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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleFunctional
Open Access

Decreased Left Posterior Insular Activity during Auditory Language in Autism

J.S. Anderson, N. Lange, A. Froehlich, M.B. DuBray, T.J. Druzgal, M.P. Froimowitz, A.L. Alexander, E.D. Bigler and J.E. Lainhart
American Journal of Neuroradiology January 2010, 31 (1) 131-139; DOI: https://doi.org/10.3174/ajnr.A1789
J.S. Anderson
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N. Lange
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A. Froehlich
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M.B. DuBray
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T.J. Druzgal
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M.P. Froimowitz
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A.L. Alexander
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E.D. Bigler
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J.E. Lainhart
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  • Fig 1.
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    Fig 1.

    Group-level activation maps for an auditory phrase-recognition task for 15 control subjects (A) and for 26 high-functioning autistic subjects (B). Results for each group represent P < .05, false discovery rate (FDR), and color bars represent values for t-scores. Arrows show left posterior insular, right lateral premotor, and right Wernicke homolog areas where differences in activity are observed.

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    Fig 2.

    Group-level activation maps for 15 control subjects for auditory > visual tasks (blue) and auditory tasks (red) after masking the auditory > visual tasks. Both results show P < .05, FDR.

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    Fig 3.

    Areas of greater activation for control than autism subjects for auditory language tasks. A, Control > autism activation for P < .05, FDR. Color bar shows t-scores. B, Blood oxygen level–dependent time series data for clusters are shown above for the entire auditory language task in autism and control populations, averaged across subjects for each group. Thin traces show standard error of the mean across subjects for each group.

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    Fig 4.

    Hand preference and language laterality for autism and control subjects. Histograms show the number of subjects exhibiting scores between −100 and 100 (Edinburgh Handedness Inventory) or between −1 and 1 (functional MR imaging [fMRI] laterality index), in which 100 represents strong right-handedness and 1 represents strong left-hemispheric language dominance.

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    Fig 5.

    Associations between auditory language activation and covariables for all subjects. A, Activity associated with higher receptive-language (Clinical Evaluation of Language Fundamentals, 3rd ed) scores (red, P < .05, FDR) and higher verbal intelligence quotients (blue, P < .001, uncorrected). B, Activity associated with younger age (P < .05, FDR).

Tables

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    Table 1:

    Characterization of control and autism populations

    Age (yr)Edinburgh Handedness InventoryVerbal IQ (WAIS III or WASI)Performance IQ (WAIS III or WASI)CELF-3fMRI Laterality Index (L − R)/(L + R)
    Autism mean (n = 26)21.767.7106.0102.883.60.23
    Autism SD6.438.522.216.727.10.56
    Autism range12–35−73–10069–13967–13550–125−1.0–1.0
    Control mean22.578.3121.8116.3114.20.59
    Control SD6.328.712.716.49.40.33
    Control range9–327–10097–14090–15592–122−0.11–0.95
    P value (2-tailed t-test)0.700.380.0170.0270.00120.030
    • Note:—IQ indicates intelligence quotient; CELF-3, Clinical Evaluation of Language Fundamentals, 3rd ed; fMRI, functional MR imaging; R, right; L, left; WAIS, Wechsler Adult Intelligence Scale; WASI, Wechsler Abbreviated Scale of Intelligence.

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    Table 2:

    Activation of core auditory language regions

    RegionMNI Coordinates, Statistical t-Score
    Control GroupAutism Group
    XYZtXYZt
    Left primary auditory cortex−57−16117.3−60−19113.5
    Left posterior insula−39−311612.5−39−31166.9
    Left anterior temporal pole−5111−1110.9−5114−116.3
    Left posterior superior temporal gyrus (Wernicke)−63−40139.4−63−401310.2
    Left dorsolateral prefrontal cortex−5423228.7−5420227.5
    Left posterior inferior frontal gyrus (Broca)−4523−28.5−4523−26.0
    Left lateral premotor cortex−45−1556.5−45−1558.0
    Left thalamus−6−7106.5−6−7104.2
    Left inferior colliculus−12−31−56.4−9−34−55.2
    Left caudate head−185165.5−12−4164.7
    Bilateral supplementary motor area−311618.2−38617.0
    Right primary auditory cortex57−16117.357−19116.2
    Right anterior temporal pole5411−118.35411−114.7
    Right frontoinsular cortex3620106.0332313.9
    Right inferior colliculus12−31−86.06−37−83.6
    Right posterior superior temporal gyrus (Wernicke)51−40135.751−40138.9
    Right posterior inferior frontal gyrus (Broca)482045.0452503.0
    Right lateral premotor cortex48−4553.554−4495.8
    • Note:—MNI indicates Montreal Neurological Institute.

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    Table 3:

    MNI coordinates of increased activation associated with standardized test scores

    TestRegionXYZt-ScoreP (uncorrected)Voxels
    CELF-3Left posterior middle temporal gyrus−45−4344.671.09E-0553
    VIQLeft dorsomedial prefrontal cortex−1256344.185.60E-0514
    VIQLeft posterior inferior frontal gyrus (Broca)−5426−23.643.14E-0413
    VIQLeft lateral premotor cortex−48−1463.583.70E-0412
    VIQRight putamen242103.722.50E-047
    VIQRight posterior inferior frontal gyrus (Broca)542343.554.20E-045
    VIQRight anterior temporal pole5411−113.494.90E-045
    • Note:—VIQ indicates verbal IQ.

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American Journal of Neuroradiology: 31 (1)
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J.S. Anderson, N. Lange, A. Froehlich, M.B. DuBray, T.J. Druzgal, M.P. Froimowitz, A.L. Alexander, E.D. Bigler, J.E. Lainhart
Decreased Left Posterior Insular Activity during Auditory Language in Autism
American Journal of Neuroradiology Jan 2010, 31 (1) 131-139; DOI: 10.3174/ajnr.A1789

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Decreased Left Posterior Insular Activity during Auditory Language in Autism
J.S. Anderson, N. Lange, A. Froehlich, M.B. DuBray, T.J. Druzgal, M.P. Froimowitz, A.L. Alexander, E.D. Bigler, J.E. Lainhart
American Journal of Neuroradiology Jan 2010, 31 (1) 131-139; DOI: 10.3174/ajnr.A1789
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