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Research ArticlePEDIATRICS
Open Access

Differentiation of Speech Delay and Global Developmental Delay in Children Using DTI Tractography-Based Connectome

J.-W. Jeong, S. Sundaram, M.E. Behen and H.T. Chugani
American Journal of Neuroradiology June 2016, 37 (6) 1170-1177; DOI: https://doi.org/10.3174/ajnr.A4662
J.-W. Jeong
aFrom the Carman and Ann Adams Departments of Pediatrics (J.-W.J., S.S., M.E.B., H.T.C.)
bNeurology (J.-W.J., S.S., M.E.B., H.T.C.), Wayne State University School of Medicine, Detroit, Michigan
cTranslational Imaging Laboratory (J.-W.J., S.S., M.E.B., H.T.C.), Children's Hospital of Michigan, Detroit, Michigan.
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S. Sundaram
aFrom the Carman and Ann Adams Departments of Pediatrics (J.-W.J., S.S., M.E.B., H.T.C.)
bNeurology (J.-W.J., S.S., M.E.B., H.T.C.), Wayne State University School of Medicine, Detroit, Michigan
cTranslational Imaging Laboratory (J.-W.J., S.S., M.E.B., H.T.C.), Children's Hospital of Michigan, Detroit, Michigan.
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  • ORCID record for S. Sundaram
M.E. Behen
aFrom the Carman and Ann Adams Departments of Pediatrics (J.-W.J., S.S., M.E.B., H.T.C.)
bNeurology (J.-W.J., S.S., M.E.B., H.T.C.), Wayne State University School of Medicine, Detroit, Michigan
cTranslational Imaging Laboratory (J.-W.J., S.S., M.E.B., H.T.C.), Children's Hospital of Michigan, Detroit, Michigan.
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  • ORCID record for M.E. Behen
H.T. Chugani
aFrom the Carman and Ann Adams Departments of Pediatrics (J.-W.J., S.S., M.E.B., H.T.C.)
bNeurology (J.-W.J., S.S., M.E.B., H.T.C.), Wayne State University School of Medicine, Detroit, Michigan
cTranslational Imaging Laboratory (J.-W.J., S.S., M.E.B., H.T.C.), Children's Hospital of Michigan, Detroit, Michigan.
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  • Fig 1.
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    Fig 1.

    ROIs showing significantly altered network metrics in the group comparison of TD > GD. In the 2D connectogram, the color of anatomic label scales the P value of group difference in the AAL template. Similarly, the color of each circle represents the P value of individual metrics. The 3D connectogram shows individual pair-wise pathways having significant group differences in nodal strength (ie, the greater radius of the sphere, the greater the group difference). In both 2D and 3D connectograms, block arrows indicate the hippocampal network whose nodal properties are significantly reduced in GD compared with TD.

  • Fig 2.
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    Fig 2.

    ROIs showing significantly altered network metrics in the group comparison of TD > SD. In the 2D connectogram, the color of anatomic label scales the P value of group difference in the AAL template. Similarly, the color of each circle represents the P value of individual metrics. The 3D connectogram shows individual pair-wise pathways having significant group differences in nodal strength (ie, the greater the radius of the sphere, the greater the group difference). In both 2D and 3D connectograms, block arrows indicate the frontotemporal language network in which nodal properties are significantly reduced in SD compared with TD.

  • Fig 3.
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    Fig 3.

    ROIs showing significantly altered network metrics in the group comparison of SD > GD. In the 2D connectogram, the color of anatomic label scales the P value of the group difference in the AAL template. Similarly, the color of each circle represents the P value of individual metrics. The 3D connectogram shows individual pair-wise pathways having significant group differences in nodal strength (ie, the greater the radius of the sphere, the greater the group difference). In both 2D and 3D connectograms, block arrows indicate the right hippocampus whose nodal properties are significantly reduced in GD compared with SD.

  • Fig 4.
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    Fig 4.

    Global and local efficiency of the whole-brain network was obtained from individual subjects and is presented in the violin plots. Group mean and 1 SD are represented by red vertical lines. The black curve of each violin indicates the probabilistic attenuation function of the measure. To avoid the effect of arbitrary thresholding, we calculated the values of efficiencies at 3 discrete thresholds (5, 7, 10) of pair-wise connectivity scores of individual subjects to minimize the potential confounding across subjects.

  • Fig 5.
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    Fig 5.

    Violin plots show the probability attenuation functions of nodal strengths (black) measured from bilateral hippocampus (left), left frontal language region (mid-/superior frontal gyrus/insular, middle), and left temporal language region (superior temporal gyrus, right) of each group. To estimate the probability attenuation function of individual groups, we calculated the values of nodal strength by applying 3 discrete thresholds (5, 7, 10) to the single connectivity matrix. Vertical red lines show mean ± 1 SD of each function.

Tables

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  • Results of differentiation between GD and SD groups using SVM with nodal strengtha

    NetworkAccuracySensitivitySpecificityP Value
    Hippocampal89 (4)96 (5)74 (15).02
    Frontal language83 (4)93 (6)71 (16).04
    Temporal language88 (5)94 (5)77 (14).02
    • Note:—SVM indicates support vector machine.

    • ↵a The mean (SD) of accuracy, sensitivity, and specificity were reported in percentages. The P value indicates the probability of the permutation in that the accuracy of the permuted label is higher than the one obtained for the real label.

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American Journal of Neuroradiology: 37 (6)
American Journal of Neuroradiology
Vol. 37, Issue 6
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Cite this article
J.-W. Jeong, S. Sundaram, M.E. Behen, H.T. Chugani
Differentiation of Speech Delay and Global Developmental Delay in Children Using DTI Tractography-Based Connectome
American Journal of Neuroradiology Jun 2016, 37 (6) 1170-1177; DOI: 10.3174/ajnr.A4662

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Differentiation of Speech Delay and Global Developmental Delay in Children Using DTI Tractography-Based Connectome
J.-W. Jeong, S. Sundaram, M.E. Behen, H.T. Chugani
American Journal of Neuroradiology Jun 2016, 37 (6) 1170-1177; DOI: 10.3174/ajnr.A4662
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