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Differences in Cortical Structure and Functional MRI Connectivity in High Functioning Autism

机译:高功能自闭症的皮质结构和功能性MRI连通性差异

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摘要

Autism spectrum disorders (ASD) represent a complex group of neurodevelopmental conditions characterized by deficits in communication and social behaviors. We examined the functional connectivity (FC) of the default mode network (DMN) and its relation to multimodal morphometry to investigate superregional, system-level alterations in a group of 22 adolescents and young adults with high-functioning autism compared to age-, and intelligence quotient-matched 29 healthy controls. The main findings were that ASD patients had gray matter (GM) reduction, decreased cortical thickness and larger cortical surface areas in several brain regions, including the cingulate, temporal lobes, and amygdala, as well as increased gyrification in regions associated with encoding visual memories and areas of the sensorimotor component of the DMN, more pronounced in the left hemisphere. Moreover, patients with ASD had decreased connectivity between the posterior cingulate cortex, and areas of the executive control component of the DMN and increased FC between the anteromedial prefrontal cortex and areas of the sensorimotor component of the DMN. Reduced cortical thickness in the right inferior frontal lobe correlated with higher social impairment according to the scores of the Autism Diagnostic Interview-Revised (ADI-R). Reduced cortical thickness in left frontal regions, as well as an increased cortical thickness in the right temporal pole and posterior cingulate, were associated with worse scores on the communication domain of the ADI-R. We found no association between scores on the restrictive and repetitive behaviors domain of ADI-R with structural measures or FC. The combination of these structural and connectivity abnormalities may help to explain some of the core behaviors in high-functioning ASD and need to be investigated further.
机译:自闭症谱系障碍(ASD)代表了一组复杂的神经发育状况,其特征是沟通和社交行为不足。我们研究了默认模式网络(DMN)的功能连通性(FC)及其与多峰形态计量学的关系,以调查22名年龄较大的自闭症青少年和年轻成年人的超区域系统级变化,以及智商匹配的29个健康对照。主要发现是,ASD患者在几个大脑区域(包括扣带,颞叶和杏仁核)灰质(GM)降低,皮质厚度减少和更大的皮质表面积,以及与编码视觉记忆相关的区域中的回旋增加和DMN感觉运动成分的区域,在左半球更为明显。此外,患有ASD的患者后扣带回皮质与DMN执行控制组件区域之间的连通性降低,前额叶前额叶皮质与DMN感觉运动组件区域之间的FC增加。根据自闭症诊断访谈(ADI-R)评分,右下额叶皮层厚度减少与较高的社会障碍相关。左额叶区域皮层厚度的减少,以及右颞极和后扣带的皮层厚度的增加,与ADI-R的交流域评分较差有关。我们发现在ADI-R的限制性和重复性行为领域的分数与结构性度量或FC之间没有关联。这些结构和连接异常的组合可能有助于解释功能强大的ASD中的某些核心行为,需要进一步研究。

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