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Abstract
The cerebellum is implicated in social cognition and is likely to be involved in the pathophysiology of autism spectrum disorder (ASD). The goal of our study was to explore cerebellar morphology in adults with ASD and its relationship to eye contact, as measured by fixation time allocated on the eye region using an eye-tracking device. Two-hundred ninety-four subjects with ASD and controls were included in our study and underwent a structural magnetic resonance imaging scan. Global segmentation and cortical parcellation of the cerebellum were performed. A sub-sample of 59 subjects underwent an eye tracking protocol in order to measure the fixation time allocated to the eye region. We did not observe any difference in global cerebellar volumes between ASD patients and controls; however, regional analyses found a decrease of the volume of the right anterior cerebellum in subjects with ASD compared to controls. There were significant correlations between fixation time on eyes and the volumes of the vermis and Crus I. Our results suggest that cerebellar morphology may be related to eye avoidance and reduced social attention. Eye tracking may be a promising neuro-anatomically based stratifying biomarker of ASD.
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1 UNIACT, Psychiatry Team, Neurospin Neuroimaging platform, CEA Saclay, Gif-Sur-Yvette, France; INSERM Unit U955, Team 15 “Translational Psychiatry”, Institut Mondor de Recherche Biomédicale, Créteil, France; Fondation Fondamental, Créteil, France; Pôle de Psychiatrie, Assistance Publique–Hôpitaux de Paris (AP-HP), DHU PePsy, Hôpitaux Universitaires Mondor, Créteil, France
2 UNIACT, Psychiatry Team, Neurospin Neuroimaging platform, CEA Saclay, Gif-Sur-Yvette, France; INSERM Unit U955, Team 15 “Translational Psychiatry”, Institut Mondor de Recherche Biomédicale, Créteil, France; Fondation Fondamental, Créteil, France
3 Cerebral Imaging Center, Douglas Mental Health University, McGill University, Montréal, Canada; Departments of Psychiatry and Biological and Biomedical Engineering, McGill University, Montreal, Canada
4 UNATI, Neurospin, CEA, Paris Saclay University, Gif-Sur-Yvette, France
5 Fondation Fondamental, Créteil, France; Service de psychiatrie de l’enfant et de l’adolescent, Assistance Publique–Hôpitaux de Paris (AP-HP), Hôpital Robert Debré, Paris, France; Institut Pasteur, Human Genetics and Cognitive Functions Unit, Paris, France
6 Neuroscience, Ophthalmology, and Rare Diseases (NORD), Roche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
7 Institut Roche, Roche Pharmaceuticals, Boulogne-Billancourt, France
8 Charles Perrens Hospital, Autism Expert Center, Bordeaux, France
9 Fondation Fondamental, Créteil, France; Laboratoire de Linguistique Formelle UMR 7110, Centre National de Recherche Scientifique, Université Paris Diderot, Paris, France
10 Service de psychiatrie de l’enfant et de l’adolescent, Assistance Publique–Hôpitaux de Paris (AP-HP), Hôpital Robert Debré, Paris, France
11 Institut Jean Nicod (UMR 8129), CNRS, Ecole Normale Supérieure & PSL Research University, Paris, France
12 INSERM Unit U955, Team 15 “Translational Psychiatry”, Institut Mondor de Recherche Biomédicale, Créteil, France; Fondation Fondamental, Créteil, France; Pôle de Psychiatrie, Assistance Publique–Hôpitaux de Paris (AP-HP), DHU PePsy, Hôpitaux Universitaires Mondor, Créteil, France
13 INSERM Unit U955, Team 15 “Translational Psychiatry”, Institut Mondor de Recherche Biomédicale, Créteil, France; Fondation Fondamental, Créteil, France; Pôle de Psychiatrie, Assistance Publique–Hôpitaux de Paris (AP-HP), DHU PePsy, Hôpitaux Universitaires Mondor, Créteil, France; Service de psychiatrie de l’enfant et de l’adolescent, Assistance Publique–Hôpitaux de Paris (AP-HP), Hôpital Robert Debré, Paris, France
14 INSERM Unit U955, Team 15 “Translational Psychiatry”, Institut Mondor de Recherche Biomédicale, Créteil, France; Fondation Fondamental, Créteil, France; Pôle de Psychiatrie, Assistance Publique–Hôpitaux de Paris (AP-HP), DHU PePsy, Hôpitaux Universitaires Mondor, Créteil, France; Faculté de Médecine, Universite Paris Est, Créteil, France
15 Fondation Fondamental, Créteil, France; Institut Jean Nicod (UMR 8129), CNRS, Ecole Normale Supérieure & PSL Research University, Paris, France
16 UNIACT, Psychiatry Team, Neurospin Neuroimaging platform, CEA Saclay, Gif-Sur-Yvette, France; INSERM Unit U955, Team 15 “Translational Psychiatry”, Institut Mondor de Recherche Biomédicale, Créteil, France; Fondation Fondamental, Créteil, France; Pôle de Psychiatrie, Assistance Publique–Hôpitaux de Paris (AP-HP), DHU PePsy, Hôpitaux Universitaires Mondor, Créteil, France; Cerebral Imaging Center, Douglas Mental Health University, McGill University, Montréal, Canada