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Brain classification reveals the right cerebellum as the best biomarker of dyslexia.

Pernet CR, Poline JB, Demonet JF, Rousselet GA - BMC Neurosci (2009)

Bottom Line: The clinical relevance of this result was assessed by inquiring cognitive brain-based differences among dyslexic brain subgroups in comparison to normal readers' performances.Furthermore, cerebellar and lentiform grey matter volumes interacted in dyslexic subjects, so that lower and higher lentiform grey matter volumes compared to controls differently modulated the phonological and lexical performances.In addition, behavioural analyses suggest that these brain phenotypes relate to different deficits of automatization of language-based processes such as grapheme/phoneme correspondence and/or rapid access to lexicon entries.

View Article: PubMed Central - HTML - PubMed

Affiliation: SFC Brain Imaging Research Centre, SINAPSE Collaboration, University of Edinburgh, Edinburgh, UK. cyril.pernet@ed.ac.uk

ABSTRACT

Background: Developmental dyslexia is a specific cognitive disorder in reading acquisition that has genetic and neurological origins. Despite histological evidence for brain differences in dyslexia, we recently demonstrated that in large cohort of subjects, no differences between control and dyslexic readers can be found at the macroscopic level (MRI voxel), because of large variances in brain local volumes. In the present study, we aimed at finding brain areas that most discriminate dyslexic from control normal readers despite the large variance across subjects. After segmenting brain grey matter, normalizing brain size and shape and modulating the voxels' content, normal readers' brains were used to build a 'typical' brain via bootstrapped confidence intervals. Each dyslexic reader's brain was then classified independently at each voxel as being within or outside the normal range. We used this simple strategy to build a brain map showing regional percentages of differences between groups. The significance of this map was then assessed using a randomization technique.

Results: The right cerebellar declive and the right lentiform nucleus were the two areas that significantly differed the most between groups with 100% of the dyslexic subjects (N = 38) falling outside of the control group (N = 39) 95% confidence interval boundaries. The clinical relevance of this result was assessed by inquiring cognitive brain-based differences among dyslexic brain subgroups in comparison to normal readers' performances. The strongest difference between dyslexic subgroups was observed between subjects with lower cerebellar declive (LCD) grey matter volumes than controls and subjects with higher cerebellar declive (HCD) grey matter volumes than controls. Dyslexic subjects with LCD volumes performed worse than subjects with HCD volumes in phonologically and lexicon related tasks. Furthermore, cerebellar and lentiform grey matter volumes interacted in dyslexic subjects, so that lower and higher lentiform grey matter volumes compared to controls differently modulated the phonological and lexical performances. Best performances (observed in controls) corresponded to an optimal value of grey matter and they dropped for higher or lower volumes.

Conclusion: These results provide evidence for the existence of various subtypes of dyslexia characterized by different brain phenotypes. In addition, behavioural analyses suggest that these brain phenotypes relate to different deficits of automatization of language-based processes such as grapheme/phoneme correspondence and/or rapid access to lexicon entries.

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Comparison of the dyslexic subjects' brain classifications for data smoothed with a 4, 8 or 12 mm FWHM isotropic Gaussian kernel (from left to right). For the three sizes, significant clusters of differences were obtained in the right cerebellar declive (corrected p values ~0; cluster size under H0 for voxels with 100% of difference = 0.36 +/- .05 at 4 mm smoothing, 0.531 +/- 0.07 at 8 mm smoothing, 1.33 +/- .09 at 12 mm smoothing). By contrast, only one cluster was observed in the right lentiform nucleus with a 8 mm smoothing kernel vs. 1 voxel only with a 4 mm or 12 mm smoothing kernel. As illustrated, the coordinates of the centres of mass (or single voxel) differed with the smoothing kernel. However, by lowering the threshold of the PMD from 100% to 95%, there is a clear overlap between the three PMD (right hand side), confirming the robustness of the results.
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Figure 4: Comparison of the dyslexic subjects' brain classifications for data smoothed with a 4, 8 or 12 mm FWHM isotropic Gaussian kernel (from left to right). For the three sizes, significant clusters of differences were obtained in the right cerebellar declive (corrected p values ~0; cluster size under H0 for voxels with 100% of difference = 0.36 +/- .05 at 4 mm smoothing, 0.531 +/- 0.07 at 8 mm smoothing, 1.33 +/- .09 at 12 mm smoothing). By contrast, only one cluster was observed in the right lentiform nucleus with a 8 mm smoothing kernel vs. 1 voxel only with a 4 mm or 12 mm smoothing kernel. As illustrated, the coordinates of the centres of mass (or single voxel) differed with the smoothing kernel. However, by lowering the threshold of the PMD from 100% to 95%, there is a clear overlap between the three PMD (right hand side), confirming the robustness of the results.

Mentions: Based on control subjects bootstrap 95% CIs, areas that best discriminated dyslexic subjects were the right cerebellar declive (6 voxels: MNI 26 -64 -28; Fig. 3A) and the right lentiform nucleus (7 voxels: MNI 17 9 -7; Fig. 3B) with 100% of differences between control and dyslexic subjects. The bootstrap performed under H0, the hypothesis assuming that the two groups of subjects were sampled by chance from the same population, revealed significant effects with a probability at the voxel level to find 100% of difference of p uncorrected = 0.01 for both the cerebellum and lentiform nucleus. In addition, when considering the cluster size, these two clusters had probability close to 100% (p corrected ~ 0; mean of the biggest cluster under H0 for the whole brain = 0.531 +/- 0.07). Additional analyses performed with different smoothing kernel sizes also showed clusters with 100% of differences over the right cerebellar declive (Fig. 4). In the lentiform nucleus, only 1 voxel was observed with 100% of difference for both the 4 mm and 12 mm FWHM smoothing kernel. In this case, because no cluster appeared for smaller nor for bigger smoothing kernel size, it seems likely that the difference observed with the 8 mm FWHM relates to the spatial extent of the effect (match filter theorem).


Brain classification reveals the right cerebellum as the best biomarker of dyslexia.

Pernet CR, Poline JB, Demonet JF, Rousselet GA - BMC Neurosci (2009)

Comparison of the dyslexic subjects' brain classifications for data smoothed with a 4, 8 or 12 mm FWHM isotropic Gaussian kernel (from left to right). For the three sizes, significant clusters of differences were obtained in the right cerebellar declive (corrected p values ~0; cluster size under H0 for voxels with 100% of difference = 0.36 +/- .05 at 4 mm smoothing, 0.531 +/- 0.07 at 8 mm smoothing, 1.33 +/- .09 at 12 mm smoothing). By contrast, only one cluster was observed in the right lentiform nucleus with a 8 mm smoothing kernel vs. 1 voxel only with a 4 mm or 12 mm smoothing kernel. As illustrated, the coordinates of the centres of mass (or single voxel) differed with the smoothing kernel. However, by lowering the threshold of the PMD from 100% to 95%, there is a clear overlap between the three PMD (right hand side), confirming the robustness of the results.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2713247&req=5

Figure 4: Comparison of the dyslexic subjects' brain classifications for data smoothed with a 4, 8 or 12 mm FWHM isotropic Gaussian kernel (from left to right). For the three sizes, significant clusters of differences were obtained in the right cerebellar declive (corrected p values ~0; cluster size under H0 for voxels with 100% of difference = 0.36 +/- .05 at 4 mm smoothing, 0.531 +/- 0.07 at 8 mm smoothing, 1.33 +/- .09 at 12 mm smoothing). By contrast, only one cluster was observed in the right lentiform nucleus with a 8 mm smoothing kernel vs. 1 voxel only with a 4 mm or 12 mm smoothing kernel. As illustrated, the coordinates of the centres of mass (or single voxel) differed with the smoothing kernel. However, by lowering the threshold of the PMD from 100% to 95%, there is a clear overlap between the three PMD (right hand side), confirming the robustness of the results.
Mentions: Based on control subjects bootstrap 95% CIs, areas that best discriminated dyslexic subjects were the right cerebellar declive (6 voxels: MNI 26 -64 -28; Fig. 3A) and the right lentiform nucleus (7 voxels: MNI 17 9 -7; Fig. 3B) with 100% of differences between control and dyslexic subjects. The bootstrap performed under H0, the hypothesis assuming that the two groups of subjects were sampled by chance from the same population, revealed significant effects with a probability at the voxel level to find 100% of difference of p uncorrected = 0.01 for both the cerebellum and lentiform nucleus. In addition, when considering the cluster size, these two clusters had probability close to 100% (p corrected ~ 0; mean of the biggest cluster under H0 for the whole brain = 0.531 +/- 0.07). Additional analyses performed with different smoothing kernel sizes also showed clusters with 100% of differences over the right cerebellar declive (Fig. 4). In the lentiform nucleus, only 1 voxel was observed with 100% of difference for both the 4 mm and 12 mm FWHM smoothing kernel. In this case, because no cluster appeared for smaller nor for bigger smoothing kernel size, it seems likely that the difference observed with the 8 mm FWHM relates to the spatial extent of the effect (match filter theorem).

Bottom Line: The clinical relevance of this result was assessed by inquiring cognitive brain-based differences among dyslexic brain subgroups in comparison to normal readers' performances.Furthermore, cerebellar and lentiform grey matter volumes interacted in dyslexic subjects, so that lower and higher lentiform grey matter volumes compared to controls differently modulated the phonological and lexical performances.In addition, behavioural analyses suggest that these brain phenotypes relate to different deficits of automatization of language-based processes such as grapheme/phoneme correspondence and/or rapid access to lexicon entries.

View Article: PubMed Central - HTML - PubMed

Affiliation: SFC Brain Imaging Research Centre, SINAPSE Collaboration, University of Edinburgh, Edinburgh, UK. cyril.pernet@ed.ac.uk

ABSTRACT

Background: Developmental dyslexia is a specific cognitive disorder in reading acquisition that has genetic and neurological origins. Despite histological evidence for brain differences in dyslexia, we recently demonstrated that in large cohort of subjects, no differences between control and dyslexic readers can be found at the macroscopic level (MRI voxel), because of large variances in brain local volumes. In the present study, we aimed at finding brain areas that most discriminate dyslexic from control normal readers despite the large variance across subjects. After segmenting brain grey matter, normalizing brain size and shape and modulating the voxels' content, normal readers' brains were used to build a 'typical' brain via bootstrapped confidence intervals. Each dyslexic reader's brain was then classified independently at each voxel as being within or outside the normal range. We used this simple strategy to build a brain map showing regional percentages of differences between groups. The significance of this map was then assessed using a randomization technique.

Results: The right cerebellar declive and the right lentiform nucleus were the two areas that significantly differed the most between groups with 100% of the dyslexic subjects (N = 38) falling outside of the control group (N = 39) 95% confidence interval boundaries. The clinical relevance of this result was assessed by inquiring cognitive brain-based differences among dyslexic brain subgroups in comparison to normal readers' performances. The strongest difference between dyslexic subgroups was observed between subjects with lower cerebellar declive (LCD) grey matter volumes than controls and subjects with higher cerebellar declive (HCD) grey matter volumes than controls. Dyslexic subjects with LCD volumes performed worse than subjects with HCD volumes in phonologically and lexicon related tasks. Furthermore, cerebellar and lentiform grey matter volumes interacted in dyslexic subjects, so that lower and higher lentiform grey matter volumes compared to controls differently modulated the phonological and lexical performances. Best performances (observed in controls) corresponded to an optimal value of grey matter and they dropped for higher or lower volumes.

Conclusion: These results provide evidence for the existence of various subtypes of dyslexia characterized by different brain phenotypes. In addition, behavioural analyses suggest that these brain phenotypes relate to different deficits of automatization of language-based processes such as grapheme/phoneme correspondence and/or rapid access to lexicon entries.

Show MeSH
Related in: MedlinePlus