A Brain Marker for Developmental Speech Disorders

• Published in: The Journal of pediatrics 2018-07, Vol.198, p.234-239.e1
• Main Authors: Morgan, Angela T., Su, Merina, Reilly, Sheena, Conti-Ramsden, Gina, Connelly, Alan, Liégeois, Frédérique J.
• Format: Article
• Language: English
• Subjects: Anisotropy; arcuate fasciculus; Case-Control Studies; Child; corticobulbar; Diffusion Magnetic Resonance Imaging; Diffusion Tensor Imaging; diffusion-weighted imaging; Female; Humans; Language Development Disorders - diagnostic imaging; Male; Pyramidal Tracts - diagnostic imaging; Speech Disorders - diagnostic imaging; tractography; White Matter - diagnostic imaging
• ISSN: 0022-3476; 1097-6833
• DOI: 10.1016/j.jpeds.2018.02.043

To characterize the organization of speech- and language-related white matter tracts in children with developmental speech and/or language disorders. We collected magnetic resonance diffusion-weighted imaging data from 41 children, ages 9-11 years, with developmental speech and/or language disorders, and compared them with 45 typically developing controls with the same age range. We used probabilistic tractography of diffusion-weighted imaging to map language (3 segments of arcuate fasciculus, extreme capsule system) and speech motor (corticobulbar) tracts bilaterally. The corticospinal and callosal tracts were used as control regions. We compared the mean fractional anisotropy and diffusivity values between atypical and control groups, covarying for nonverbal IQ. We then examined differences between atypical subgroups: developmental speech disorder (DSD), developmental language disorder, and co-occurring developmental speech and language disorder. Fractional anisotropy in the left corticobulbar tract was lower in the DSD than in the control group. Radial and mean diffusivity were higher in the DSD than the developmental language disorder, co-occurring developmental speech and language disorder, or control groups. There were no group differences for any metrics in the language or control tracts. Atypical development of the left corticobulbar tract may be a neural marker for DSD. This finding is in line with reports of speech disorder after left corticobulbar damage in children and adults with brain injury. By contrast, we found no association between diffusion metrics in language-related tracts in developmental language disorder, and changes for language disorders are likely more complex.