Biological measurements that distinguish individuals with autism from typically developing individuals and those with other developmental and neuropsychiatric disorders must demonstrate very high performance to have clinical value as potential imaging biomarkers. We hypothesized that further study of white matter microstructure (WMM) in the superior temporal gyrus (STG) and temporal stem (TS), two brain regions in the temporal lobe containing circuitry central to language, emotion and social cognition, would identify a useful combination of classification features and further understand autism neuropathology.
WMM measurements from the STG and TS were examined from thirty high-functioning males satisfying full criteria for idiopathic autism aged 8–26 years and 30 matched controls and a replication sample of 12 males with idiopathic autism and 7 matched controls that participated in a previous case-control diffusion tensor imaging (DTI) study. Language functioning, adaptive functioning and psychotropic medication usage were also examined.
In the STG, we find reversed hemispheric asymmetry of two separable measures of directional diffusion coherence. Tensor skewness is greater on the right in autism and fractional anisotropy is decreased on the left. We also find increased diffusion parallel to white matter fibers bilaterally. In the right not left TS we find increased omnidirectional, parallel and perpendicular diffusion. These six multivariate measurements possess very high ability to discriminate individuals with autism from individuals without autism with 94% sensitivity, 90% specificity and 92% accuracy in our original and replication samples. We also report a near-significant association between the classifier and a quantitative trait index of autism and significant correlations between two classifier components and measures of language, IQ and adaptive functioning in autism.
Keywords: Adaptive functioning, Classification, Diffusion tensor imaging, Hemispheric asymmetry, Language functioning