Background:
Recent findings on retrieval of proper names in cognitively healthy middle-
aged persons indicate that Tip-Of-The-Tongue (TOT) states occurring during proper name retrieval
implicate inferior frontal (BA 44) and parietal (BA 40) cortical areas. Such findings give rise
to the possibility that anatomical connectivity via dorsal white matter may be associated with difficulties
in name retrieval in midlife.
Objectives & Method:
Using Diffusion Tensor Imaging, we examined in vivo microstructural properties
of white matter in 72 cognitively healthy Middle-Aged (MA) and 59 Young Adults (YA),
comparing their naming abilities as well as testing, for possible associations between dorsal white
matter integrity and naming abilities in the MA group.
Results:
The MA group was better in retrieving correct names (U = 1525.5, p = .006), but they also
retrieved more incorrect names than YA believing they had retrieved the correct ones (U = 1265.5,
p < .001). Furthermore, despite being more familiar with the tested names than YA (U = 930, p <
.001), MA experienced significantly more TOTs relative to YA (U = 1498.5, p = .004). Tract-based
spatial statistics showed significant group differences in values of fractional anisotropy (FA), mean
diffusivity, axial diffusivity, radial diffusivity, and mode of anisotropy in a range of white matter
tracts. In the MA group, FA values in the right Superior Longitudinal Fasciculus (SLF) were positively
correlated with “don’t know” scores (rs = .287, p = .014).
Conclusion:
The association of SLF integrity and name retrieval ability in midlife indicates a need
to revisit the models of name retrieval that posit no role for dorsal white matter in proper name retrieval.