Fiber tractography reveals disruption of temporal lobe white matter tracts in schizophrenia
Source: Schizophrenia Research
2008 Oct;107(1):30-38.
Author: Phillips OR, Nuechterlein KH, Clark KA, Hamilton LS, Asarnow RF, Hageman NS, Toga AW, Narr KL PubMed ID: 19028423
Abstract:
Diffusion tensor imaging (DTI) studies have demonstrated abnormal anisotropic diffusion in
schizophrenia. However, examining data with low spatial resolution and/or a low number of
gradient directions and limitations associated with analysis approaches sensitive to registration
confounds may have contributed to mixed findings concerning the regional specificity and
direction of results. This study examined three major white matter tracts connecting lateral and
medial temporal lobe regions with neocortical association regions widely implicated in systemslevel
functional and structural disturbances in schizophrenia. Using DTIstudio, a previously
validated regions of interest tractography method was applied to 30 direction diffusionweighted
imaging data collected from demographically similar schizophrenia (n=23) and healthy control
subjects (n=22). The diffusion tensorwas computed at each voxel after intra-subject registration of
diffusion-weighted images. Three-dimensional tract reconstructionwas performed using the Fiber
Assignment by Continuous Tracking (FACT) algorithm. Tractography results showed reduced
fractional anisotropy (FA) of the arcuate fasciculi (AF) and inferior longitudinal fasciculi (ILF) in
patients compared to controls. FA changes within the right ILF were negatively correlated with
measures of thinking disorder. Reduced volume of the left AFwas also observed in patients. These
results, which avoid registration issues associated with voxel-based analyses of DTI data, support
that fiber pathways connecting lateral and medial temporal lobe regions with neocortical regions
are compromised in schizophrenia. Disruptions of connectivity within these pathways may
potentially contribute to the disturbances of memory, language, and social cognitive processing
that characterize the disorder.