlates of reading and attention in 330 typically developing children ages 8-18 from the Philadelphia Neurodevelopmental Cohort. Multiple regression analyses were used to identify regions of the brain where grey matter (GM) volume was associated with reading or attention scores (p < 0.001, cluster FDR p < 0.05). Better attention scores correlated with increased GM in the precuneus and higher reading scores were associated with greater thalamic GM. An exploratory conjunction analysis (p < 0.05, k > 239) found that GM in the caudate and precuneus correlated with both reading and attention scores. These results are consistent with a recent meta-analysis which identified GM reductions in the caudate in both dyslexia and ADHD and reveal potential shared neural correlates of reading and attention.
Collapse
Affiliation(s)
- Marissa M Lee
- Department of Psychology, American University, United States; Department of Neuroscience, American University, United States
| | - Brianne C Drury
- Undergraduate Program in Neuroscience, American University, United States
| | | | - Catherine J Stoodley
- Department of Psychology, American University, United States; Department of Neuroscience, American University, United States.
| |
Collapse
|
23
|
Li J, Kean H, Fedorenko E, Saygin Z. Intact reading ability despite lacking a canonical visual word form area in an individual born without the left superior temporal lobe. Cogn Neuropsychol 2023; 39:249-275. [PMID: 36653302 DOI: 10.1080/02643294.2023.2164923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The visual word form area (VWFA), a region canonically located within left ventral temporal cortex (VTC), is specialized for orthography in literate adults presumbly due to its connectivity with frontotemporal language regions. But is a typical, left-lateralized language network critical for the VWFA's emergence? We investigated this question in an individual (EG) born without the left superior temporal lobe but who has normal reading ability. EG showed canonical typical face-selectivity bilateraly but no wordselectivity either in right VWFA or in the spared left VWFA. Moreover, in contrast with the idea that the VWFA is simply part of the language network, no part of EG's VTC showed selectivity to higher-level linguistic processing. Interestingly, EG's VWFA showed reliable multivariate patterns that distinguished words from other categories. These results suggest that a typical left-hemisphere language network is necessary for acanonical VWFA, and that orthographic processing can otherwise be supported by a distributed neural code.
Collapse
Affiliation(s)
- Jin Li
- Department of Psychology, The Ohio State University, Columbus, OH, USA
| | - Hope Kean
- Department of Brain and Cognitive Sciences / McGovern Institute for Brain Research, MIT, Cambridge, MA, USA
| | - Evelina Fedorenko
- Department of Brain and Cognitive Sciences / McGovern Institute for Brain Research, MIT, Cambridge, MA, USA
| | - Zeynep Saygin
- Department of Psychology, The Ohio State University, Columbus, OH, USA
| |
Collapse
|
24
|
Ozernov‐Palchik O, Sury D, Turesky TK, Yu X, Gaab N. Longitudinal changes in brain activation underlying reading fluency. Hum Brain Mapp 2023; 44:18-34. [PMID: 35984111 PMCID: PMC9783447 DOI: 10.1002/hbm.26048] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 05/23/2022] [Accepted: 07/16/2022] [Indexed: 02/05/2023] Open
Abstract
Reading fluency-the speed and accuracy of reading connected text-is foundational to educational success. The current longitudinal study investigates the neural correlates of fluency development using a connected-text paradigm with an individualized presentation rate. Twenty-six children completed a functional MRI task in 1st/2nd grade (time 1) and again 1-2 years later (time 2). There was a longitudinal increase in activation in the ventral occipito-temporal (vOT) cortex from time 1 to time 2. This increase was also associated with improvements in reading fluency skills and modulated by individual speed demands. These findings highlight the reciprocal relationship of the vOT region with reading proficiency and its importance for supporting the developmental transition to fluent reading. These results have implications for developing effective interventions to target increased automaticity in reading.
Collapse
Affiliation(s)
- Ola Ozernov‐Palchik
- McGovern Institute for Brain ResearchMassachusetts Institute of TechnologyCambridgeMassachusettsUSA
- Harvard Graduate School of EducationHarvard UniversityCambridgeMassachusettsUSA
| | - Dana Sury
- Department of Learning Disabilities, Faculty of EducationBeit Berl CollegeHasharonIsrael
| | - Ted K. Turesky
- Harvard Graduate School of EducationHarvard UniversityCambridgeMassachusettsUSA
| | - Xi Yu
- State Key Laboratory of Cognitive Neuroscience and LearningBeijing Normal UniversityBeijingChina
| | - Nadine Gaab
- Harvard Graduate School of EducationHarvard UniversityCambridgeMassachusettsUSA
- Harvard Medical SchoolBostonMassachusettsUSA
| |
Collapse
|
25
|
Correspondence between cognitive and neural representations for phonology, orthography, and semantics in supramarginal compared to angular gyrus. Brain Struct Funct 2023; 228:255-271. [PMID: 36326934 DOI: 10.1007/s00429-022-02590-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 10/23/2022] [Indexed: 11/05/2022]
Abstract
The angular and supramarginal gyri (AG and SMG) together constitute the inferior parietal lobule (IPL) and have been associated with cognitive functions that support reading. How those functions are distributed across the AG and SMG is a matter of debate, the resolution of which is hampered by inconsistencies across stereotactic atlases provided by the major brain image analysis software packages. Schematic results from automated meta-analyses suggest primarily semantic (word meaning) processing in the left AG, with more spatial overlap among phonological (auditory word form), orthographic (visual word form), and semantic processing in the left SMG. To systematically test for correspondence between patterns of neural activation and phonological, orthographic, and semantic representations, we re-analyze a functional magnetic resonance imaging data set of participants reading aloud 465 words. Using representational similarity analysis, we test the hypothesis that within cytoarchitecture-defined subregions of the IPL, phonological representations are primarily associated with the SMG, while semantic representations are primarily associated with the AG. To the extent that orthographic representations can be de-correlated from phonological representations, they will be associated with cortex peripheral to the IPL, such as the intraparietal sulcus. Results largely confirmed these hypotheses, with some nuanced exceptions, which we discuss in terms of neurally inspired computational cognitive models of reading that learn mappings among distributed representations for orthography, phonology, and semantics. De-correlating constituent representations making up complex cognitive processes, such as reading, by careful selection of stimuli, representational formats, and analysis techniques, are promising approaches for bringing additional clarity to brain structure-function relationships.
Collapse
|
26
|
How Characters Are Learned Leaves Its Mark on the Neural Substrates of Chinese Reading. eNeuro 2022; 9:ENEURO.0111-22.2022. [PMID: 36635247 PMCID: PMC9787807 DOI: 10.1523/eneuro.0111-22.2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 12/02/2022] [Accepted: 12/07/2022] [Indexed: 12/15/2022] Open
Abstract
Understanding how the brain functions differently as one learns to read may shed light on the controversial nature of the reading ability of human being. Logographic writing system such as Chinese has been found to rely on specialized neural substrates beyond the reading network of alphabetic languages. The ability to read in Chinese has also been proposed to rely on writing skills. However, it was unclear whether the learning-related alteration of neural responses was language specific or resulted from the more reliance on writing practice during acquisition. This study investigated whether the emergence of typical logographic-specific regions relied on learning by writing. We taught proficient alphabetic language readers Chinese characters and used pre-test and post-test to identify changes in two critical stages of reading, namely, orthographic processing and orthographic-to-phonological mapping. Two typical left hemispheric areas for logographic reading showed increased responses to characters in the brains of proficient alphabetic readers after learning, regardless of whether the learning strategy involved writing practice. Moreover, learning strategy modulated the response magnitude or multivoxel patterns in the left superior parietal lobule, left middle frontal gyrus, and right fusiform gyrus, some of which were task dependent. The findings corroborated a limited role of writing in the emergence of logographic-specific reading network and suggested the heterogeneous nature of different brain regions in this network.
Collapse
|
27
|
Liloia D, Crocetta A, Cauda F, Duca S, Costa T, Manuello J. Seeking Overlapping Neuroanatomical Alterations between Dyslexia and Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Replication Study. Brain Sci 2022; 12:brainsci12101367. [PMID: 36291301 PMCID: PMC9599506 DOI: 10.3390/brainsci12101367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 09/23/2022] [Accepted: 09/29/2022] [Indexed: 01/18/2023] Open
Abstract
The present work is a replication article based on the paper “Are there shared neural correlates between dyslexia and ADHD? A meta-analysis of voxel-based morphometry studies” by McGrath and Stoodley (2019). In the original research, the authors used activation likelihood estimation (ALE), a technique to perform coordinate-based meta-analysis (CBMA), to investigate the existence of brain regions undergoing gray matter alteration in association with both attention-deficit/hyper-activity disorder (ADHD) and dyslexia. Here, the same voxel-based morphometry dataset was analyzed, while using the permutation-subject images version of signed differential mapping (PSI-SDM) in place of ALE. Overall, the replication converged with the original paper in showing a limited overlap between the two conditions. In particular, no significant effect was found for dyslexia, therefore precluding any form of comparison between the two disorders. The possible influences of biological sex, age, and medication status were also ruled out. Our findings are in line with literature about gray matter alteration associated with ADHD and dyslexia, often showing conflicting results. Therefore, although neuropsychological and clinical evidence suggest some convergence between ADHD and dyslexia, more future research is sorely needed to reach a consensus on the neuroimaging domain in terms of patterns of gray matter alteration.
Collapse
Affiliation(s)
- Donato Liloia
- GCS fMRI Koelliker Group, Koelliker Hospital and University of Turin, 10124 Turin, Italy
- FOCUS Laboratory, Department of Psychology, University of Turin, 10124 Turin, Italy
| | - Annachiara Crocetta
- FOCUS Laboratory, Department of Psychology, University of Turin, 10124 Turin, Italy
| | - Franco Cauda
- GCS fMRI Koelliker Group, Koelliker Hospital and University of Turin, 10124 Turin, Italy
- FOCUS Laboratory, Department of Psychology, University of Turin, 10124 Turin, Italy
- Neuroscience Institute of Turin, 10043 Turin, Italy
- Correspondence: ; Tel.: +39-011-670-29-80; Fax: +39-011-814-62-31
| | - Sergio Duca
- GCS fMRI Koelliker Group, Koelliker Hospital and University of Turin, 10124 Turin, Italy
- FOCUS Laboratory, Department of Psychology, University of Turin, 10124 Turin, Italy
| | - Tommaso Costa
- GCS fMRI Koelliker Group, Koelliker Hospital and University of Turin, 10124 Turin, Italy
- FOCUS Laboratory, Department of Psychology, University of Turin, 10124 Turin, Italy
| | - Jordi Manuello
- GCS fMRI Koelliker Group, Koelliker Hospital and University of Turin, 10124 Turin, Italy
- FOCUS Laboratory, Department of Psychology, University of Turin, 10124 Turin, Italy
| |
Collapse
|
28
|
Brignoni‐Pérez E, Jamal NI, Eden GF. Functional neuroanatomy of English word reading in early bilingual and monolingual adults. Hum Brain Mapp 2022; 43:4310-4325. [PMID: 35607841 PMCID: PMC9435003 DOI: 10.1002/hbm.25955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 02/28/2022] [Accepted: 04/19/2022] [Indexed: 12/02/2022] Open
Abstract
Skilled reading is important in daily life. While the understanding of the neurofunctional organization of this uniquely human skill has advanced significantly, it does not take into consideration the common bilingual experiences around the world. To examine the role of early bilingualism on the neural substrates supporting English word processing, we compared brain activity, as well as functional connectivity, in Spanish-English early bilingual adults (N = 25) and English monolingual adults (N = 33) during single-word processing. Activation analysis revealed no significant differences between the two groups. A seed-to-voxel analysis using eight a priori selected seed-regions (placed in regions known to be involved in reading) revealed relatively stronger functional connectivity in bilinguals between two sets of regions: left superior temporal gyrus seed positively with left lingual gyrus and left middle frontal gyrus seed negatively with left anterior cingulate cortex. Together these results suggest that an early Spanish-English bilingual experience does not modulate local brain activity for English word reading. It does, however, have some influence on the functional intercommunication between brain regions during reading, specifically in two regions associated with reading, which are functionally connected to those inside and outside of the reading network. We conclude that brain regions involved in processing English words are not that different in Spanish-English early bilingual adults relative to monolingual adult users of English.
Collapse
Affiliation(s)
- Edith Brignoni‐Pérez
- Center for the Study of Learning, Department of PediatricsGeorgetown University Medical CenterWashingtonDistrict of ColumbiaUSA
- Interdisciplinary Program in NeuroscienceGeorgetown University Medical CenterWashingtonDistrict of ColumbiaUSA
| | - Nasheed I. Jamal
- Center for the Study of Learning, Department of PediatricsGeorgetown University Medical CenterWashingtonDistrict of ColumbiaUSA
| | - Guinevere F. Eden
- Center for the Study of Learning, Department of PediatricsGeorgetown University Medical CenterWashingtonDistrict of ColumbiaUSA
- Interdisciplinary Program in NeuroscienceGeorgetown University Medical CenterWashingtonDistrict of ColumbiaUSA
| |
Collapse
|
29
|
Landi N, Kleinman D, Agrawal V, Ashton G, Coyne-Green A, Roberts P, Blair N, Russell J, Stutzman A, Scorrano D, Frazier N, Pugh KR, Hoeft F. Researcher-practitioner partnerships and in-school laboratories facilitate translational research in reading. JOURNAL OF RESEARCH IN READING 2022; 45:367-384. [PMID: 36970562 PMCID: PMC10038566 DOI: 10.1111/1467-9817.12392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Educational neuroscience approaches have helped to elucidate the brain basis of Reading Disability (RD) and of reading intervention response; however, there is often limited translation of this knowledge to the broader scientific and educational communities. Moreover, this work is traditionally lab-based, and thus the underlying theories and research questions are siloed from classroom practices. With growing awareness of the neurobiological origins of RD and increasing popularity of putative "brain-based" approaches in clinics and classrooms, it is imperative that we create more direct and bidirectional communication between scientists and practitioners. Such direct collaborations can help dispel neuromyths, and lead to increased understanding of the promises and pitfalls of neuroscience approaches. Moreover, direct partnerships between researchers and practitioners can lead to greater ecological validity in study designs to improve upon the translational potential of findings. To this end, we have forged collaborative partnerships, and built cognitive neuroscience laboratories within independent reading disabilities schools. This approach affords frequent and ecologically valid neurobiological assessment as children's reading improves in response to intervention. It also permits the creation of dynamic models of leading and lagging relationships of students' learning, and identification of individual-level predictors of intervention response. The partnerships also provide in-depth knowledge of student characteristics and classroom practices, which, when combined with the data we acquire, may facilitate optimization of instructional approaches. In this commentary, we discuss the creation of our partnerships, the scientific problem we are addressing (variable response to reading intervention), and the epistemological significance of researcher-practitioner bi-directional learning.
Collapse
Affiliation(s)
- Nicole Landi
- Department of Psychological Sciences, University of Connecticut, Storrs, CT, USA and Haskins Laboratories, New Haven, CT, USA
| | | | | | | | | | | | | | - Jay Russell
- The Windward Institute, White Plains, NY, USA
| | | | | | | | - Kenneth R Pugh
- Department of Psychological Sciences, University of Connecticut, Storrs, CT, USA and Haskins Laboratories, New Haven, CT, USA
| | - Fumiko Hoeft
- Department of Psychological Sciences, University of Connecticut, Storrs, CT, USA and Haskins Laboratories, New Haven, CT, USA
| |
Collapse
|
30
|
Braid J, Richlan F. The Functional Neuroanatomy of Reading Intervention. Front Neurosci 2022; 16:921931. [PMID: 35784836 PMCID: PMC9243375 DOI: 10.3389/fnins.2022.921931] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Accepted: 05/31/2022] [Indexed: 11/29/2022] Open
Abstract
The present article reviews the literature on the brain mechanisms underlying reading improvements following behavioral intervention for reading disability. This includes evidence of neuroplasticity concerning functional brain activation, brain structure, and brain connectivity related to reading intervention. Consequently, the functional neuroanatomy of reading intervention is compared to the existing literature on neurocognitive models and brain abnormalities associated with reading disability. A particular focus is on the left hemisphere reading network including left occipito-temporal, temporo-parietal, and inferior frontal language regions. In addition, potential normalization/compensation mechanisms involving right hemisphere cortical regions, as well as bilateral sub-cortical and cerebellar regions are taken into account. The comparison of the brain systems associated with reading intervention and the brain systems associated with reading disability enhances our understanding of the neurobiological basis of typical and atypical reading development. All in all, however, there is a lack of sufficient evidence regarding rehabilitative brain mechanisms in reading disability, which we discuss in this review.
Collapse
|
31
|
Li Y, Bi HY. Comparative research on neural dysfunction in children with dyslexia under different writing systems: A meta-analysis study. Neurosci Biobehav Rev 2022; 137:104650. [PMID: 35367220 DOI: 10.1016/j.neubiorev.2022.104650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 03/03/2022] [Accepted: 03/29/2022] [Indexed: 11/28/2022]
Abstract
Developmental dyslexia is a special learning disorder which is prevalent in all languages. A central question in dyslexia is whether the neural mechanism of their defects is universal or distinct in different writing systems. Using meta-analytic approach, we created meta-images using activation abnormalities in Chinese and alphabetic children with dyslexia to find convergence and divergence under different writing systems. The results revealed that dyslexic children have a universal attention-related dysfunction with hypoactivation in the left inferior frontal cortex (IFC) and the anterior cingulate cortex (ACC) under different writing systems, in spite of differences of degree and spatial extent in those regions. Alphabetic dyslexic children additionally showed hypoactivation in the left occipito-temporo-parietal regions. Chinese dyslexic children showed specific hyperactivation in the right postcentral gyrus, the left rectus, and the right middle temporal gyrus. The present meta-analysis for the first time showed both shared and distinct abnormalities in children with dyslexia under Chinese and alphabetic writing systems.
Collapse
Affiliation(s)
- YiZhen Li
- CAS Key Laboratory of Behavioral Science, Center for Brain Science and Learning Difficulties, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Hong-Yan Bi
- CAS Key Laboratory of Behavioral Science, Center for Brain Science and Learning Difficulties, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China.
| |
Collapse
|
32
|
Li H, Yuan Q, Luo YJ, Tao W. A new perspective for understanding the contributions of the cerebellum to reading: The cerebro-cerebellar mapping hypothesis. Neuropsychologia 2022; 170:108231. [DOI: 10.1016/j.neuropsychologia.2022.108231] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 03/28/2022] [Accepted: 03/29/2022] [Indexed: 02/07/2023]
|
33
|
Meisler SL, Gabrieli JDE. A large-scale investigation of white matter microstructural associations with reading ability. Neuroimage 2022; 249:118909. [PMID: 35033675 PMCID: PMC8919267 DOI: 10.1016/j.neuroimage.2022.118909] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 01/05/2022] [Accepted: 01/12/2022] [Indexed: 01/18/2023] Open
Abstract
Reading involves the functioning of a widely distributed brain network, and white matter tracts are responsible for transmitting information between constituent network nodes. Several studies have analyzed fiber bundle microstructural properties to shed insights into the neural basis of reading abilities and disabilities. Findings have been inconsistent, potentially due to small sample sizes and varying methodology. To address this, we analyzed a large data set of 686 children ages 5-18 using state-of-the-art neuroimaging acquisitions and processing techniques. We searched for associations between fractional anisotropy (FA) and single-word and single-nonword reading skills in children with diverse reading abilities across multiple tracts previously thought to contribute to reading. We also looked for group differences in tract FA between typically reading children and children with reading disabilities. FA of the white matter increased with age across all participants. There were no significant correlations between overall reading abilities and tract FAs across all children, and no significant group differences in tract FA between children with and without reading disabilities. There were associations between FA and nonword reading ability in older children (ages 9 and above). Higher FA in the right superior longitudinal fasciculus (SLF) and left inferior cerebellar peduncle (ICP) correlated with better nonword reading skills. These results suggest that letter-sound correspondence skills, as measured by nonword reading, are associated with greater white matter coherence among older children in these two tracts, as indexed by higher FA.
Collapse
Affiliation(s)
- Steven L Meisler
- Program in Speech and Hearing Bioscience and Technology, Harvard University, 43 Vassar Street, Bldg. 46, Room 4033 Cambridge, MA, 02139, USA.
| | - John D E Gabrieli
- Department of Brain and Cognitive Sciences and McGovern Institute for Brain Research, Massachusetts Institute of Technology, 43 Vassar Street, Bldg. 46, Room 4033 Cambridge, MA, 02139, USA.
| |
Collapse
|
34
|
Ligges C, Ligges M, Gaser C. Cross-Sectional Investigation of Brain Volume in Dyslexia. Front Neurol 2022; 13:847919. [PMID: 35350399 PMCID: PMC8957969 DOI: 10.3389/fneur.2022.847919] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 02/04/2022] [Indexed: 01/18/2023] Open
Abstract
The goal of the study was to determine whether dyslexia is associated with differences in local brain volume, and whether these local brain volume differences show cross-sectional age-effects. We investigated the local volume of gray and white brain matter with voxel-based morphometry (VBM) as well as reading performance in three age groups of dyslexic and neurotypical normal reading subjects (children, teenagers and adults). Performance data demonstrate a steady improvement of reading skills in both neurotypical as well as dyslexic readers. However, the pattern of gray matter volumes tell a different story: the children are the only group with significant differences between neurotypical and dyslexic readers in local gray matter brain volume. These differences are localized in brain areas associated with the reading network (angular, middle temporal and inferior temporal gyrus as well as the cerebellum). Yet the comparison of neurotypical and normal readers over the age groups shows that the steady increase in performance in neurotypical readers is accompanied by a steady decrease of gray matter volume, whereas the brain volumes of dyslexic readers do not show this linear correlation between brain volume and performance. This is further evidence that dyslexia is a disorder with a neuroanatomical basis in the form of a lower volume of gray matter in parts of the reading network in early dyslexic readers. The present data point out that network shaping processes in gray matter volume in the reading network does take place over age in dyslexia. Yet this neural foundation does not seem to be sufficient to allow normal reading performances even in adults with dyslexia. Thus dyslexia is a disorder with lifelong consequences, which is why consistent support for affected individuals in their educational and professional careers is of great importance. Longitudinal studies are needed to verify whether this holds as a valid pattern or whether there is evidence of greater interindividual variance in the neuroanatomy of dyslexia.
Collapse
Affiliation(s)
- Carolin Ligges
- Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Marc Ligges
- Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Christian Gaser
- Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.,Department of Neurology, Jena University Hospital, Jena, Germany
| |
Collapse
|
35
|
Zhang M, Riecke L, Fraga-González G, Bonte M. Altered brain network topology during speech tracking in developmental dyslexia. Neuroimage 2022; 254:119142. [PMID: 35342007 DOI: 10.1016/j.neuroimage.2022.119142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 03/15/2022] [Accepted: 03/23/2022] [Indexed: 10/18/2022] Open
Abstract
Developmental dyslexia is often accompanied by altered phonological processing of speech. Underlying neural changes have typically been characterized in terms of stimulus- and/or task-related responses within individual brain regions or their functional connectivity. Less is known about potential changes in the more global functional organization of brain networks. Here we recorded electroencephalography (EEG) in typical and dyslexic readers while they listened to (a) a random sequence of syllables and (b) a series of tri-syllabic real words. The network topology of the phase synchronization of evoked cortical oscillations was investigated in four frequency bands (delta, theta, alpha and beta) using minimum spanning tree graphs. We found that, compared to syllable tracking, word tracking triggered a shift toward a more integrated network topology in the theta band in both groups. Importantly, this change was significantly stronger in the dyslexic readers, who also showed increased reliance on a right frontal cluster of electrodes for word tracking. The current findings point towards an altered effect of word-level processing on the functional brain network organization that may be associated with less efficient phonological and reading skills in dyslexia.
Collapse
Affiliation(s)
- Manli Zhang
- Maastricht Brain Imaging Center, Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands.
| | - Lars Riecke
- Maastricht Brain Imaging Center, Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands
| | - Gorka Fraga-González
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, University of Zurich, Switzerland
| | - Milene Bonte
- Maastricht Brain Imaging Center, Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands
| |
Collapse
|
36
|
Turker S, Hartwigsen G. The use of noninvasive brain stimulation techniques to improve reading difficulties in dyslexia: A systematic review. Hum Brain Mapp 2022; 43:1157-1173. [PMID: 34716977 PMCID: PMC8764483 DOI: 10.1002/hbm.25700] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 09/29/2021] [Accepted: 10/08/2021] [Indexed: 02/05/2023] Open
Abstract
Noninvasive brain stimulation (NIBS) allows to actively and noninvasively modulate brain function. Aside from inhibiting specific processes, NIBS may also enhance cognitive functions, which might be used for the prevention and intervention of learning disabilities such as dyslexia. However, despite the growing interest in modulating learning abilities, a comprehensive, up-to-date review synthesizing NIBS studies with dyslexics is missing. Here, we fill this gap and elucidate the potential of NIBS as treatment option in dyslexia. The findings of the 15 included studies suggest that repeated sessions of reading training combined with different NIBS protocols may induce long-lasting improvements of reading performance in child and adult dyslexics, opening promising avenues for future research. In particular, the "classical" reading areas seem to be most successfully modulated through NIBS, and facilitatory protocols can improve various reading-related subprocesses. Moreover, we emphasize the need to further explore the potential to modulate auditory cortex function as a preintervention and intervention approach for affected children, for example, to avoid the development of auditory and phonological difficulties at the core of dyslexia. Finally, we outline how future studies may increase our understanding of the neurobiological basis of NIBS-induced improvements in dyslexia.
Collapse
Affiliation(s)
- Sabrina Turker
- Lise Meitner Research Group Cognition and PlasticityMax Planck Institute for Human Cognitive and Brain SciencesLeipzigGermany
- Alexander von Humboldt FoundationBerlinGermany
| | - Gesa Hartwigsen
- Lise Meitner Research Group Cognition and PlasticityMax Planck Institute for Human Cognitive and Brain SciencesLeipzigGermany
| |
Collapse
|
37
|
Evidence of graphomotor dysfunction in children with dyslexia A combined behavioural and fMRI experiment. Cortex 2022; 148:68-88. [DOI: 10.1016/j.cortex.2021.11.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 08/19/2021] [Accepted: 11/26/2021] [Indexed: 01/02/2023]
|
38
|
Krafnick AJ, Napoliello EM, Flowers DL, Eden GF. The Role of Brain Activity in Characterizing Successful Reading Intervention in Children With Dyslexia. Front Neurosci 2022; 16:898661. [PMID: 35769700 PMCID: PMC9234261 DOI: 10.3389/fnins.2022.898661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 05/23/2022] [Indexed: 11/23/2022] Open
Abstract
Studies of reading intervention in dyslexia have shown changes in performance and in brain function. However, there is little consistency in the location of brain regions associated with successful reading gains in children, most likely due to variability/limitations in methodologies (study design, participant criteria, and neuroimaging procedures). Ultimately for the results to be meaningful, the intervention has to be successful, be assessed against a control, use rigorous statistics, and take biological variables (sex) into consideration. Using a randomized, crossover design, 31 children with dyslexia were assigned to a phonological- and orthographic-based tutoring period as well as a within-subjects control period to examine: (1) intervention-induced changes in behavior (reading performance) and in brain activity (during reading); and (2) behavioral and brain activity pre-intervention data that predicted intervention-induced gains in reading performance. We found gains in reading ability following the intervention, but not following the control period, with no effect of participants' sex. However, there were no changes in brain activity following the intervention (regardless of sex), suggesting that individual brain changes are too variable to be captured at the group level. Reading gains were not predicted by pre-intervention behavioral data, but were predicted by pre-intervention brain activity in bilateral supramarginal/angular gyri. Notably, some of this prediction was only found in females. Our results highlight the limitations of brain imaging in detecting the neural correlates of reading intervention in this age group, while providing further evidence for its utility in assessing eventual success of intervention, especially if sex is taken into consideration.
Collapse
|
39
|
Reading intervention and neuroplasticity: A systematic review and meta-analysis of brain changes associated with reading intervention. Neurosci Biobehav Rev 2021; 132:465-494. [PMID: 34856223 DOI: 10.1016/j.neubiorev.2021.11.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 11/05/2021] [Accepted: 11/08/2021] [Indexed: 11/22/2022]
Abstract
Behavioral research supports the efficacy of intervention for reading disability, but the brain mechanisms underlying improvement in reading are not well understood. Here, we review 39 neuroimaging studies of reading intervention to characterize links between reading improvement and changes in the brain. We report evidence of changes in activation, connectivity, and structure within the reading network, and right hemisphere, frontal and sub-cortical regions. Our meta-analysis of changes in brain activation from pre- to post- reading intervention in eight studies did not yield any significant effects. Methodological heterogeneity among studies may contribute to the lack of significant meta-analytic findings. Based on our qualitative synthesis, we propose that brain changes in response to intervention should be considered in terms of interactions among distributed cognitive, linguistic and sensory systems, rather than via a "normalized" vs. "compensatory" dichotomy. Further empirical research is needed to identify effects of moderating factors such as features of intervention programs, neuroimaging tasks, and individual differences among participants.
Collapse
|
40
|
Liu T, Thiebaut de Schotten M, Altarelli I, Ramus F, Zhao J. Maladaptive compensation of right fusiform gyrus in developmental dyslexia: A hub-based white matter network analysis. Cortex 2021; 145:57-66. [PMID: 34689032 DOI: 10.1016/j.cortex.2021.07.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 06/19/2021] [Accepted: 07/30/2021] [Indexed: 10/20/2022]
Abstract
Cognitive theories have been proposed to clarify the causes and symptoms of dyslexia. However, correlations between local network parameters of white matter connectivity and literacy skills remain poorly known. An unbiased hypothesis-free approach was adopted to examine the correlations between literacy symptoms (reading and spelling) and hub-based white matter networks' connectivity parameters [nodal degree fractional anisotropy (FA) values] of 90 brain regions based on Anatomical Atlas Labels (AAL) in a group of French children with dyslexia aged 9-14 years. Results revealed that the higher the right fusiform gyrus's (FFG) nodal degree FA values, the lower the reading accuracy for words and pseudowords in dyslexic children. The results indicate that the severity of word/pseudoword reading symptoms in dyslexia relates to a white matter network centered around the right FFG. The negative correlation between right FFG network connectivity and reading accuracy, in particular pseudoword reading accuracy, suggests that right FFG represents a maladaptive compensation towards a general orthography-to-phonology decoding ability in developmental dyslexia.
Collapse
Affiliation(s)
- Tianqiang Liu
- School of Psychology, Shaanxi Normal University, Shaanxi Provincial Key Research Center of Child Mental and Behavioral Health, Xi'an, China
| | - Michel Thiebaut de Schotten
- Groupe d'Imagerie Neurofonctionnelle, Institut des Maladies Neurodégénératives-UMR 5293, CNRS, CEA, University of Bordeaux, Bordeaux, France; Brain Connectivity and Behaviour Laboratory, Sorbonne Universities, Paris, France
| | - Irene Altarelli
- CNRS UMR 8240, Laboratory for the Psychology of Child Development and, Education (LaPsyDE), University Paris Descartes, Université de Paris, Paris, France; Laboratoire de Sciences Cognitives et Psycholinguistique (ENS, EHESS, CNRS), Département d'Etudes Cognitives, Ecole Normale Supérieure, PSL Research University, Paris, France
| | - Franck Ramus
- Laboratoire de Sciences Cognitives et Psycholinguistique (ENS, EHESS, CNRS), Département d'Etudes Cognitives, Ecole Normale Supérieure, PSL Research University, Paris, France.
| | - Jingjing Zhao
- School of Psychology, Shaanxi Normal University, Shaanxi Provincial Key Research Center of Child Mental and Behavioral Health, Xi'an, China.
| |
Collapse
|
41
|
Werth R. Is Developmental Dyslexia Due to a Visual and Not a Phonological Impairment? Brain Sci 2021; 11:1313. [PMID: 34679378 PMCID: PMC8534212 DOI: 10.3390/brainsci11101313] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 09/21/2021] [Accepted: 09/27/2021] [Indexed: 11/16/2022] Open
Abstract
It is a widely held belief that developmental dyslexia (DD) is a phonological disorder in which readers have difficulty associating graphemes with their corresponding phonemes. In contrast, the magnocellular theory of dyslexia assumes that DD is a visual disorder caused by dysfunctional magnocellular neural pathways. The review explores arguments for and against these theories. Recent results have shown that DD is caused by (1) a reduced ability to simultaneously recognize sequences of letters that make up words, (2) longer fixation times required to simultaneously recognize strings of letters, and (3) amplitudes of saccades that do not match the number of simultaneously recognized letters. It was shown that pseudowords that could not be recognized simultaneously were recognized almost without errors when the fixation time was extended. However, there is an individual maximum number of letters that each reader with DD can recognize simultaneously. Findings on the neurobiological basis of temporal summation have shown that a necessary prolongation of fixation times is due to impaired processing mechanisms of the visual system, presumably involving magnocells and parvocells. An area in the mid-fusiform gyrus also appears to play a significant role in the ability to simultaneously recognize words and pseudowords. The results also contradict the assumption that DD is due to a lack of eye movement control. The present research does not support the assumption that DD is caused by a phonological disorder but shows that DD is due to a visual processing dysfunction.
Collapse
Affiliation(s)
- Reinhard Werth
- Institute for Social Pediatrics and Adolescent Medicine, University of Munich, Haydnstrasse 5, D-80336 Munich, Germany
| |
Collapse
|
42
|
Yan X, Jiang K, Li H, Wang Z, Perkins K, Cao F. Convergent and divergent brain structural and functional abnormalities associated with developmental dyslexia. eLife 2021; 10:e69523. [PMID: 34569931 PMCID: PMC8497057 DOI: 10.7554/elife.69523] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Accepted: 09/24/2021] [Indexed: 01/18/2023] Open
Abstract
Brain abnormalities in the reading network have been repeatedly reported in individuals with developmental dyslexia (DD); however, it is still not totally understood where the structural and functional abnormalities are consistent/inconsistent across languages. In the current multimodal meta-analysis, we found convergent structural and functional alterations in the left superior temporal gyrus across languages, suggesting a neural signature of DD. We found greater reduction in grey matter volume and brain activation in the left inferior frontal gyrus in morpho-syllabic languages (e.g. Chinese) than in alphabetic languages, and greater reduction in brain activation in the left middle temporal gyrus and fusiform gyrus in alphabetic languages than in morpho-syllabic languages. These language differences are explained as consequences of being DD while learning a specific language. In addition, we also found brain regions that showed increased grey matter volume and brain activation, presumably suggesting compensations and brain regions that showed inconsistent alterations in brain structure and function. Our study provides important insights about the etiology of DD from a cross-linguistic perspective with considerations of consistency/inconsistency between structural and functional alterations.
Collapse
Affiliation(s)
- Xiaohui Yan
- Department of Psychology, Sun Yat-Sen UniversityGuangzhouChina
| | - Ke Jiang
- Department of Psychology, Sun Yat-Sen UniversityGuangzhouChina
| | - Hui Li
- Department of Preschool Education, Anyang Preschool Education CollegeAnyangChina
| | - Ziyi Wang
- School of Foreign Language, Jining UniversityJiningChina
| | - Kyle Perkins
- Florida International University (Retired Professor)MiamiUnited States
| | - Fan Cao
- Department of Psychology, Sun Yat-Sen UniversityGuangzhouChina
| |
Collapse
|
43
|
Borghesani V, Wang C, Watson C, Bouhali F, Caverzasi E, Battistella G, Bogley R, Yabut NA, Deleon J, Miller ZA, Hoeft F, Mandelli ML, Gorno-Tempini ML. Functional and morphological correlates of developmental dyslexia: A multimodal investigation of the ventral occipitotemporal cortex. J Neuroimaging 2021; 31:962-972. [PMID: 34115429 PMCID: PMC10832296 DOI: 10.1111/jon.12892] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 05/03/2021] [Accepted: 05/21/2021] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND AND PURPOSE The ventral occipitotemporal cortex (vOT) is a region crucial for reading acquisition through selective tuning to printed words. Developmental dyslexia is a disorder of reading with underlying neurobiological bases often associated with atypical neural responses to printed words. Previous studies have discovered anomalous structural development and function of the vOT in individuals with dyslexia. However, it remains unclear if or how structural abnormalities relate to functional alterations. METHODS In this study, we acquired structural, functional (words and faces processing), and diffusion MRI data from 26 children with dyslexia (average age = 10.4 ± 2.0 years) and 14 age-matched typically developing readers (average age = 10.4 ± 1.6 years). Morphological indices of local gyrification, neurite density (i.e., dendritic arborization structure), and orientation dispersion (i.e., dendritic arborization orientation) were analyzed within the vOT region that showed preferential activation in typically developing readers for words (as compared to face stimuli). RESULTS The two cohorts diverged significantly in both functional and structural measures. Compared to typically developing controls, children with dyslexia did not show selectivity for words in the left vOT (contrast: words > false fonts). This lack of tuning to printed words was associated with greater neurite dispersion heterogeneity in the dyslexia cohort, but similar neurite density. These group differences were not present in the homologous contralateral area, the right vOT. CONCLUSIONS Our findings provide new insight into the neurobiology of the lack of vOT word tuning in dyslexia by linking behavior, alterations in functional activation, and neurite organization.
Collapse
Affiliation(s)
- Valentina Borghesani
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
| | - Cheng Wang
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Christa Watson
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Florence Bouhali
- Department of Psychiatry and Behavioral Science, University of California, San Francisco, San Francisco, California, USA
- Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA
| | - Eduardo Caverzasi
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Giovanni Battistella
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Rian Bogley
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Nicole A Yabut
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Jessica Deleon
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Zachary A Miller
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Fumiko Hoeft
- Department of Psychiatry and Behavioral Science, University of California, San Francisco, San Francisco, California, USA
- Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA
- Department of Psychological Sciences, University of Connecticut, Mansfield, Connecticut, USA
- Brain Imaging Research Center, University of Connecticut, Mansfield, Connecticut, USA
| | - Maria Luisa Mandelli
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
| | - Maria Luisa Gorno-Tempini
- Department of Neurology, University of California, San Francisco, San Francisco, California, USA
- Dyslexia Center, University of California, San Francisco, San Francisco, California, USA
- Department of Psychiatry and Behavioral Science, University of California, San Francisco, San Francisco, California, USA
- Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA
| |
Collapse
|
44
|
Mao J, Liu L, Perkins K, Cao F. Poor reading is characterized by a more connected network with wrong hubs. BRAIN AND LANGUAGE 2021; 220:104983. [PMID: 34174464 DOI: 10.1016/j.bandl.2021.104983] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 06/01/2021] [Accepted: 06/15/2021] [Indexed: 06/13/2023]
Abstract
Using graph theory, we examined topological organization of the language network in Chinese children with poor reading during an auditory rhyming task and a visual spelling task, compared to reading-matched controls and age-matched controls. First, poor readers (PR) showed reduced clustering coefficient in the left inferior frontal gyrus (IFG) and higher nodal efficiency in the bilateral superior temporal gyri (STG) during the visual task, indicating a less functionally specialized cluster around the left IFG and stronger functional links between bilateral STGs and other regions. Furthermore, PR adopted additional right-hemispheric hubs in both tasks, which may explain increased global efficiency across both tasks and lower normalized characteristic shortest path length in the visual task for the PR. These results underscore deficits in the left IFG during visual word processing and conform previous findings about compensation in the right hemisphere in children with poor reading.
Collapse
Affiliation(s)
- Jiaqi Mao
- Department of Psychology, Sun Yat-Sen University, China
| | - Lanfang Liu
- Department of Psychology, Sun Yat-Sen University, China
| | - Kyle Perkins
- Department of Teaching and Learning, College of Arts, Sciences and Education, Florida International University, United States
| | - Fan Cao
- Department of Psychology, Sun Yat-Sen University, China.
| |
Collapse
|
45
|
Borghesani V, Wang C, Miller C, Mandelli M, Shapiro K, Miller Z, Fox C, Dronkers N, Gorno-Tempini M, Watson C. The resilience of the developing reading system: multi-modal evidence of incident and recovery after a pediatric stroke. Neurocase 2021; 27:338-348. [PMID: 34503393 PMCID: PMC8814732 DOI: 10.1080/13554794.2021.1957119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 07/12/2021] [Indexed: 10/20/2022]
Abstract
Decades of neuroscientific findings have elucidated the highly specialized brain areas involved in reading, especially along the ventral occipitotemporal stream where the critical step of recognizing words occurs. We report on a 14-year-old female with temporary dyslexia after a left ventral occipitotemporal ischemic stroke. Our longitudinal multimodal findings show that the resolution of the reading impairment was associated with heightened activity in the left posterior superior and inferior temporal gyri. Our findings highlight the role of the left inferior temporal gyrus in reading and the importance of perilesional and ipsilateral cortical areas for functional recovery after childhood stroke.
Collapse
Affiliation(s)
- V. Borghesani
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
| | - C. Wang
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
| | - C. Miller
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
| | - M.L. Mandelli
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
| | - K. Shapiro
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
| | - Z. Miller
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
| | - C. Fox
- Department of Neurology, University of California, San Francisco, CA
| | - N.F. Dronkers
- Department of Psychology, University of California, Berkeley, CA
- Department of Neurology, University of California, Davis, CA3
| | - M.L. Gorno-Tempini
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
- Dyslexia Center, University of California, San Francisco, CA
| | - C Watson
- Memory and Aging Center, Department of Neurology, University of California San Francisco
- Department of Neurology, University of California, San Francisco, CA
- Dyslexia Center, University of California, San Francisco, CA
| |
Collapse
|
46
|
Yang Y, Zuo Z, Tam F, Graham SJ, Li J, Ji Y, Meng Z, Gu C, Bi HY, Ou J, Xu M. The brain basis of handwriting deficits in Chinese children with developmental dyslexia. Dev Sci 2021; 25:e13161. [PMID: 34288292 PMCID: PMC9286553 DOI: 10.1111/desc.13161] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 06/15/2021] [Accepted: 07/14/2021] [Indexed: 02/06/2023]
Abstract
Abundant behavioral studies have demonstrated high comorbidity of reading and handwriting difficulties in developmental dyslexia (DD), a neurological condition characterized by unexpectedly low reading ability despite adequate nonverbal intelligence and typical schooling. The neural correlates of handwriting deficits remain largely unknown; however, as well as the extent that handwriting deficits share common neural bases with reading deficits in DD. The present work used functional magnetic resonance imaging to examine brain activity during handwriting and reading tasks in Chinese dyslexic children (n = 18) and age-matched controls (n = 23). Compared to controls, dyslexic children exhibited reduced activation during handwriting tasks in brain regions supporting sensory-motor processing (including supplementary motor area and postcentral gyrus) and visual-orthography processing (including bilateral precuneus and right cuneus). Among these regions, the left supplementary motor area and the right precuneus also showed a trend of reduced activation during reading tasks in dyslexics. Moreover, increased activation was found in the left inferior frontal gyrus and anterior cingulate cortex in dyslexics, which may reflect more efforts of executive control to compensate for the impairments of motor and visual-orthographic processing. Finally, dyslexic children exhibited aberrant functional connectivity among brain areas for cognitive control and sensory-motor processes during handwriting tasks. Together, these findings suggest that handwriting deficits in DD are associated with functional abnormalities of multiple brain regions implicated in motor execution, visual-orthographic processing, and cognitive control, providing important implications for the diagnosis and treatment of dyslexia.
Collapse
Affiliation(s)
- Yang Yang
- CAS Key Laboratory of Behavioral Science, Center for Brain Science and Learning Difficulties, Institute of Psychology,Chinese Academy of Sciences, Beijing, China.,Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Zhentao Zuo
- State Key Laboratory of Brain and Cognitive Science, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China
| | - Fred Tam
- Physical Sciences Platform, Sunnybrook Research Institute, Toronto, Canada
| | - Simon J Graham
- Physical Sciences Platform, Sunnybrook Research Institute, Toronto, Canada.,Department of Medical Biophysics, University of Toronto, Toronto, Canada
| | - Junjun Li
- CAS Key Laboratory of Behavioral Science, Center for Brain Science and Learning Difficulties, Institute of Psychology,Chinese Academy of Sciences, Beijing, China.,Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Yuzhu Ji
- Department of Psychology, College of Education, Zhejiang University of Technology, Hangzhou, China
| | - Zelong Meng
- Department of Psychology, School of Humanities and Social Sciences, Beijing Forestry University, Beijing, China
| | - Chanyuan Gu
- Department of Chinese and Bilingual Studies, Faculty of Humanities, The Hong Kong Polytechnic University, Hong Kong, China
| | - Hong-Yan Bi
- CAS Key Laboratory of Behavioral Science, Center for Brain Science and Learning Difficulties, Institute of Psychology,Chinese Academy of Sciences, Beijing, China.,Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Jian Ou
- Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen, China
| | - Min Xu
- Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen, China.,Center for Language and Brain, Shenzhen Institute of Neuroscience, Shenzhen, China
| |
Collapse
|
47
|
Margolis AE, Pagliaccio D, Davis KS, Thomas L, Banker SM, Cyr M, Marsh R. Neural correlates of cognitive control deficits in children with reading disorder. Brain Imaging Behav 2021; 14:1531-1542. [PMID: 30919230 DOI: 10.1007/s11682-019-00083-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Reading disorder (RD) is characterized by deficient phonological processing, but children with RD also have cognitive control deficits, the neural correlates of which are not fully understood. We used fMRI to assess neural activity during the resolution of cognitive conflict on the Simon Spatial Incompatibility task and patterns of resting-state functional connectivity (RSFC) from task control (TC) regions in 7-12-year-old children with RD compared to their typically developing (TD) peers. Relative to TD children (n = 17), those with RD (n = 16) over-engaged a right superior/medial frontal cluster during the resolution of conflict (p = .05). Relative to TD children (n = 18), those with RD (n = 17) also showed reduced RSFC (voxel-wise p < .001; cluster-size p < .05, FDR corrected) from cingulo-opercular seeds to left hemisphere fronto-parietal and temporo-parietal reading-related regions, perhaps reflecting reduced organization of TC circuits and reduced integration with reading-related regions. Children with RD additionally showed reduced RSFC between fronto-parietal and default mode network regions. Follow-up analyses in a subset of children with both useable task and resting state data (RD = 13; TD = 17) revealed that greater conflict-related activation of the right frontal Simon task ROI associated with better word-reading, perhaps suggesting a compensatory role for this over-engagement. Connectivity from fronto-parietal seeds significantly associated with Simon task performance and word-reading accuracy in RD children. These findings suggest that altered functioning and connectivity of control circuits may contribute to cognitive control deficits in children with RD. Future studies should assess the utility of adding cognitive control training to reading remediation programs.
Collapse
Affiliation(s)
- Amy E Margolis
- The Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians & Surgeons, Columbia University, Unit 74. 10032, 1051 Riverside Drive, New York, NY, USA.
| | - David Pagliaccio
- The Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians & Surgeons, Columbia University, Unit 74. 10032, 1051 Riverside Drive, New York, NY, USA
| | - Katie S Davis
- The Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians & Surgeons, Columbia University, Unit 74. 10032, 1051 Riverside Drive, New York, NY, USA
| | - Lauren Thomas
- The Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians & Surgeons, Columbia University, Unit 74. 10032, 1051 Riverside Drive, New York, NY, USA
| | - Sarah M Banker
- The Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians & Surgeons, Columbia University, Unit 74. 10032, 1051 Riverside Drive, New York, NY, USA
| | - Marilyn Cyr
- The Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians & Surgeons, Columbia University, Unit 74. 10032, 1051 Riverside Drive, New York, NY, USA
| | - Rachel Marsh
- The Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians & Surgeons, Columbia University, Unit 74. 10032, 1051 Riverside Drive, New York, NY, USA
| |
Collapse
|
48
|
Lou C, Cross AM, Peters L, Ansari D, Joanisse MF. Rich-club structure contributes to individual variance of reading skills via feeder connections in children with reading disabilities. Dev Cogn Neurosci 2021; 49:100957. [PMID: 33894677 PMCID: PMC8093404 DOI: 10.1016/j.dcn.2021.100957] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 03/29/2021] [Accepted: 04/15/2021] [Indexed: 01/18/2023] Open
Abstract
The present work considers how connectome-wide differences in brain organization might distinguish good and poor readers. The connectome comprises a ‘rich-club’ organization in which a small number of hub regions play a focal role in assisting global communication across the whole brain. Prior work indicates that this rich-club structure is associated with typical and impaired cognitive function although no work so far has examined how this relates to skilled reading or its disorders. Here we investigated the rich-club structure of brain’s white matter connectome and its relationship to reading subskills in 64 children with and without reading disabilities. Among three types of white matter connections, the strength of feeder connections that connect hub and non-hub nodes was significantly correlated with word reading efficiency and phonemic decoding. Phonemic decoding was also positively correlated with connectivity between connectome-wide hubs and nodes within the left-hemisphere reading network, as well as the local efficiency of the reading network. Exploratory analyses also identified sex differences indicating these effects were stronger in girls. This work highlights the independent roles of connectome-wide structure and the more narrowly-defined reading network in understanding the neural bases of skilled and impaired reading in children.
Collapse
Affiliation(s)
- Chenglin Lou
- Department of Psychology, The University of Western Ontario, London, Canada; Brain and Mind Institute, The University of Western Ontario, London, Canada.
| | - Alexandra M Cross
- Brain and Mind Institute, The University of Western Ontario, London, Canada; Health and Rehabilitation Sciences, The University of Western Ontario, London, Canada
| | - Lien Peters
- Department of Psychology, The University of Western Ontario, London, Canada; Brain and Mind Institute, The University of Western Ontario, London, Canada
| | - Daniel Ansari
- Department of Psychology, The University of Western Ontario, London, Canada; Brain and Mind Institute, The University of Western Ontario, London, Canada; Faculty of Education, The University of Western Ontario, London, Canada
| | - Marc F Joanisse
- Department of Psychology, The University of Western Ontario, London, Canada; Brain and Mind Institute, The University of Western Ontario, London, Canada; Haskins Laboratories, New Haven, CT, USA
| |
Collapse
|
49
|
Beyond Reading Modulation: Temporo-Parietal tDCS Alters Visuo-Spatial Attention and Motion Perception in Dyslexia. Brain Sci 2021; 11:brainsci11020263. [PMID: 33669651 PMCID: PMC7922381 DOI: 10.3390/brainsci11020263] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 02/13/2021] [Accepted: 02/16/2021] [Indexed: 01/17/2023] Open
Abstract
Dyslexia is a neurodevelopmental disorder with an atypical activation of posterior left-hemisphere brain reading networks (i.e., temporo-occipital and temporo-parietal regions) and multiple neuropsychological deficits. Transcranial direct current stimulation (tDCS) is a tool for manipulating neural activity and, in turn, neurocognitive processes. While studies have demonstrated the significant effects of tDCS on reading, neurocognitive changes beyond reading modulation have been poorly investigated. The present study aimed at examining whether tDCS on temporo-parietal regions affected not only reading, but also phonological skills, visuo-spatial working memory, visuo-spatial attention, and motion perception in a polarity-dependent way. In a within-subjects design, ten children and adolescents with dyslexia performed reading and neuropsychological tasks after 20 min of exposure to Left Anodal/Right Cathodal (LA/RC) and Right Anodal/Left Cathodal (RA/LC) tDCS. LA/RC tDCS compared to RA/LC tDCS improved text accuracy, word recognition speed, motion perception, and modified attentional focusing in our group of children and adolescents with dyslexia. Changes in text reading accuracy and word recognition speed—after LA/RC tDCS compared to RA/LC—were related to changes in motion perception and in visuo-spatial working memory, respectively. Our findings demonstrated that reading and domain-general neurocognitive functions in a group of children and adolescents with dyslexia change following tDCS and that they are polarity-dependent.
Collapse
|
50
|
Zhang L, Hu J, Liu X, Nichols ES, Lu C, Liu L. Disrupted Subcortical-Cortical Connections in a Phonological but Not Semantic Task in Chinese Children With Dyslexia. Front Hum Neurosci 2021; 14:611008. [PMID: 33536890 PMCID: PMC7848143 DOI: 10.3389/fnhum.2020.611008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 12/21/2020] [Indexed: 11/26/2022] Open
Abstract
Reading disability has been considered as a disconnection syndrome. Recently, an increasing number of studies have emphasized the role of subcortical regions in reading. However, the majority of research on reading disability has focused on the connections amongst brain regions within the classic cortical reading network. Here, we used graph theoretical analysis to investigate whether subcortical regions serve as hubs (regions highly connected with other brain regions) during reading both in Chinese children with reading disability (N = 15, age ranging from 11.03 to 13.08 years) and in age-matched typically developing children (N = 16, age ranging from 11.17 to 12.75 years) using a visual rhyming judgment task and a visual meaning judgment task. We found that the bilateral thalami were the unique hubs for typically developing children across both tasks. Additionally, subcortical regions (right putamen, left pallidum) were also unique hubs for typically developing children but only in the rhyming task. Among these subcortical hub regions, the left pallidum showed reduced connectivity with inferior frontal regions in the rhyming judgment but not semantic task in reading disabled compared with typically developing children. These results suggest that subcortical-cortical disconnection, which may be particularly relevant to the phonological and phonology-related learning process, may be associated with Chinese reading disability.
Collapse
Affiliation(s)
- Lihuan Zhang
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Jiali Hu
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Xin Liu
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Emily S Nichols
- Faculty of Education, Western University, London, ON, Canada.,Brain and Mind Institute, Western University, London, ON, Canada
| | - Chunming Lu
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Li Liu
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| |
Collapse
|