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Research ArticlePediatrics

Asymmetry Matters: Diffusion Tensor Tractography of the Uncinate Fasciculus in Children with Verbal Memory Deficits

S.A. Mohammad, N.H. Nashaat, A.A.M.B. Okba, A. Kilany, A.S. Abdel-Rahman, A.M. Abd-Elhamed and E.R. Abdelraouf
American Journal of Neuroradiology July 2022, 43 (7) 1042-1047; DOI: https://doi.org/10.3174/ajnr.A7535
S.A. Mohammad
aFrom the Department of Diagnostic and Interventional Radiology and Molecular Imaging (S.A.M., A.A.M.B.O., A.S.A.-R., A.M.A.-E.), Faculty of Medicine, Ain Shams University, Cairo, Egypt
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N.H. Nashaat
bResearch on Children with Special Needs Department (N.H.N., A.K., E.R.A.), Medical Research Division, National Research Centre, Cairo, Egypt
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A.A.M.B. Okba
aFrom the Department of Diagnostic and Interventional Radiology and Molecular Imaging (S.A.M., A.A.M.B.O., A.S.A.-R., A.M.A.-E.), Faculty of Medicine, Ain Shams University, Cairo, Egypt
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A. Kilany
bResearch on Children with Special Needs Department (N.H.N., A.K., E.R.A.), Medical Research Division, National Research Centre, Cairo, Egypt
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A.S. Abdel-Rahman
aFrom the Department of Diagnostic and Interventional Radiology and Molecular Imaging (S.A.M., A.A.M.B.O., A.S.A.-R., A.M.A.-E.), Faculty of Medicine, Ain Shams University, Cairo, Egypt
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A.M. Abd-Elhamed
aFrom the Department of Diagnostic and Interventional Radiology and Molecular Imaging (S.A.M., A.A.M.B.O., A.S.A.-R., A.M.A.-E.), Faculty of Medicine, Ain Shams University, Cairo, Egypt
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E.R. Abdelraouf
bResearch on Children with Special Needs Department (N.H.N., A.K., E.R.A.), Medical Research Division, National Research Centre, Cairo, Egypt
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Abstract

BACKGROUND AND PURPOSE: Verbal declarative memory performance relies on frontotemporal connectivity. The uncinate fasciculus is a major association tract connecting the frontal and temporal lobes. Hemispheric asymmetries contribute to various cognitive and neurobehavioral abilities. Here we investigated microstructural alterations and hemispheric asymmetry of the uncinate fasciculus and their possible correlation to memory performance of children with learning disorders attributed to verbal memory deficits.

MATERIALS AND METHODS: Two groups of right-handed children with learning disorders attributed to verbal memory deficits and typically developing children (n = 20 and 22, respectively) underwent DTI on a 1.5T scanner. Tractography of the uncinate fasciculus in both hemispheres was performed, and fractional anisotropy and diffusivity indices (radial diffusivity, axial diffusivity, and trace) were obtained. The asymmetry index was calculated. Verbal memory was assessed using subsets of the Stanford Binet Intelligence Scale, 4th edition, a dyslexia assessment test, and the Illinois test of Psycholinguistic Abilities. Correlation between diffusion metrics and verbal memory performance was investigated in the learning disorders group. Also, hemispheric differences in each group were tested, and between-group comparisons were performed.

RESULTS: Children with learning disorders showed absence of the normal left-greater-than-right asymmetry of fractional anisotropy and the normal right-greater-than-left asymmetry of radial diffusivity seen in typically developing children. Correlation with verbal memory subsets revealed that the higher the fractional anisotropy and asymmetry index, the better the rapid naming performance (P <.05) was.

CONCLUSIONS: These findings demonstrated microstructural aberrations with reduction of hemispheric asymmetry of the uncinate fasciculus, which could disrupt the normal frontotemporal connectivity in children with learning disorders attributed to verbal memory deficits. This outcome gives more understanding of pathologic mechanisms underlying this disorder.

ABBREVIATIONS:

AD
axial diffusivity
AI
asymmetry index
FA
fractional anisotropy
LD
learning disorder
RD
radial diffusivity
UF
uncinate fasciculus
TDC
typically developing children
VMD
verbal memory deficits
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American Journal of Neuroradiology: 43 (7)
American Journal of Neuroradiology
Vol. 43, Issue 7
1 Jul 2022
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Asymmetry Matters: Diffusion Tensor Tractography of the Uncinate Fasciculus in Children with Verbal Memory Deficits
S.A. Mohammad, N.H. Nashaat, A.A.M.B. Okba, A. Kilany, A.S. Abdel-Rahman, A.M. Abd-Elhamed, E.R. Abdelraouf
American Journal of Neuroradiology Jul 2022, 43 (7) 1042-1047; DOI: 10.3174/ajnr.A7535

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Asymmetry Matters: Diffusion Tensor Tractography of the Uncinate Fasciculus in Children with Verbal Memory Deficits
S.A. Mohammad, N.H. Nashaat, A.A.M.B. Okba, A. Kilany, A.S. Abdel-Rahman, A.M. Abd-Elhamed, E.R. Abdelraouf
American Journal of Neuroradiology Jul 2022, 43 (7) 1042-1047; DOI: 10.3174/ajnr.A7535
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