Reliability of a novel paradigm for determining hemispheric lateralization of visuospatial function (original) (raw)

Does cerebral lateralization develop? A study using functional transcranial Doppler ultrasound assessing lateralization for language production and visuospatial memory

2012

In the majority of people, language production is lateralized to the left cerebral hemisphere and visuospatial skills to the right. However, questions remain as to when, how, and why humans arrive at this division of labor. In this study, we assessed cerebral lateralization for language production and for visuospatial memory using functional transcranial Doppler ultrasound in a group of 60 typically developing children between the ages of six and 16 years. The typical pattern of left-lateralized activation for language production and right-lateralized activation for visuospatial memory was found in the majority of the children (58%). No age-related change in direction or strength of lateralization was found for language production. In contrast, the strength of lateralization (independent of direction) for visuospatial memory function continued to increase with age. In addition, boys showed a trend for stronger right-hemisphere lateralization for visuospatial memory than girls, but there was no gender effect on language laterality. We tested whether having language and visuospatial functions in the same hemisphere was associated with poor cognitive performance and found no evidence for this "functional crowding" hypothesis. We did, however, find that children with left-lateralized language production had higher vocabulary and nonword reading age-adjusted standard scores than other children, regardless of the laterality of visuospatial memory. Thus, a link between language function and left-hemisphere lateralization exists, and cannot be explained in terms of maturational change.

Lateralised visual attention is unrelated to language lateralisation, and not influenced by task difficulty-A functional transcranial Doppler study.

Neuropsychologia, 2012

Historically, most theoretical accounts of hemispheric specialisation have proposed a single underlying factor that leads to left hemisphere language and right hemisphere visuospatial processing in the majority of people. More recently empirical evidence has started to challenge this view, suggesting lateralisation of language and visuospatial attention are independent. However, so far studies did not control for a possible confound, task difficulty. For this study, 20 healthy right-handed volunteers underwent functional laterality assessment using functional transcranial Doppler ultrasound (fTCD). We assessed laterality using both a word generation task and a novel variation of the visuospatial landmark task that can be adjusted along two dimensions of difficulty (temporal and spatial). The visuospatial laterality measures were highly intercorrelated and unaffected by task difficulty. Furthermore, there was no correlation between visuospatial and verbal lateralisation within individuals -neither qualitatively (in direction of lateralisation), nor quantitatively (in laterality index size). These results substantiate a growing body of evidence suggesting multiple independent biases leading to the hemispheric lateralisation of different cognitive domains, thus further questioning previously accepted models of laterality development and evolution.

The Measurement of Language Lateralization with Functional Transcranial Doppler and Functional MRI: A Critical Evaluation

Frontiers in Human Neuroscience, 2011

Cerebral language lateralization can be assessed in several ways. In healthy subjects, functional MRI (fMRI) during performance of a language task has evolved to be the most frequently applied method. Functional transcranial Doppler (fTCD) may provide a valid alternative, but has been used rarely. Both techniques have their own strengths and weaknesses and as a result may be applied in different fields of research. Until now, only one relatively small study (n = 13) investigated the correlation between lateralization indices (LIs) measured by fTCD and fMRI and showed a remarkably high correlation. To further evaluate the correlation between LIs measured with fTCD and fMRI, we compared LIs of 22 healthy subjects (12 left-and 10 righthanded) using the same word generation paradigm for the fTCD as for the fMRI experiment.

Stimulus rate increases lateralisation in linguistic and non-linguistic tasks measured by functional transcranial Doppler sonography

Neuropsychologia, 2015

Studies to date that have used fTCD to examine language lateralisation have predominantly used word or sentence generation tasks. Here we sought to further assess the sensitivity of fTCD to language lateralisation by using a metalinguistic task which does not involve novel speech generation: rhyme judgement in response to written words. Line array judgement was included as a non-linguistic visuospatial task to examine the relative strength of left and right hemisphere lateralisation within the same individuals when output requirements of the tasks are matched. These externally paced tasks allowed us to manipulate the number of stimuli presented to participants and thus assess the influence of pace on the strength of lateralisation. In Experiment 1, 28 right-handed adults participated in rhyme and line array judgement tasks and showed reliable left and right lateralisation at the group level for each task, respectively. In Experiment 2 we increased the pace of the tasks, presenting more stimuli per trial. We measured laterality indices (LIs) from 18 participants who performed both linguistic and non-linguistic judgement tasks during the original 'slow' presentation rate (5 judgements per trial) and a fast presentation rate (10 judgements per trial). The increase in pace led to increased strength of lateralisation in both the rhyme and line conditions. Our results demonstrate for the first time that fTCD is sensitive to the left lateralised processes involved in metalinguistic judgements. Our data also suggest that changes in the strength of language lateralisation, as measured by fTCD, are not driven by articulatory demands alone. The current results suggest that at least one aspect of task difficulty, the pace of stimulus presentation, influences the strength of lateralisation during both linguistic and non-linguistic tasks.

Functional cerebral lateralization and dual-task efficiency—Testing the function of human brain lateralization using fTCD

Behavioural Brain Research, 2011

It has been hypothesized that functional cerebral lateralization enhances cognitive performance. Evidence was found in birds and fish. Our study aimed to test this hypothesis by analyzing the relationship between cerebral lateralization and both single-task performance and dual-task efficiency in humans. We combined a dynamic Landmark task which is assumed to be primarily processed in the right hemisphere and a frequently used word generation task which is assumed to be primarily processed in the left hemisphere. For each task individual strength and direction of hemispheric lateralization was assessed using functional transcranial Doppler sonography (fTCD). For each subject (15 women, 11 men), performance was measured in the two single-tasks and in the dual-task condition.

Bishop, D.V.M., Watt, H. & Papadatou-Pastou, M. (2009). An efficient and reliable method for measuring cerebral lateralisation during speech with functional transcranial Doppler ultrasound. Neuropsychologia, 47: 587-590.

The gold standard method for measuring cerebral lateralization, the Wada technique, is too invasive for routine research use. Functional magnetic resonance imaging is a viable alternative but it is costly and affected by muscle artefact when activation tasks involve speech. Functional transcranial Doppler ultrasonography (fTCD) can be used to assess cerebral lateralization by comparing blood flow in the middle cerebral arteries.We used fTCD to compare indices of language lateralization in 33 adults in three different paradigms: Word Generation, Picture Description and a shorter Animation Description task. Animation Description gave valid results, and we subsequently demonstrated its reliability in a group of 21 4-year-old children. Cerebral lateralization during spoken language generation can be assessed reliably and cheaply using fTCD with a paradigm that is less taxing than the traditional word generation paradigm, does not require literacy skills and can be completed in 15 min or less.

Weak language lateralization affects both verbal and spatial skills: An fMRI study in 297 subjects

The present study reappraised the relationship between hemispheric specialization strength and cognitive skills in a sample of 297 individuals including 153 left-handers. It additionally assessed the interaction with manual laterality factors, such as handedness, asymmetry of hand motor skills, and familial sinistrality. A Hemispheric Functional Lateralization Index (HFLI) for language was derived from fMRI. Through mixture Gaussian modeling, three types of language hemispheric lateralization were defined: typical (left hemisphere dominance with clear positive HFLI), ambilateral (no dominant hemisphere with HFLI values close to 0), and strongly-atypical (right-hemisphere dominance with clear negative HFLI values). Three cognitive scores were derived from 12 tests covering various aspects of verbal and spatial cognition. Compared to both typical and strongly-atypical participants, those ambilateral for language production had lower performances in verbal and non-verbal domains, indicating that hemispheric specialization and cognitive skills are related in adults. Furthermore, this relationship was independent from handedness and asymmetry for motor skills, as no interaction was observed between these factors. On the other hand, the relationship between familial sinistrality and cognitive skills tended to differ according to language lateralization type. In contrast to previous reports in children, in the present adult population, we found no linear correlation between HFLI and cognitive skills, regardless of lateralization type.

Reproducibility of Functional Transcranial Doppler Sonography in Determining Hemispheric Language Lateralization

Stroke, 1998

Background and Purpose-Since functional transcranial Doppler ultrasonography (fTCD) allows convenient and fully automated quantification of language lateralization, it seems ideal for longitudinal studies of perfusion changes during deterioration as well as recovery of language functions. However, during serial examinations, the technical, stochastic, and physiological variabilities of cerebral blood flow velocities (CBFV) have to be considered. Therefore, before fTCD is accepted as a tool for evaluation of changes in lateralization in the diseased state, its reliability in healthy subjects needs to be determined. Methods-We performed fTCD during a word generation task based on a previously validated technique with automated calculation of the averaged CBFV differences in the middle cerebral arteries providing an index of lateralization (LI).

Where were those rabbits? A new paradigm to determine cerebral lateralisation of visuospatial memory function in children

Neuropsychologia, 2011

In the majority of people, functional differences are observed between the two cerebral hemispheres: language production is typically subserved by the left hemisphere and visuospatial skills by the right hemisphere. The development of this division of labour is not well understood and lateralisation of visuospatial function has received little attention in children. In this study we devised a child-friendly version of a paradigm to assess lateralisation of visuospatial memory using functional transcranial Doppler ultrasound (fTCD). In a group of 24 adults we found this child-friendly version gave similar results to the original version of the task. In addition, fourteen children aged 6–8 years successfully completed the child-friendly fTCD task, showing a negative lateralisation index, indicating right hemispheric specialisation at the group level. Additionally, we assessed effects of task accuracy and reaction time on the lateralisation index. No effects were found, at the group level or at the level of single trials, in either the adult or the child group. We conclude that this new task reliably assesses lateralisation of visuospatial memory function in children as young as 6 years of age, using fTCD. As such, it holds promise for investigating development of lateralisation of visuospatial function in typically and atypically developing children.