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Abstract #2970

Functional MRI Revealed the Decrease of Working-Memory Capacity and the Impaired Function of Working-Memory Circuits in 22q11.2 Deletion Syndrome

Ling Zou1, 2, Waverly Harrel3, Zoe A. Englander4, Micah Johnson5, Allen W. Song5, Vandana Shashi3

1CMRRC,Radiology Department, West China Hospital, Chengdu, Sichuan, China; 2Duke-UNC Brain Imaging and Analysis Center (BIAC) , Duke University Medical Center, Durham, NC , United States; 3Department of Pediatrics, Duke University Medical Center, Durham, NC, United States; 4Duke-UNC Brain Imaging and Analysis Center (BIAC), Duke University, Durham, NC, United States; 5Duke-UNC Brain Imaging and Analysis Center (BIAC), Duke University Medical Center, Durham, NC, United States

Patients with 22q11.2 deletion have significant neurocognitive deficits. Childhood cognitive difficulties such as working memory (WM) are universal in patients. Structure MRI studies have found multiple brain parenchyma abnormalities, most of which are inside the brain WM circuits. But brain activities under hierarchical WM loads in patients have not been explored so far. In the present study we explored the hierarchical impairment patterns of WM deficits of the disorder using consecutive n-back task based fMRI, which may potentially serve as functional imaging biomarkers of the disorder and contribute to the evaluation of cognitive remediation in patients.

Keywords

ability abnormalities abnormality abstract accord activation activations activities activity actually adequate analyses attention audience axial back backs band basis brain broader capacity cerebral characterization childhood children china chromosomal circuits cognitive committee common complete components comprehensive condition conditions consecutive constellation contribute controls cope decrease decreased deficient deficits degree deletion demand deviation difficulty disorder disturbances duke early evidence exhibited explored failed findings frontal function functional functions hierarchical hierarchically highest impaired impairment included increasing increment incremental individual informed institutional investigated involvement inward known learning library lingual load localized located maps matched medical memory moderate network neural neurologist newly optimized overall oxford panel parietal patient patients patterns performance phenotypes preliminary psychological pulse radiologist radiology reduced regarded relatively remediation report reported required researcher reserve resolution response revealed review scanning schizophrenia serve severely slices smith software somatic song spiral statistical stern structural structure studies suggesting suggests syndrome target task tasks thresholded typical understanding universal usage written years