NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ Contents lists available at ScienceDirect NeuroImage journal homepage: www.elsevier.com/locate/neuroimage Imaging structural covariance in the development of intelligence Budhachandra S. Khundrakpam a,n, John D. Lewis a, Andrew Reid b, Sherif Karama a, Lu Zhao a, Francois Chouinard-Decorte a, Alan C. Evans a, Brain Development Cooperative Group1 a b McConnell Brain Imaging Centre, Montreal Neurological Institute, McGill University, Montreal, Canada Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany art ic l e i nf o a b s t r a c t Article history: Received 29 March 2016 Accepted 19 August 2016 Verbal and non-verbal intelligence in children is highly correlated, and thus, it has been difficult to differentiate their neural substrates. Nevertheless, recent studies have shown that verbal and non-verbal intelligence can be dissociated and focal cortical regions corresponding to each have been demonstrated. However, the pattern of structural covariance corresponding to verbal and non-verbal intelligence remains unexplored. In this study, we used 586 longitudinal anatomical MRI scans of subjects aged 6–18 years, who had concurrent intelligence quotient (IQ) testing on the Wechsler Abbreviated Scale of Intelligence. Structural covariance networks (SCNs) were constructed using interregional correlations in cortical thickness for low-IQ (Performance IQ ¼100 78, Verbal IQ¼ 100 77) and high-IQ (PIQ ¼121 7 8, VIQ ¼120 79) groups. From low- to high-VIQ group, we observed constrained patterns of anatomical coupling among cortical regions, complemented by observations of higher global efficiency and modularity, and lower local efficiency in high-VIQ group, suggesting a shift towards a more optimal topological organization. Analysis of nodal topological properties (regional efficiency and participation coefficient) revealed greater involvement of left-hemispheric language related regions including inferior frontal and superior temporal gyri for high-VIQ group. From low- to high-PIQ group, we did not observe significant differences in anatomical coupling patterns, global and nodal topological properties. Our findings indicate that people with higher verbal intelligence have structural brain differences from people with lower verbal intelligence – not only in localized cortical regions, but also in the patterns of anatomical coupling among widely distributed cortical regions, possibly resulting to a system-level reorganization that might lead to a more efficient organization in high-VIQ group. & 2016 Published by Elsevier Inc. Keywords: Verbal and performance intelligence Cortical thickness Structural covariance network Neuroimaging Cognitive development Introduction One of the most thought-provoking questions we face is why some people are more proficient in several cognitive skills than others. Understanding the biological bases of these differences is of utmost importance to basic and applied neuroscience. Initial insights to the biological bases came from studies based on post mortem data that revealed positive association between cerebral volume and intelligence (Witelson et al., 2006). However, the advent of advanced MRI techniques which enabled scientists to investigate highly-localized (voxel-level) relationships of brain measurements (e.g. gray matter density, cortical thickness) with intelligence, provided a different perspective. Several such studies at the voxel and regional levels demonstrated positive correlation n Corresponding author. E-mail address: budha@bic.mni.mcgill.ca (B.S. Khundrakpam). 1 See Appendix for author list and affiliations of the Brain Development Cooperative Group. of morphometry with intelligence in brain regions that are especially relevant to higher cognitive functions including frontal, temporal, parietal, hippocampus and cerebellum (Andreasen et al., 1993; MacLullich et al., 2002; Shaw et al., 2006; Narr et al., 2007; Colom et al., 2009; Karama et al., 2011; Burgaleta et al., 2014). Thus, came the proposition that increased volume in specific brain regions may account for the association between intelligence and global brain volume. General intelligence is considered to be broadly dissociable into fluid and crystalized intelligence (Cattell, 1943), and brain areas corresponding to each have been shown in several studies (Choi et al., 2008; Karama et al., 2011; Ramsden et al., 2011; Colom et al., 2013; Burgaleta et al., 2014). Fluid intelligence, alternatively described as reasoning (non-verbal) ability, involves reasoning and novel problem-solving ability (Cattell, 1943), and has been shown to depend on working memory (Kyllonen and Christal, 1990; Kane and Engle, 2002). Crystallized intelligence, on the other hand, refers to verbal ability; this includes the ability of using language in analysing, remembering and understanding information, and is http://dx.doi.org/10.1016/j.neuroimage.2016.08.041 1053-8119/& 2016 Published by Elsevier Inc. Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 2 assumed to depend on acquired and accumulated knowledge including semantic memory (Naglieri and Bornstein, 2003). Apart from the conceptual difference, verbal and non-verbal intelligence have also been shown to be empirically separable. For example, patients with lesions specifically in prefrontal cortex have lower non-verbal intelligence while verbal intelligence is compromised in patients with lesions specifically in anterior temporal regions (Duncan et al., 1996; Waltz et al., 1999). The Wechsler Abbreviated Scale of Intelligence (WASI) is used as a screener of verbal and non-verbal abilities, and give verbal and performance IQ scores (Wechsler, 1999). Using the VIQ and PIQ scores, several neuroimaging studies have also noted a dissociation of verbal and nonverbal intelligence: positive associations of GM density in temporal regions with verbal intelligence (Choi et al., 2008; Lee et al., 2014) and in prefrontal regions with non-verbal intelligence (Gray et al., 2003). It may be noted that VIQ and PIQ scores are partial estimates and may not fully describe the verbal and non-verbal abilities. Although the above findings demonstrate dissociation of cortical regions for verbal and non-verbal intelligence, the possibility that the relationships between different cortical regions vary in distinct patterns for verbal and non-verbal intelligence remains unexplored. Such a motivation arises in light of recent studies that have revealed distinct patterns in anatomical coupling among cortical regions associated with greater general intelligence (Lerch et al., 2006) and vocabulary abilities (Lee et al., 2014). Lerch et al. (2006) found stronger anatomical coupling between a seed region at BA 44 (part of Broca’a area) with several frontal and parietal regions for individuals with higher general intelligence; while Lee et al. (2014) observed stronger anatomical coupling in multiple regions involved in language in people who possess greater vocabulary skills. Although these two studies have shown modifications in anatomical coupling with greater general intelligence and vocabulary, there has not been any study that explored the dissociation of verbal and non-verbal intelligence in terms of differences in the patterns of anatomical coupling among cortical regions. Given the distinct focal differences in cortical thickness with greater verbal and non-verbal intelligence, we postulate that there will be distinct variations in the patterns of anatomical coupling with greater verbal and non-verbal intelligence. A recently introduced methodology to examine anatomical coupling among broadly distributed cortical regions instead of focussing on each cortical region in statistical isolation from all others, is the study of structural covariance networks (SCNs) (He et al., 2007; Khundrakpam et al., 2013; for detail reviews, see Alexander-Bloch et al., 2013; Evans, 2013). Several studies have replicated patterns of SCNs in normal brains (Zielinski et al., 2010; Raznahan et al., 2011; Khundrakpam et al., 2013), and alterations in the SCN patterns have been shown in several diseases including Alzheimer's disease, schizophrenia, multiple sclerosis, autism etc. (Bassett and Bullmore, 2009; He et al., 2009; Sharda et al., 2014). Additionally, accumulating evidence have also shown anatomical (white matter connectivity) and functional (resting state fMRI connectivity) correspondence with SCNs suggesting that SCN patterns might capture some aspects of brain connectivity (Gong et al., 2012; Kelly et al., 2012). Given that SCNs provide a good framework for investigating anatomical coupling among cortical regions, we hypothesize that they will provide information about differences in the patterns of anatomical coupling among cortical regions associated with greater verbal and performance intelligence. Additionally, we aim to explore differences in topological organization corresponding to greater verbal and performance intelligence. Materials and methods Participants Data for the study were taken from the NIH MRI Study of Normal Brain Development (Evans and Brain Development Cooperative, 2006); a multi-site project undertaken to offer a normative database for normal brain and cognitive development. 586 MRI scans of subjects aged 6–18 years scanned up to 3 times at 2 year intervals that had concurrent intelligence quotient (IQ) testing on the Wechsler Abbreviated Scale of Intelligence (WASI) were used. Detailed demographics of the subjects are given in Table 1. Psychometric measures Several batteries of behavioral measures were acquired from the subjects on or within few days of brain imaging (for details, see Evans and Brain Development Cooperative, 2006; Waber et al., 2007). Cognitive measures used in the study were the Wechsler Abbreviated Scale of Intelligence (WASI); (Wechsler, 1999) from the NIH MRI Study of Normal Brain Development. The WASI consisted of vocabulary, similarities, matrix reasoning, and block design subtests. Verbal IQ (VIQ) and performance IQ (PIQ) measures were computed by normalizing the scores on individual subtests (vocabulary and similarities for VIQ, and matrix reasoning and block design for PIQ) against age-specific norms. Thus, VIQ comprised those tests more related to verbal skills while PIQ involved tests more independent of verbal skills. MRI acquisition and processing For each subject, a 3D T1-weighted (T1W) Spoiled Gradient Recalled (SPGR) echo sequence with 1.5 T scanners was acquired, with 1mm isotropic data obtained sagittally from the whole head. For GE scanners, slice thickness of 1.5 mm was obtained due to their limit of 124 slices. Additionally using a two-dimensional (2D) Table 1 Demographics of the subjects used in the study. Means with standard deviation, and range given in parentheses. The last column shows the overlap/statistical dependency between PIQ and VIQ scores. PIQ, performance IQ; VIQ, verbal IQ. PIQ VIQ Group Scans Subjects (M/F) Age PIQ score Subjects (M/F) Age VIQ score t test (PIQ/VIQ) Low-IQ High-IQ 293 293 187 (88/99) 180 (86/94) 12.8 73. 12.9 73.8 1007 8 (72–110) 1217 8 (111–157) 189 (93/96) 185 (88/97) 13.0 7 3.7 12.7 7 3.7 100 77 (74–109) 1207 9 (110–156) p ¼0.55 p ¼0.21 Total number of subjects, n ¼306 (scanned up to 3 times). Total number of scans, N ¼ 586. Males/females ¼ 141/165. Age¼ 6–18 years. Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ multi-slice (2 mm) dual echo fast spin echo (FSE) sequence, T2weighted (T2W) and proton density-weighted (PDW) images were obtained. The total acquisition time was 25 min and was repeated when specified by the scanner-side quality control process. For subjects that could not endured this procedure, a fallback protocol with shorter 2d acquisitions of slice thickness 3 mm was used. Cortical thickness measurements T1-weighted MRI scans were used to obtain cortical thickness measures using the CIVET pipeline developed at the Montreal Neurological Institute (http://www.bic.mni.mcgill.ca/ServicesSoft ware/CIVET). The steps involved are given as follows. First, the native MRI images were corrected for non-uniformity artifacts using N3 algorithm (Sled et al., 1998) and registered into the stereotaxic space (Talairach and Tournoux, 1988) using a 9-parameter linear transformation (Collins et al., 1994). The images were then segmented into gray matter, white matter, cerebrospinal fluid and background using an advanced neural net classifier (Zijdenbos et al., 2002). Next, inner and outer gray matter surfaces were automatically extracted from each MR volume using the Constrained Laplacian-based Automated Segmentation with Proximities (CLASP) algorithm (MacDonald et al., 2000; Kim et al., 2005). Then, cortical thickness was computed in native space using the linked distance between the two surfaces at 81,924 vertices (163,840 polygons) throughout the cortex. Using manual measurements (Kabani et al., 2001) and simulation approaches (Lerch and Evans, 2005; Lerch et al., 2005), the validation of the CLASP cortical thickness algorithm, and has also been recently applied to Alzheimer's disease (Lerch et al., 2005) and cortical development studies (Shaw et al., 2006). Correlation strength maps The data were divided into two groups with equal number of scans in each (n¼ 293); the group with the lower PIQ scores was defined as low-PIQ group and the other with higher PIQ scores as high-PIQ group. Similarly, the group with the lower VIQ scores was defined as low-VIQ group and the other with higher VIQ scores as high-VIQ group. Details are given in Table 1. Since the data comprised of longitudinal MRI scans, a mixed effects general linear model (GLM) was used to account for repeated subjects. Age and gender were put as covariates in the mixed effects GLM for each group, and the resulting residuals were used in all the analyses. Next, correlation strength maps of cortical thickness showing anatomical coupling among cortical regions at whole brain level were computed for each group (Lerch et al., 2006; Raznahan et al., 2011). As explained in earlier papers (Lerch et al., 2006; Raznahan et al., 2011), correlation strength maps were calculated by computing the degree to which any part of the cortex correlated with the rest of the cortex. This requires correlating cortical thickness at each vertex with all the rest of vertices (n ¼81,923) and therefore the process (81,924 81,924 number of correlations) is computationally expensive. Instead, a less computationally expensive approach which has been validated in previous studies (Lerch et al., 2006; Raznahan et al., 2011; Lee et al., 2014), is to correlate cortical thickness at each vertex with the mean cortical thickness (henceforth mCT which is calculated by averaging the cortical thickness across all vertices within each subject). Thus, correlation strength maps corresponding to low- and high-IQ groups were computed. Network analysis For network analysis, regions of interest (ROIs) were created based on automatic anatomical labeling (AAL) scheme, which is Table 2 List of brain parcels based on automatic anatomical labeling (AAL) atlas. ROI-abbreviations ROI-labels REC.L OLF.L ORBsup.L ORBsupmed.L ORBmid.L ORBinf.L SFGdor.L MFG.L IFGoperc.L IFGtriang.L SFGmed.L SMA.L PCL.L PreCG.L ROL.L PoCG.L SPG.L IPL.L SMG.L ANG.L PCUN.L SOG.L MOG.L IOG.L CAL.L CUN.L LING.L FFG.L HES.L STG.L MTG.L ITG.L TPOsup.L TPOmid.L PHG.L ACG.L DCG.L PCG.L INS.L REC.R OLF.R ORBsup.R ORBsupmed.R ORBmid.R ORBinf.R SFGdor.R MFG.R IFGoperc.R IFGtriang.R SFGmed.R SMA.R PCL.R PreCG.R ROL.R PoCG.R SPG.R IPL.R SMG.R ANG.R PCUN.R SOG.R MOG.R IOG.R CAL.R CUN.R LING.R FFG.R HES.R STG.R MTG.R ITG.R TPOsup.R TPOmid.R PHG.R ACG.R Left Gyrus Rectus Left Olfactory Cortex Left Supeiror frontal gyrus, orbital part Left Superior frontal gyrus, medial orbital Left Middle frontal gyrus orbital part Left Inferior frontal gyrus, orbital part Left Superior frontal gyrus, dorsolateral Left Middle frontal gyrus Left Inferior frontal gyrus, opercular part Left Inferior frontal gyrus, triangular part Left Superior frontal gyrus, medial Left Supplementary motor area Left Paracentral lobule Left Precentral gyrus Left Rolandic operculum Left Postcentral gyrus Left Superior parietal gyrus Left Inferior parietal, but supramarginal and angular gyri Left Supramarginal gyrus Left Angular gyrus Left Precuneus Left Superior occipital gyrus Left Middle occipital gyrus Left Inferior occipital gyrus Left Calcarine fissure and surrounding cortex Left Cuneus Left Lingual gyrus Left Fusiform gyrus Left Heschl gyrus Left Superior temporal gyrus Left Middle temporal gyrus Left Inferior temporal gyrus Left Temporal pole: superior temporal gyrus Left Temporal pole: middle temporal gyrus Left Parahippocampal gyrus Left Anterior cingulate and paracingulate gyri Left Median cingulate and paracingulate gyri Left Posterior cingulate gyrus Left Insula Right Gyrus Rectus Right Olfactory Cortex Right Superior frontal gyrus, orbital part Right Superior frontal gyrus, medial orbital Right Middle frontal gyrus orbital part Right Inferior frontal gyrus, orbital part Right Superior frontal gyrus, dorsolateral Right Middle frontal gyrus Right Inferior frontal gyrus, opercular part Right Inferior frontal gyrus, triangular part Right Superior frontal gyrus, medial Right Supplementary motor area Right Paracentral lobule Right Precentral gyrus Right Rolandic operculum Right Postcentral gyrus Right Superior parietal gyrus Right Inferior parietal, but supramarginal and angular gyri Right Supramarginal gyrus Right Angular gyrus Right Precuneus Right Superior occipital gyrus Right Middle occipital gyrus Right Inferior occipital gyrus Right Calcarine fissure and surrounding cortex Right Cuneus Right Lingual gyrus Right Fusiform gyrus Right Heschl gyrus Right Superior temporal gyrus Right Middle temporal gyrus Right Inferior temporal gyrus Right Temporal pole: superior temporal gyrus Right Temporal pole: middle temporal gyrus Right Parahippocampal gyrus Right Anterior cingulate and paracingulate gyri Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i 3 B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 4 Table 2 (continued ) ROI-abbreviations ROI-labels DCG.R PCG.R INS.R Right Median cingulate and paracingulate gyri Right Posterior cingulate gyrus Right Insula widely used for brain parcellation (Tzourio-Mazoyer et al., 2002). Since our analysis is based on a cortical surface model, the AAL atlas resulted into 78 cortical regions (Table 2). For every brain region, cortical thickness was then computed as the average thickness of all vertices defined as belonging to that region (Khundrakpam et al., 2013). In the next step, correlation matrices were constructed on the basis of correlations of cortical thickness for a group of subjects corresponding to low- and high-IQ groups (He et al., 2007; Khundrakpam et al., 2013). For every region, a linear regression was used to remove the effects of age, gender and mean overall cortical thickness. The resulting residuals were used to compute the statistical similarity in cortical thickness between any two brain regions across a group of subjects, resulting to a 78 78 correlation matrix. We thus obtained the following correlation matrices – PIQ PIQ i) CMLow and CMHigh for low- and high-PIQ groups respectively. VIQ VIQ and CMHigh for low- and high-VIQ groups respectively. ii) CMLow For graph-theoretic analysis, the correlation matrices were first binarized based on sparsity thresholding. We defined sparsity as the total number of edges in a graph divided by the maximum possible number of edges. Fixing a sparsity threshold (for instance, x% threshold denotes x% of the topmost connections) assured the same number of edges for graphs of different groups (Achard and Bullmore, 2007). In order to determine proper assessment of small world network properties and nominal spurious number of edges in each network, we used a range of sparsity threshold 10 rS r30, as has been done in earlier studies (Bassett et al., 2008; Khundrakpam et al., 2013). Since the exact sparsity of brain connections is not clearly known, and the fact that group difference in network topology may occur at different sparsities (He et al., 2008), a metric summarizing information across sparsities is used. In the present study, one such summary metric which is the normalized integral of the network parameter across the sparsity range (He et al., 2009a; Khundrakpam et al., 2013), was used for the topological properties. The binarized graphs were used to calculate i) global network parameters; namely, local and global efficiency, and modularity and ii) local network parameters namely, regional efficiency and participation coefficient which are described below. Local and global efficiency are distance-weighted measures (following Latora and Marchiori, 2001), and are defined as Eglobal = Elocal = 1 N (N−1) 1 N ∑ i≠j∈G 1 dij ∑ Eglobal (Gj ) j∈G where G is the network graph, i and j are ROIs, dij is a measure of distance between i and j (obtained from Euclidean distance). Modularity is a measure of the degree to which a graph is organized into distinct subgraphs (Newman, 2006). The modularity algorithm attempts to partition the graph into disjoint subgraphs, in such a way as to minimize the degree of intermodule connectivity, and maximize intramodule connectivity. This ratio is captured in the parameter Q, and for the study, we used the maximal value Qmax. In addition to the global modularity index, we also analyzed nodal modular structure, namely participation coefficient (PC). PC indicates the density of connections of a node i to nodes in other modules (Guimera et al., 2005). Thus, nodes with high PC are normally ‘connector hubs’ that integrate information between disparate brain sub-systems (Chen et al., 2008; He et al., 2009b). We define regional efficiency, Eregional (i), of a node i as the inverse of the harmonic mean of the shortest path length between the node i and rest of the nodes in the graph (Achard et al., 2006). A node with high regional efficiency reflects large number of connections passing through the node, and thus is considered a ‘hub’ node (Achard et al., 2006; Gong et al., 2009). Statistical analysis Group difference in cortical thickness between low- and highIQ groups was analyzed using a vertex-wise mixed effects linear model in which age, gender were taken into account. T-statistics with random field theory (RFT) for correction of multiple comparisons, were used to quantify the group difference in cortical thickness using SurfStat (http://www.math.mcgill.ca/keith/surf stat/). We also computed group difference in lobar cortical thickness for the IQ groups. Residuals of cortical thickness values (after removing the effects of age and gender) for all vertices belonging to a lobe for low-IQ were compared to that of high-IQ group using Student's t-test. Adjustment for multiple comparisons was done at FDR of q ¼0.05. Group difference in the correlation strength maps between low- and high-IQ groups were computed in a procedure similar to earlier studies (He et al., 2008). Correlating cortical thickness at each vertex with the mean cortical thickness (mCT) results in a correlation coefficient for each vertex. The correlation coefficients were converted into z values based on Fisher's r to z transform. The transformed z values were used to compute a Z statistic which in turn allowed statistical comparison of the group difference in the correlations (Cohen and Cohen, 1983). Correction for multiple comparisons was done using a false discovery rate (FDR) at q¼ 0.05 (Genovese et al., 2002). Statistical comparison of the network properties between the IQ groups was performed using a nonparametric permutation test procedure (Bullmore et al., 1999; He et al., 2008). For the low- and high-IQ groups, the network properties were first calculated separately for the range of sparsity thresholds and the summary metrics (normalized integrals) obtained. Next, in order to test the null hypothesis that group differences might occur due to chance, each subject's set of cortical thickness values were randomly reallocated to one or other of the two groups. Then, correlation matrix was computed for each randomized group. Following similar procedure as in network construction, the randomized correlation matrix was used to compute network properties across the range of sparsity thresholds. Next, the differences in the normalized integrals of the network properties for the randomized groups were obtained. We repeated the randomization procedure 1000 times and used the 95 percentile points for each distribution as the critical values for a one-tailed test of the null hypothesis with a probability of type I error of 0.05. In the study, the above mentioned procedure was used to compare group differences in all global (global and local efficiency, modularity) and nodal (regional efficiency and participation coefficient) topological properties. For the nodal properties, a region-by-region comparison was performed using the nonparametric permutation. Adjustment for multiple comparisons was done using a false discovery rate (FDR) at q¼0.05. Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 5 Fig. 1. Group difference in cortical thickness between Low- and High-IQ groups. Significant group differences (High–Low) in cortical thickness (p o 0.05, random field theory, RFT-corrected) are depicted on the surface of a brain template. A and B are for PIQ and VIQ groups respectively. Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 6 Results Group difference in cortical thickness between low- and high-IQ groups Comparison of group difference in cortical thickness revealed greater thickness in several brain regions for both the high-PIQ and high-VIQ groups (Fig. 1). In particular, significantly greater cortical thickness (p o0.05, RFT-corrected) was observed for the high-PIQ group in several regions, including left inferior temporal gyrus, right middle temporal gyrus, bilateral cuneus, right superior occipital and left inferior occipital gyri, bilateral anterior cingulate gyri, bilateral insula, right inferior frontal and precentral gyri (Fig. 1A and Table 3A). We also observed significantly greater cortical thickness (p o0.05, RFT-corrected) for the high-VIQ group in bilateral middle temporal gyri, left inferior temporal gyrus, bilateral precuneus, left cuneus, left lingual and parahippocampal gyri, left inferior frontal gyrus, bilateral insula and right superior occipital and superior parietal gyri (Fig. 1B and Table 3B). Significant differences in lobar cortical thickness were observed between low- and high-VIQ groups (Fig. 2). Cortical thickness was significantly greater for high-VIQ (p o0.05, FDR-corrected) in occipital, temporal, and limbic cortex (second row of Fig. 2). There were no significant differences in any lobar cortical thickness between PIQ groups (first row of Fig. 2). and high-IQ groups was determined (Fig. 3). No significant difference in correlation strength maps between the low- and high-PIQ groups was observed (Fig. 3A). However, we observed significantly greater correlation strengths in bilateral temporal, inferior frontal, and lateral parietal regions for the low-VIQ (compared to the high-VIQ group) (Fig. 3B). Group difference in global topological properties between low- and high-IQ groups Comparative analysis (nonparametric permutation tests) of global topological properties including global and local efficiency, and modularity were performed between the low- and high-IQ groups (Fig. 4). We observed significantly higher global efficiency and modularity (po 0.05), and significantly lower local efficiency (p o0.05) for the high- compared to low-VIQ groups (Fig. 4). There were however no significant differences in the global topological parameters between the low- and high-PIQ groups (Fig. 4). Group difference in correlation strength maps between low- and high-IQ groups Correlation strength maps were computed for all IQ groups, and then group difference in the correlation strength maps between lowTable 3 Cortical regions with significant group difference (p o 0.05, RFT-corrected at cluster level) in cortical thickness for A. (High–Low) PIQ and B. (High–Low) VIQ. A (High–Low) PIQ Cluster ID No. of vertices P-value Brain label 1 2 3 4 5 6 7 8 9 10 11 12 13 14 908 474 528 703 477 359 434 299 313 244 167 101 139 178 1.00E 07 1.07E 07 1.23E 06 2.35E 06 4.35E 06 4.33E 05 0.000239 0.00041 0.001727 0.010569 0.012696 0.015828 0.035413 0.03928 INS.R IFGtriang.R CUN.R ACG.L INS.L ITG.L CUN.L ACG.R SOG.R IOG.L ITG.L PreCG.R MTG.R STG.R Cluster ID No. of vertices P-value Brain label 1 2 3 4 5 6 7 8 9 10 11 12 13 775 1608 546 611 184 647 443 310 249 273 220 157 91 1.00E 07 1.00E 07 1.03E 07 1.82E 07 4.28E 06 5.66E 06 0.0002007 0.0034167 0.0078855 0.0080145 0.0114672 0.0122702 0.0153094 PCUN.R CUN.L MTG.L PHG.L INS.R LING.L PCUN.L IFGtriang.L ITG.L INS.L SOG.R SPG.R MTG.R B (High–Low) VIQ Fig. 2. Comparison of lobar cortical thickness (residuals) for Low- and High-IQ groups. Residual cortical thickness (after controlling for age, gender) were compared between low- and high-IQ groups using Student t-tests. Fig. 3A and B are for PIQ and VIQ groups respectively. Note the significant increase in cortical thickness in high- compared to low-VIQ group for occipital, temporal and limbic lobes. Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 7 Fig. 3. Comparison of correlation strength maps for Low- and High-IQ groups. Correlation strength maps representing overall connectivity are shown in the first column, upper for low-IQ and lower for high-IQ groups. The second column shows the statistical comparison of correlation strength maps at p o 0.05 (FDR-corrected for multiple comparisons) for low minus high IQ groups. A and B are for PIQ and VIQ groups respectively. Note the color bar in the right column of B shows Z statistics for the group difference (low minus high VIQ) (see Method). Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i 8 B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ Fig. 4. Comparison of global topological properties for Low- and High-IQ groups. Global and local efficiency, and modularity were compared between low- and high-IQ groups using two approaches, parametric (A) and non-parametric (B) (see Methods for details). In A and B, the first row shows comparison for low- and high-PIQ groups, while the second row shows comparison for low- and high-VIQ groups. Note that both the approaches yielded the same result: significantly greater global efficiency, modularity and significantly lower local efficiency for high-VIQ compared to low-VIQ group. low-VIQ (Fig. 5). There were no cortical regions with significant difference in PC metric between low- and high-PIQ groups. Region-by-region (regions based on AAL parcellation) statistical comparison of regional efficiency using the nonparametric permutation test revealed 3 cortical regions with significant difference (p o0.05, FDR-corrected) for high-VIQ compared to low-VIQ (Fig. 6B). Note that, for better visualization of all comparisons for 78 cortical regions, z-scores for the difference in regional efficiency have been shown on x-axis (with * for regions with significant difference). There were no cortical regions with significant difference in regional efficiency between low- and high-PIQ groups (Fig. 6A). Discussion Fig. 5. Comparison of connector hubs for Low- and High-IQ groups. Based on participation coefficient, connector hubs were identified for the IQ groups and compared (see Methods for details). Five brain regions were identified as connector hubs with significant difference in participation coefficient between low- and highVIQ groups. Similar analysis for PIQ groups yielded no significant difference in participation coefficient. Note, IFGoperc.L¼ left inferior frontal gyrus, opercular part; SMG.L ¼ left supramarginal gyrys; STG.L¼ left superior temporal gyrus; MTG. L¼ left middle temporal gyrus and MTG.R ¼right middle temporal gyrus. Group difference in nodal topological properties between low- and high-IQ groups Analysis of group difference in participation coefficient (PC) revealed significantly greater (p o0.05, FDR-corrected) PC metric predominantly in left-hemisphere including inferior frontal gyrus, supra marginal gyrus, superior and temporal gyri and right hemispheric middle temporal gyrus for high-VIQ compared to In the present study, from low- to high-VIQ group, we found i) different anatomical coupling among widely distributed cortical regions; ii) a difference in global topological properties (higher global efficiency and modularity, and lower local efficiency, suggesting a shift towards a more optimal topological organization); and iii) a difference in regional efficiency for cortical regions predominantly in the left hemisphere. There were, however, no significant differences in SCNs and global topological properties between the low- and high-PIQ groups. Taken together, our results show that people with higher verbal intelligence have structural brain differences from people with lower verbal intelligence – not only in localized cortical regions, but also in the patterns of anatomical coupling among widely distributed cortical regions. Similar conclusions could not be made for people with higher performance intelligence. Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 9 Fig. 6. Comparison of regional efficiency for Low- and High-IQ groups. Group difference (High–Low) in regional efficiency are shown for all the 78 brain parcels (based on automatic anatomical labeling (AAL) atlas, see Table 2 for the brain labels). A and B are for PIQ and VIQ groups respectively. In B, 3 brain regions were identified as regions with significantly different regional efficiency (p o 0.05 denoted by *) between low- and high-VIQ groups (see Methods for details on the statistical comparison). Note, no brain regions showed significant difference in regional efficiency for low- and high-PIQ groups (A). Association of cortical thickness and intelligence Early explorations of the biological substrates of intelligence focussed on studies using post mortem data and demonstrated positive association of cerebral volumes with intelligence (Witelson et al., 2006). However, the advent of automated tissue classification with advanced MRI allowed scientists to investigate highly-localized (voxel-level) relationships of intelligence with brain measurements (Shaw et al., 2006; Narr et al., 2007; Karama et al., 2011; Karama et al., 2014). Our finding of greater cortical thickness in several cortical regions for both high PIQ and VIQ groups are in accordance with earlier studies (Karama et al., 2011). These morphometric differences were observed in inferior frontal, temporal, and cingulate cortex (Fig. 1A). Karama et al. (2011) found significant positive correlations between block design (subtest of PIQ) and cortical thickness in left frontal (BA 45), right frontal (BAs 8, 9, 10, 11, 46), left parietal (BA 19), left temporal (BAs 20, 22, 36, 37, 38), right temporal (20, 21, 36, 38) and left occipital (BA 19). For verbal intelligence, we found significant group differences in left frontal, left occipital, and temporal regions (Fig. 1B). Karama et al. (2011) found significant positive correlations between vocabulary and peak coordinates at left inferior frontal gyrus (BA 45), left precuneus (BA 7) and left occipito-temporal gyrus (BA 36). A group study has also shown major increase in cortical thickness in bilateral temporal cortex for both high- compared to low-VIQ group (Choi et al., 2008). Though several studies have shown positive correlation of cortical thickness (or GM density) in specific brain regions with intelligence, the mechanisms behind them are not clear. Greater cortical thickness in certain brain regions for an enhanced intellectual ability might suggest increased recruitment of those brain regions in that particular intellectual ability. For example, high VIQ has been shown to be associated with greater cortical thickness in lateral temporal (Choi et al., 2008) and posterior occipital cortex, regions which are involved in visual and linguistic abilities. In particular, significant positive correlations of verbal intelligence ability (specifically, vocabulary size) with GM density have been shown in bilateral posterior supramarginal gyrus (SMG) (Lee et al., 2007), an anatomical site linked to second language skill in adult bilinguals (Mechelli et al., 2004). Another study also observed positive correlation of the acquisition of vocabulary knowledge with GM density in left posterior SMG in teenagers. Thus GM density in the posterior SMG appears to be sensitive to the number of words learned, regardless of language. Similarly, greater cortical thickness with high PIQ has been observed in lateral prefrontal cortex, a region implicated in cognitive abilities related to tasks such as planning, problem solving, reasoning (Duncan and Owen, 2000; Duncan et al., 2000; Gray et al., 2003). The cellular events leading to greater cortical thickness with better intellectual abilities are not clear. Cortical thickness is believed to reflect the number of neurons per column along with glial support and dendritic arborization (Rakic, 1988; Chklovskii et al., 2004; la Fougere et al., 2011). The positive association of cortical thickness and intellectual abilities are likely the outcome of modifications in the amount of glial and capillary support as well as in dendritic arborization (Chklovskii et al., 2004; Sur and Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i 10 B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ Rubenstein, 2005), and due to variations in the number of cortical neurons as there is no evidence for neuronal proliferation in the human cortex during most of post-natal development (Zatorre et al., 2012). This is consistent with findings that high IQ levels are linked to greater number of dendrites (Jacobs and Scheibel, 1993) while low IQ levels are associated with reduction in dendritic branching (Huttenlocher, 1991). Increased dendritic arborization has also been shown in studies involving animals with enriched environmental experience (Diamond, 2001; Lerch et al., 2011). Additionally, animal studies have shown experience- and learningrelated increases in the number of synapses and glial cells (Black et al., 1990; Isaacs et al., 1992; Anderson et al., 1994; Anderson et al., 1996; Kleim et al., 1996). However, there is the on-going debate over the relative contribution of experience-dependent anatomical plasticity versus pre-existing and pre-disposing anatomy to the differences for low and high IQ groups. For example, positive correlation between vocabulary and GM density in posterior SMG in both first and second languages suggests that the relative GM density increase reflects increased dendritic arborization or local synaptic density that results from experience dependent plasticity (Mechelli et al., 2004; Lee et al., 2007). At the same time, there is the possibility of an alternate hypothesis that people with greater skills for vocabulary acquisition may have a genetic disposition in the structure of posterior SMG that might be beneficial for vocabulary learning. Anatomical coupling of cortical regions and intelligence Our findings show significant difference in the correlation strength maps between the low- and high-VIQ groups, but not for PIQ groups (Fig. 2). Significant difference in correlation strengths were observed at bilateral temporal and left lateral inferior frontal regions (Fig. 2). The possible reasons behind these findings might be explained as below. A strong correlation coefficient reflects highly similar pattern of cortical thickness between regions X and Y while a weak correlation coefficient demonstrates a dissimilar pattern. The results of our study point to such dissimilarity for the high-VIQ group. In both low-PIQ and low-VIQ groups as well as high-PIQ group, the intra-lobar cortical thickness are not significantly different (Fig. 2). Due to this, the correlation strength of any cortical region (which reflects the summation of all the correlation coefficients with the rest of the cortex) would be high (Fig. 3). However, in case of highVIQ group, there is significant increase in cortical thickness in occipital, temporal and limbic cortex (Fig. 2B), thereby resulting in a dissimilar pattern of cortical thickness and a corresponding decrease in the correlation strengths. Our analysis of correlation strength maps was undertaken to support and extend the findings of the low- versus high-IQ cortical thickness contrast in discrete brain regions to differences in patterns of anatomical coupling among several brain regions with varying levels of intelligence. Although the results might seem contradictory to the notion of increased overall correlation strength for high-IQ (Lerch et al., 2006), our results might however be interpreted with the following hypothesis. In Fig. 3B, differences between low- and high-VIQ groups were observed in several cortical regions. Thus, there was a higher number of regions in the low-VIQ brains that were strongly correlated with each other. As seen from Fig. 3B, there is a significant reduction of the correlation strength in several regions for the high-VIQ group, demonstrating a departure from the pattern seen for low-VIQ which might be speculated as a selective process of specific regions and networks that in turn reflects the plastic effects of verbal intelligence-related activities. Taken together, the results indicate specialization of cortical regions and possibly networks with higher verbal intelligence, similar to a phenomenon observed for musicians (Bermudez et al., 2009). The findings from graph-theoretical analyses discussed in following sections lend support to such a hypothesis. Differences in global topological properties The analysis of global topological parameters revealed distinct differences in topological organization between low- and high-VIQ groups, but not between the PIQ groups. Significantly higher global efficiency and modularity as well as lower local efficiency for high- compared to low-VIQ group suggests a shift of topological organization towards a more optimal topological configuration. Such a difference in topological organization was however, not observed for high- compared to low-PIQ groups. Graph theory has recently been used in several studies to understand normal and diseased brains (Bassett and Bullmore, 2009; Bullmore and Sporns, 2009; He et al., 2009; He and Evans, 2010; Evans, 2013; Sporns, 2013). One of the major advantages of using graph-theoretical analysis in neuroscience is the ability to investigate whole-brain level exploration of brain networks that has enabled neuroscientists to view diseased brains as ‘altered connectivity’ as opposed to traditional viewpoint of local disruptions (He et al., 2009; Fornito and Bullmore, 2012; Hong et al., 2014; van den Heuvel and Fornito, 2014; Fornito et al., 2015). Global, local efficiency and modularity are examples of such graph parameters which are used to explore global topological properties (Bullmore and Sporns, 2009; Rubinov and Sporns, 2010; Sporns, 2013) and have been used to understand global topological organization in normal (Evans, 2013; Khundrakpam et al., 2013), and diseased brains (Bassett and Bullmore, 2009; He et al., 2009). Of particular interest to this study, these graph parameters have also been used to understand IQ development using DTI (Li et al., 2009), fMRI (van den Heuvel et al., 2009) and EEG (Langer et al., 2012). Irrespective of the imaging modality, the studies found positive correlations of FSIQ with global efficiency suggesting a more proficient brain organization with increased level of intelligence. Our results are consistent with these earlier studies, and extend them by investigating IQ groups using structural covariance networks. We go a step further and tease apart the topological differences between different levels of verbal and performance intelligence. Consistent with the findings of previous studies, we also observed significantly higher global efficiency and modularity as well as lower local efficiency for the high- compared to low-VIQ group which reflects a shift in topological organization towards a more optimal configuration. However, we did not observe any significant changes in the topological parameters for low- to high-PIQ. The findings are not surprising given the differences observed in correlation strength maps between low- and high-VIQ groups, but not between the PIQ groups. The graph-theoretical parameters of global, local efficiency and modularity were computed from correlation matrices of the IQ groups (see Methods). The correlation matrix is a low-dimensional construct (78 78 matrix based on AAL template) which is a reduction from the high-dimensional correlation strength maps (in 81,924 cortical regions at vertex level). Therefore, as seen in the case of correlation strength maps, it is not unexpected that the correlation matrix belonging to highVIQ group is markedly different from that of the low-VIQ group. A similar explanation holds for the observation of no significant difference between the low- and high-PIQ groups. It may be noted that the use of the low-dimensional construct (by averaging cortical thickness of vertices belonging to each ROI) is a potential limitation of the study as focal changes in cortical thickness (at vertex-level) have been shown to be associated with cognitive changes (Shaw et al., 2006). Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 11 Differences in nodal topological properties Conclusions The findings of group difference in participation coefficient (PC) and regional efficiency revealed significantly greater regional efficiency and PC specifically in left hemisphere language regions for high-VIQ (compared to low-VIQ). The findings indicate left hemisphere dominance in brain's processing abilities with higher verbal intelligence. This observation is consistent with several structural and functional studies that have shown stronger correlations of higher verbal skills with structure (cortical thickness/GM density) and function (activations) of left hemispheric language related regions facilitated by enhanced white matter connectivity among the regions (Schmithorst et al., 2005). A strong bias toward left-hemisphere representation of language skills have been documented by lesion studies (Broca, 1861; Dronkers et al., 2004; Dronkers et al., 2007) and neuroimaging studies (Bishop, 2013; Gotts et al., 2013; Wang et al., 2014). Reading scores have been found to be significantly correlated with white matter diffusion anisotropy in the temporo-parietal region of the left hemisphere, possibly contributing to reading ability by strengthening the communication between cortical areas involved in visual, auditory, and language processing (Klingberg et al., 2000). Evidence for this has also come from studies on individuals with reading abnormality or dyslexia that have shown dysfunction of left hemisphere reading networks (van der Mark et al., 2011; Richlan, 2012). The left hemisphere representation of language concords well with proposals that more spatially restricted, focal cortical representations that permit rapid cortical interactions with shorter conduction delays, could be beneficial for systems that require temporally rapid, sequential interactions (Semmes, 1968; Lackner and Teuber, 1973; Poeppel, 2003) such as speech production and comprehension (Hickok and Poeppel, 2007). In consistent with this proposal, Gotts et al. (2013) observed that cortical regions in the left hemisphere involved in language displayed a preference to interact more exclusively with itself, and the magnitude of leftlateralization measured for individual subjects predicted the verbal ability levels. Functional imaging studies have shown that individuals with higher skill levels (e.g. good readers) tend to have more efficient neural processes (generate less brain activity; than individuals with lower skill levels (e.g. poor readers) (Maxwell et al., 1974; Haier et al., 1988; Boivin et al., 1992; Reichle et al., 2000; Neubauer and Fink, 2009). The interplay between brain structure and function being the root of the neural basis of cognition, learning and plasticity; one can speculate whether the altered patterns of brain activation leading to more efficient neural processing in higher skill levels entail changes in brain structure (e.g. more synaptic connections, more dendrites) or vice versa. Our results point to such a hypothesis: larger cortical thickness in left frontal, left occipital and temporal regions for high-VIQ group might reflect greater dendritic arborization in the cortical regions involved in verbal skills. Such localized modifications of brain structure in specific cortical regions for high VIQ group in turn, may be manifested as alterations of anatomical coupling among those regions, indicating a system-level reorganization that might lead to a more efficient organization in high-VIQ group. Dissociation of verbal and non-verbal intelligence Our findings of differences in anatomical coupling between the verbal IQ groups, but not between the performance IQ groups indicate dissociation of verbal and non-verbal intelligence, in agreement with earlier studies (Choi et al., 2008; Colom et al., 2009; Karama et al., 2011; Ramsden et al., 2011; Burgaleta et al., 2014). Additionally, in partial agreement with our findings, there is evidence indicating that greater verbal intelligence is more associated with changes in brain structure specifically in the left hemisphere; while greater performance intelligence may be more associated with changes in brain function (Choi et al., 2008). This proposition is not completely unfounded and may largely be understood from the perspective of viewing cognition as a network function. According to this viewpoint, performance intelligence corresponds to the ability to dynamically configure information processing network of cortical centers (predominantly prefrontal cortex) to effectively deal with a novel cognitive challenge of some complexity. Thus, performance intelligence may reflect the system's ability to dynamically bring together capabilities that are distributed across different parts of the brain (Kaufman and Kaufman, 1983; Naglieri and Das, 1997). On the contrary, verbal intelligence is assumed to reflect achievement and not ability per se, as performance on many of the verbal IQ tests, such as vocabulary, depends on acquired knowledge (Naglieri and Bornstein, 2003) with predominant involvement of temporal regions. Conflict of interest The authors declare no conflict of interest. Disclaimer This manuscript reflects the views of the authors and may not reflect the opinions or views of all Study Investigators or the NIH. Acknowledgments Funding: This research has been supported by The Azrieli Neurodevelopmental Research Program in partnership with Brain Canada Multi-Investigator Research Initiative (MIRI) (grant number PT-62570). BSK was supported by a Post-Doctoral Fellowship from FRSQ and Jeanne-Timmins Costello MNI Fellowship. This project has been funded in whole or in part with Federal funds from the National Institute of Child Health and Human Development, the National Institute on Drug Abuse, the National Institute of Mental Health, and the National Institute of Neurological Disorders and Stroke (Contract #s N01-HD02-3343, N01MH9-0002, and N01-NS-9-2314, -2315, -2316, -2317, -2319 and -2320). Special thanks to the NIH contracting officers for their support. We also acknowledge the important contribution and remarkable spirit of John Haselgrove, Ph.D. (deceased). Appendix A. Brain Development Cooperative Group Key personnel from the six pediatric study centers are as follows: Children's Hospital Medical Center of Cincinnati, Principal Investigator William S. Ball, M.D., Investigators Anna Weber Byars, Ph.D., Mark Schapiro, M.D., Wendy Bommer, R.N., April Carr, B.S., April German, B.A., Scott Dunn, R.T.; Children's Hospital Boston, Principal Investigator Michael J. Rivkin, M.D., Investigators Deborah Waber, Ph.D., Robert Mulkern, Ph.D., Sridhar Vajapeyam, Ph. D., Abigail Chiverton, B.A., Peter Davis, B.S., Julie Koo, B.S., Jacki Marmor, M.A., Christine Mrakotsky, Ph.D., M.A., Richard Robertson, M.D., Gloria McAnulty, Ph.D; University of Texas Health Science Please cite this article as: Khundrakpam, B.S., et al., Imaging structural covariance in the development of intelligence. NeuroImage (2016), http://dx.doi.org/10.1016/j.neuroimage.2016.08.041i 12 B.S. Khundrakpam et al. / NeuroImage ∎ (∎∎∎∎) ∎∎∎–∎∎∎ Center at Houston, Principal Investigators Michael E. Brandt, Ph. D., Jack M. Fletcher, Ph.D., Larry A. Kramer, M.D., Investigators Grace Yang, M.Ed., Cara McCormack, B.S., Kathleen M. Hebert, M.A., Hilda Volero, M.D.; Washington University in St. Louis, Principal Investigators Kelly Botteron, M.D., Robert C. McKinstry, M.D., Ph.D., Investigators William Warren, Tomoyuki Nishino, M.S., C. Robert Almli, Ph.D., Richard Todd, Ph.D., M.D., John Constantino, M.D.; University of California Los Angeles, Principal Investigator James T. McCracken, M.D., Investigators Jennifer Levitt, M.D., Jeffrey Alger, Ph.D., Joseph O’Neil, Ph.D., Arthur Toga, Ph.D., Robert Asarnow, Ph. D., David Fadale, B.A., Laura Heinichen, B.A., Cedric Ireland B.A.; Children's Hospital of Philadelphia, Principal Investigators DahJyuu Wang, Ph.D. and Edward Moss, Ph.D., Investigators Robert A. Zimmerman, M.D., and Research Staff Brooke Bintliff, B.S., Ruth Bradford, Janice Newman, M.B.A. The Principal Investigator of the data coordinating center at McGill University is Alan C. Evans, Ph. D., Investigators Rozalia Arnaoutelis, B.S., G. Bruce Pike, Ph.D., D. Louis Collins, Ph.D., Gabriel Leonard, Ph.D., Tomas Paus, M.D., Alex Zijdenbos, Ph.D., and Research Staff Samir Das, B.S., Vladimir Fonov, Ph.D., Luke Fu, B.S., Jonathan Harlap, Ilana Leppert, B.E., Denise Milovan, M.A., Dario Vins, B.C., and at Georgetown University, Thomas Zeffiro, M.D., Ph.D. and John Van Meter, Ph.D. Ph. D. Investigators at the Neurostatistics Laboratory, Harvard University/McLean Hospital, Nicholas Lange, Sc.D., and Michael P. Froimowitz, M.S., work with data coordinating center staff and all other team members on biostatistical study design and data analyses. The Principal Investigator of the Clinical Coordinating Center at Washington University is Kelly Botteron, M.D., Investigators C. 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