机构:[1]Beijing Normal Univ, Natl Key Lab Cognit Neurosci & Learning, Beijing 100875, Peoples R China;[2]Beijing Normal Univ, McGovern Inst Brain Res, IDG, Beijing 100875, Peoples R China;[3]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China;重点科室诊疗科室神经病学中心神经病学中心首都医科大学附属天坛医院[4]Capital Med Univ, Rehabil Coll, Beijing 100038, Peoples R China;[5]Capital Med Univ, China Rehabil Res Ctr, Beijing 100038, Peoples R China;[6]South China Normal Univ, Ctr Study Appl Psychol, Key Lab Mental Hlth & Cognit Sci Guangdong Prov, Sch Psychol, Guangzhou 510631, Guangdong, Peoples R China
Tests of verbal fluency have been widely used to assess the cognitive functioning of persons, and are typically classified into two categories (semantic and phonological fluency). While widely-distributed divergent and convergent brain regions have been found to be involved in semantic and phonological fluency, the anatomical connectivity underlying the fluency is not well understood. The present study aims to construct a comprehensive white-matter network associated with semantic and phonological fluency by investigating the relationship between the integrity of 22 major tracts in the whole brain and semantic fluency (measured by 3 cues) and phonological fluency (measured by 2 cues) in a group of 51 stroke patients. We found five left-lateralized tracts including the anterior thalamic radiation (ATR), inferior fronto-occipital fasciculus (IFOF), uncinate fasciculus (UF), superior longitudinal fasciculus (SLF) and frontal aslant tract (FAT) were significantly correlated with the scores of both semantic and phonological fluencies. These effects persisted even when we rifled out the influence of potential confounding factors (e.g., total lesion volume). Moreover, the damage to the first three tracts caused additional impairments in the semantic compared to the phonological fluency. These findings reveal the white matter neuroanatomical connectivity underlying semantic and phonological fluency, and deepen the understanding of the neural network of verbal fluency.
基金:
973 ProgramNational Basic Research Program of China [2013CB837300, 2014CB846100]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81171019, 81371201]; Fundamental Research Funds for the Central UniversitiesFundamental Research Funds for the Central Universities [2014kJJCA07]