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Functional connectivity

Which arcuate fasciculus segments matter for aphasia?

Ivanova MV, Zhong A, Turken A, et al. · Frontiers in human neuroscience · 2021

Open access · cc by · source: Europe PMC

In 33 chronic left-stroke aphasia cases, left AF long/anterior/posterior segments predicted naming, fluency, and comprehension beyond cortex; right AF role was unclear.

Study at a glance

Design
Cross-sectional — Chronic post-stroke aphasia cohort with AF tractography and language regressions controlling for cortex/lesion
N
N=33 · People with aphasia after left-hemisphere stroke
Population
Chronic left-hemisphere stroke survivors with aphasia (VA Northern California cohort)
Outcome
Associations of AF segment volume/integrity with WAB/BNT language scores beyond cortical damage

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Key findings

Left long→naming; anterior→fluency/naming; posterior→comprehension; posterior emphasized for residual language; no clear right-AF contribution.

Methodology

Reconstructed left/right AF with multi-segment tractography and related normalized volume/microstructure to language scores while controlling for lesion and cortical areas.

Limitations

Causal repair from stimulating AF, or that dorsal-stream=repetition-only models are fully wrong in every patient.

How this study connects

Role on claims

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