Comparative meta-analyses of brain structural and functional abnormalities during cognitive control in attention-deficit/hyperactivity disorder and autism spectrum disorder.

BACKGROUND: People with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) have abnormalities in frontal, temporal, parietal and striato-thalamic networks. It is unclear to what extent these abnormalities are distinctive or shared. This comparative meta-analysis aimed to identify the most consistent disorder-differentiating and shared structural and functional abnormalities. METHODS: Systematic literature search was conducted for whole-brain voxel-based morphometry (VBM) and functional magnetic resonance imaging (fMRI) studies of cognitive control comparing people with ASD or ADHD with typically developing controls. Regional gray matter volume (GMV) and fMRI abnormalities during cognitive control were compared in the overall sample and in age-, sex- and IQ-matched subgroups with seed-based d mapping meta-analytic methods. RESULTS: Eighty-six independent VBM (1533 ADHD and 1295 controls; 1445 ASD and 1477 controls) and 60 fMRI datasets (1001 ADHD and 1004 controls; 335 ASD and 353 controls) were identified. The VBM meta-analyses revealed ADHD-differentiating decreased ventromedial orbitofrontal (z = 2.22, p < 0.0001) but ASD-differentiating increased bilateral temporal and right dorsolateral prefrontal GMV (zs ⩾ 1.64, ps ⩽ 0.002). The fMRI meta-analyses of cognitive control revealed ASD-differentiating medial prefrontal underactivation but overactivation in bilateral ventrolateral prefrontal cortices and precuneus (zs ⩾ 1.04, ps ⩽ 0.003). During motor response inhibition specifically, ADHD relative to ASD showed right inferior fronto-striatal underactivation (zs ⩾ 1.14, ps ⩽ 0.003) but shared right anterior insula underactivation. CONCLUSIONS: People with ADHD and ASD have mostly distinct structural abnormalities, with enlarged fronto-temporal GMV in ASD and reduced orbitofrontal GMV in ADHD; and mostly distinct functional abnormalities, which were more pronounced in ASD.

Different areas of human non-primary auditory cortex are activated by sounds with spatial and nonspatial properties.

In humans, neuroimaging studies have identified the planum temporale to be particularly responsive to both spatial and nonspatial attributes of sound. However, a functional segregation of the planum temporale along these acoustic dimensions has not been firmly established. We evaluated this scheme in a factorial design using modulated sounds that generated a percept of motion (spatial) or frequency modulation (nonspatial). In addition, these sounds were presented in the context of a motion detection and a frequency-modulation detection task to investigate the cortical effects of directing attention to different perceptual attributes of the sound. Motion produced stronger activation in the medial part of the planum temporale and frequency-modulation produced stronger activation in the lateral part of the planum temporale, as well as an additional non-primary area lateral to Heschl's gyrus. These separate subregions are consistent with the notion of divergent processing streams for spatial and nonspatial auditory information. Activation in the superior parietal cortex, putatively involved in the spatial pathway, was dependent on the task of motion detection and not simply on the presence of acoustic cues for motion. This finding suggests that the listening task is an important determinant of how the processing stream is engaged.

Amplitude and frequency-modulated stimuli activate common regions of human auditory cortex.

Hall et al. (Hall et al., 2002, Cerebral Cortex 12:140-149) recently showed that pulsed frequency-modulated tones generate considerably higher activation than their unmodulated counterparts in non-primary auditory regions immediately posterior and lateral to Heschl's gyrus (HG). Here, we use fMRI to explore the type of modulation necessary to evoke such differential activation. Carrier signals were a single tone and a harmonic-complex tone, with a 300 Hz fundamental, that were modulated at a rate of 5 Hz either in frequency, or in amplitude, to create six stimulus conditions (unmodulated, FM, AM). Relative to the silent baseline, the modulated tones, in particular, activated widespread regions of the auditory cortex bilaterally along the supra-temporal plane. When compared with the unmodulated tones, both AM and FM tones generated significantly greater activation in lateral HG and the planum temporale, replicating the previous findings. These activation patterns were largely overlapping, indicating a common sensitivity to both AM and FM. Direct comparisons between AM and FM revealed a higher magnitude of activation in response to the variation in amplitude than in frequency, plus a small part of the posterolateral region in the right hemisphere whose response was specifically AM-, and not FM-, dependent. The dominant pattern of activation was that of co-localized activation by AM and FM, which is consistent with a common neural code for AM and FM within these brain regions.

The sound-level-dependent growth in the extent of fMRI activation in Heschl's gyrus is different for low- and high-frequency tones.

fMRI (functional magnetic resonance imaging) was used to investigate whether the growth in activation of the human auditory cortex, with increasing sound level, is discernibly different for high- and low-frequency tones. Ten volunteers were scanned whilst listening to sequences of low-frequency (0.30-kHz) tones at sound levels between 42 and 96 dB sound pressure level (SPL), and 10 whilst listening to high-frequency (4.75-kHz) tones at the same sound levels. Activation was measured in Heschl's gyrus (including primary auditory cortex) which has been shown to be most sensitive to changes in sound level. For the 0.30-kHz tone, the extent of activation was flat up to 66 dB and then showed a rapid growth which continued up to the highest level studied (96 dB SPL). In contrast, increasing the level of 4.75-kHz tones produced a steady growth in the extent of activation across the range of levels studied. These results are consistent with physiological evidence suggesting that recruitment of primary auditory cortical neurones may be different at high and low frequencies.

Heschl's gyrus is more sensitive to tone level than non-primary auditory cortex.

Previous neuroimaging studies generally demonstrate a growth in the cortical response with an increase in sound level. However, the details of the shape and topographic location of such growth remain largely unknown. One limiting methodological factor has been the relatively sparse sampling of sound intensities. Additionally, most studies have either analysed the entire auditory cortex without differentiating primary and non-primary regions or have limited their analyses to Heschl's gyrus (HG). Here, we characterise the pattern of responses to a 300-Hz tone presented in 6-dB steps from 42 to 96 dB sound pressure level as a function of its sound level, within three anatomically defined auditory areas; the primary area, on HG, and two non-primary areas, consisting of a small area lateral to the axis of HG (the anterior lateral area, ALA) and the posterior part of auditory cortex (the planum temporale, PT). Extent and magnitude of auditory activation increased non-linearly with sound level. In HG, the extent and magnitude were more sensitive to increasing level than in ALA and PT. Thus, HG appears to have a larger involvement in sound-level processing than does ALA or PT.