Copyright 1988 by the American Psychological Association, Inc. 0735-7044/8S/$00.75 Behavioral Neuroscience 1988, Vol. 102, No. 2, 222-227 Variations in Human Corpus Callosum Do Not Predict Gender: A Study Using Magnetic Resonance Imaging Lanning Houston William Byne and Ruth Bleier Department of Neurophysiolpgy University of Wisconsin-Madison Department of Radiology University of Wisconsin-Madison Controversy exists in the neuropsychological literature concerning the existence of genderassociated differences in cognitive functioning and in hemispheric lateralizatiou of cognitive functions. A recent study, based on 14 brains obtained at autopsy, reported sex differences in the splenium of the human corpus callosum and suggested that the larger splenium in females reflects less hemispheric lateralization, or "specialization," than the male brain for visuospatial functions. Our measurements of the human corpus callosum using magnetic resonance images of 37 living subjects failed to confirm reported sex differences in the splenium. A marginally significant sexrelated difference in minimum body width and an age-related decrease in anteroposterior distance were found. Most striking were the large variations in callosal size and shape among individuals regardless of age or gender. Existing knowledge of the functions of the corpus callosum does not permit correlations between variations in callosal size and shape and variations in cognitive functions. A recent study of the human corpus callosum which used measurements of 14 brains obtained at autopsy has reported finding the splenium, the posterior portion of the corpus callosum, to be larger and more bulbous in females than in males (de Lacoste-Utamsing & Holloway, 1982). The authors considered this finding to be the first reported evidence for sex differences in human brain morphology and to have important implications for our understanding of human evolution as well as for neuropsychological research on sex differences in hemispheric lateralization of cognitive functions. Despite a lack of consensus in the neuropsychological literature on the evidence for gender-related differences either in cognitive functions or in hemispheric lateralization of cognitive functions (Caplan, MacPherson, & Tobin, 1985; Fairweather, 1976; McGlone, 1980), the dominant theory holds that males process visuospatial information predominantly with the right hemisphere and that females use both hemispheres more symmetrically in visuospatial functions and, thus, are said to be less lateralized than males (McGlone, 1980). De Lacoste-Utamsing and Holloway (1982) suggested This research was supported by National Institutes of Health grants NSI6643 to Ruth Bleier and HD03352 to the Waisman Center on Mental Retardation and Human Development. William Byne was a predoctoral fellow in the Neuroscience Training Program at the time of this study. We are grateful to Inge Siggelkow for her assistance in this research, to Cliff Gillman for computer and statistical consultations, to Shirley Hunsaker for photographic assistance, and to Yvonne Slusser for reproduction of the tracings. We thank John Brugge, Janet Hyde, and Richard Reale for their very helpful comments on this article. Lanning Houston is now at 9240 University Avenue, Coon Rapids, Minnesota 55433. Correspondence concerning this article should be addressed to William Byne, who is now at Box 52, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York 10461. that their finding provides evidence for an anatomical basis for this hypothetical gender-related difference in hemispheric lateralization of visuospatial functions. It seemed important to follow up that report with measurements on a larger series of subjects in view of the small sample size in that study (5 females, 9 males) and a number of unstated, possibly relevant variables (method of selection of the brains from autopsy specimens, age of subjects, cause of death, extent of postmortem changes). Furthermore, though the authors reported a bimodal distribution of the values for maximum splenial width (0.9-1.4 cm for males and 1.4-1.8 cm for females), there was no statistically significant sex difference in the area of the posterior fifth, defined by the authors as representing splenial surface area (p = .08). Our study of the corpus callosum using magnetic resonance images (MRI) of the callosum in living subjects fails to confirm the splenial dimorphism that was previously reported but describes a marginally significant sex-associated difference in minimum body width, an age-associated decrease in callosal anteroposterior distance, and Age x Sex interactions in total area and area of the rostral 4/5 of the corpus callosum. The most striking finding was the large variation among individuals irrespective of sex and age. Method Magnetic Resonance Imaging Magnetic resonance imaging makes it possible to examine the corpora callosa of a large number of living subjects. Routine cranial MRI examination frequently includes the sagittal images of the corpus callosum. For this study, measurements were made on all MRIs selected as suitable from those filed in the MRI unit (University of Wisconsin). The subjects of the MRIs were normal volunteers (used as controls for the evaluation of MRIs) or patients referred for suspected or known central nervous system disease. Because the study was retrospective, based on MRIs already on file, information about 222 223 VARIATIONS IN CORPUS CALLOSUM DO NOT PREDICT GENDER the subjects was limited to that available in their MRI files. Thus possibly relevant data, such as hand preference, were not available. Patients were excluded only when the pathologic process affected, or theoretically could affect, the corpus callosum (e.g., hydrocephalus or tumor) and when the entire corpus callosum was not on a single slice as a consequence of an oblique imaging plane. The MRIs were taken for clinical purposes, and the positioning was done in accordance with clinical criteria, by direct observation, concerning the true midsagittal plane. Magnetic resonance images were eliminated if there was any visible evidence of deviation from the midsagittal plane. Thus, although small deviations probably escaped detection, these errors would not be consistent in any direction by sex or age but rather would be a random error across the entire population studied. Such errors could be expected to be of no greater magnitude than those introduced randomly by the pathologist's knife in samples of autopsy specimens. In total, MRIs from 22 females and 15 males were used. The female subjects ranged in age from 14 to 68 years with a mean age of 35.9; the male subjects ranged in age from 16 to 68 years with a mean age of 46.5. For an additional and preliminary analysis of possible age-related differences, subjects were also divided into under 40 and over 40 years of age. Nine females and 10 males were over 40 years of age. A General Electric 1.5 Tesla human magnetic resonance unit was used, and midline sagittal images were obtained using a partial saturation pulse sequence with repetition time of 600 ms. Slices were 10 mm thick and were acquired using a 128 X 256 data matrix. Measurements of Corpus Callosum Tracings of the perimeter of the corpus callosum were made from each MRI scan at a magnification of 1.1 to 1.3, and the accompanying 5-cm scale was traced in order to correct for differences in magnification. From these tracings, the parameters investigated by d'e Lacoste-Utamsing and Holloway (1982) were measured: anteriorposterior distance (AP), maximum splenial width, total cross-sectional area, and the areas of the posterior fifth (the splenium, approximately) and anterior 4/5. Areal determinations were made with computer assistance. Maximum splenial width was defined as the length of the longest line through the splenium that could be drawn perpendicular to a segment of its dorsal surface. In addition to parameters investigated in the original study (de Lacoste-Utamsing & Holloway, 1982), we also examined the circularity of the splenium, the minimum width of the body of the callosum, and the proportion of the total callosum occupied by its caudal fifth. Circularity was examined because of the previous report that the callosum is more bulbous in women than in men. Circularity was defined by the following formula: circularity = (4 pi x area)//)2, where p is the perimeter of the splenium. A line indicating the rostral border of the posterior fifth of the callosum was used as the anterior margin of the perimeter of the splenium. Circularity equals 1 for a circle and is less than 1 for any other shape. All tracings and measurements were done without knowledge of the age or sex of the subjects. Statistical analyses were carried out with computer assistance and involved two-way (Sex x Age) analysis of variance (ANOVA) for overall comparisons and t tests when the ANOVA indicated a significant Sex X Age interaction. Results Measurements of Corpus Callosum and Analysis by Gender The measurements (Table 1) indicate that there was a marginally significant main effect of sex for minimum width only, with the width being smaller in men, F(l, 33) = 4.45, p = .04. There was no significant main effect of sex on any of the other parameters examined, Fs(l, 33) = 2.48, 0.43, 3.23, 3.12, 0.04, 1.67, 2.95; ps = .12, .52, .08, .09, .85, .21, .10, respectively, for total area, posterior fifth area, ratio of posterior fifth to total area, anterior 4/5, AP, maximum splenial width, and circularity. Analysis by Age There was a significant main effect of age only for the AP distance, F( 1, 33) = 7.58, p <. 01, with the distance being less in subjects over 40 (SEM = 7.12 ± 0.10) than in subjects under 40 (SEM = 7.53 ± 0.013). There was no significant main effect of age on any of the other parameters: Fs(l, 33) = 0.89, 0.25, 1.13, 1.04, 0.10, 1.96, 0.10; ps = .35, .62, .30, Table 1 Measurements of Human Corpus Callosum Group Women <40 >40 All Men <40 >40 All P/T Anterior 4/5 (mm2) Minimum width (cm)a AP (cm)b Splenial width (cm) Circular 168 ±9 174+11 170 ±7 0.288 ± 0.009 0.281 ±0.011 0.285 ± 0.007 415 + 20 454 ± 40 431 + 20 0.395 ±0.031 0.423 ± 0.039 0.407 + 0.024 7.44 + 0.15 7.26+0.15 7.36 ±0.11 1 .09 + 0.05 1.23 + 0.12 1.15 ±0.06 0.718 + 0.03 0.722 ± 0.04 0.720 + 0.02 172+ 14 154 ± 16 160 ± 36 0.290 + 0.013 0.326 ±0.015 0.314 + 0.011 429 + 51 324 ± 26" 359 + 27 0.354 ± 0.056 0.301 ±0.031 0.319 ±0.028 7.77 ± 0.27 6.99 ±0.1 4 7.25 ±0.16 1.00 ±0.06 1.10 ±0.06 1.07 + 0.05 0.688 ± 0.03 0.640 ± 0.04 0.649 + 0.03 « Total area (mm2) Posterior 1/5 (mm 2 ) 13 9 22 583 ± 27 628 ± 49 601 ± 25 5 10 15 602 ± 63 478 + 35C 5 19 ±34 Note. Mean values ± standard errors for callosal measurements comparing women with men and also under-40-year-old group (<40) with over-40-year-old group (>40). P/T = ratio of posterior fifth to total area. AP = anterior-posterior distance. " Main effect of sex, F(l, 33) = 4.45, p = .04. b Main effect of age, F(1, 33) = 7.58, p < .01. c Significantly different from under-40-year-old women, /(22) = 2.45, p = .02, and over-40-year-old-women, ((18) = 2.54, p = .02. Difference from under-40-year-old men approaches significance, ((14) = 1.88, p = .08 (see Footnote 1). " Significantly different from under-40-year-old women, ((22) = 2.88, p< .01, and over-40-year-old women, ((18) = 2.77, p = .01. Difference from under-40-year-old men approaches significance, ((14) = 2.08, p = .058 (see Footnote I). 224 W. BYNE, R. BLEIER, AND L. HOUSTON .32, .75, .17, .76, respectively, for total area, posterior fifth, ratio posterior fifth to total, anterior 4/5, minimum width, maximum splenial width, and circularity. Sex x Age Analysis Men over 40, but not those under 40, had smaller total and anterior 4/5 areas than did women in either age group. Thus there was a marginally significant Sex X Age interaction for the total area, F(\, 33) = 4.09, p - .05, and a significant interaction for the anterior 4/5, F(l, 33) = 4.91, p = .03 (see Footnote 1 for other age-group comparisons).' There were no other significant Sex x Age interactions: Fs(l, 33) = 0.98, 2.65, 1.09, 2.92, 0.06, 0.17; ps = .33, .11, .30, .10, .81, .68, respectively, for posterior fifth, ratio posterior fifth to total, minimum width, AP, splenial width, and circularity. Individual Variations in Corpus Callosum The most striking and perhaps most potentially informative finding in our study is the range of variation in size and shape of the corpus callosum among individuals, regardless of sex or age, as shown by the tracings in Figure 1. It is not possible to predict either sex or age by the shape or size of any individual corpus callosum. A bulbous splenium is common in both sexes as is a narrowing of the body, and a nonbulbous splenium may be seen in females as well as males (Figure 1). Similarly, with respect to age, although a general trend toward decreased length appears to occur with age, there are large and small corpora callosa at both ends of the age range. A decrease in callosal size may theoretically occur with agerelated neuronal loss, although this has yet to be demonstrated. Discussion Other Studies of Human Corpus Callosum The failure to confirm the reported finding of a larger splenium in females has also been reported elsewhere in five recent studies of the corpus callosum (Demeter, Ringo, & Doty, 1985; Kertesz, Polk, Howell, & Black, 1987; Oppenheim, Lee, Nass, & Gazzinega, 1987; Weber & Weis, 1986; Witelson, 1985); all reports were based on larger numbers of brains obtained at autopsy than were used in the original study. Witelson's study (1985) found that the corpus callosum is 11 % larger in left-handed and ambidextrous people (mixedhanders) than in those with right-hand preference. The difference was in total, anterior half, and posterior half areas, but not in the posterior fifth. The study found no significant sexrelated differences in any of these measurements of the callosum. The results suggested, however, that there may be a complex interaction between sex and hand preference, with mixed-handed males tending to have a relatively larger posterior half. A more recent investigation of the relation between handedness and the corpus callosum using MRI in 79 subjects found no significant differences in size of corpus callosum between right- and left-handed subjects (Nasrallah, Andreasen, Coffman, Olson, Dunn, & Ehrhardt, 1986). Since the completion of the present study, Holloway and de Lacoste (1986) have published the results of a study designed the replicate and extend their original finding of splenial sexual dimorphisms. The replication study found the cross-sectional area of the entire callosum and the maximal splenial width to be larger in females than in males. The crosssectional area of the splenium (defined as the posterior 1/5 of the callosum in their original study) was either not measured or found not to be dimorphic in the replication study. Similarly, the area of the splenium is not discussed in another of their recent studies that concluded that the splenial dimorphism is established by the 26th week of gestation (de Lacoste, Holloway, & Woodward, 1986). The distinction between splenial size (i.e., area) and maximum width is crucial to the authors' suggestion that "the larger female splenium could imply that more fibers connect the posterior portions of cerebral cortex" in females than in males (Holloway & de Lacoste, 1986, p. 90), as well as to the authors' summary statement that they found "that the splenial portion of the corpus callosum was larger and more bulbous in females than in males" (p. 87). To have meaning in the context of these two sentences, larger must be taken to indicate a larger area and not simply the single-dimensional linear measurement, maximum width. Yet no data are provided indicating a larger area in females. We do not know how to reconcile the discrepant findings among different laboratories, but procedural differences do not appear to be a primary factor. It should be noted, however, that our procedure for determining AP was the same as that of other groups that failed to detect splenial dimorphisms (Weber & Weis, 1986; Oppenheim et al., 1987; Witelson, 1985), but different from the method used by de Lacoste et al. (1986). Their method for determining AP is illustrated explicitly in their most recent publication; however, in that study (de Lacoste et al., 1986), the method for determining maximum splenial width differed from the method used in their previous studies (de Lacoste-Utamsing & Holloway, 1982; Holloway & de Lacoste, 1986), and it is not clear whether or not they consistently used the same procedure for measuring AP. Although differences in the method of determining AP could influence determinations of splenial crosssectional area (since the splenium is operationally defined as the posterior 1/5 of the callosum), such differences would not influence determinations of maximal splenial width. And, as noted previously, Holloway and de Lacoste (de Lacoste et al., 1986; Holloway & de Lacoste, 1986) apparently failed to confirm the existence of a significant sexual dimorphism in splenial size (i.e., cross-sectional area) in their most recent publications, perhaps understandable in view of the questionable statistical significance (p = .08) in the sexual dimorphism originally reported in splenial area (de Lacoste-Utamsing & Holloway, 1982). 1 p values for measurements comparing all age/sex groups are as follows (see Table 1 for abbreviations). For total callosal area, <40 W vs. >40 W = .39, <40 W vs. <40 M = .75, <40 W vs. >40 M = .023, >40 W vs. <40 M = .75, >40 W vs. >40 M = .021, and >40 M vs. <40 M = .08. For anterior 4/5, <40 W vs. >40 W = .35, <40 W vs. <40 M = .74, <40 W vs. >40 M = .009, >40 W vs. <40 M = .72, >40 W vs. >40 M = .013, and >40 M vs. <40 M = .058. VARIATIONS IN CORPUS CALLOSUM DO NOT PREDICT GENDER 225 callosal terminals (Berlucchi, 1981; Caminiti & Sbriccoli, 1985). Organization and Functions of Corpus Callosum Figure 1. Drawings of corpora callosa measured in this study. (The splenium is to the left. For each sex, drawings were arranged in order of age and alternate drawings were selected for illustration here; the youngest is at the top. The lower five callosa in both groups are from subjects 40 years of age and over. The line indicates 1.33cm.) Experimental neuroanatomical and electrophysiological studies indicate the complexity of the patterns of both intrahemispheric and Interhemispheric corticocortical connections, yet, the implications of these connections for cognitive functioning are not known. To summarize briefly, experimental work has shown that an orderly combination of intrahemispheric and interhemispheric (callosal) inputs to cortical areas results in the construction of a continuous representation of the visual fields across the vertical meridian and a continuous representation of the body surface across its midline (Antonini, Berlucchi, & Lepore, 1983; Jones, Coulter, & Wise, 1979; Killackey, Gould, Cusick, Pons, & Kass, 1983). In the auditory system of the cat, the corpus callosum has been found to connect similar portions of the frequency representations in the four tonotopically organized fields (A, Al, P, and VP) of the two hemispheres. In addition, corticocortical projections have been found to be particularly dense in regions where the neuronal responses to binaural stimulation are greater than the response to stimulation of either ear alone at a given frequency and intensity (Imig, Reale, Brugge, Morel, & Adrian, 1986). Goldman-Rakic and Schwartz (1982) suggested that the pattern of interdigitation of contralateral and ipsilateral cortical columnar projections to frontal association cortex may provide for the bilateral integration of spatial and temporal information underlying the cognitive and behavioral functions associated with frontal cortex. Corpus Callosum and Cognitive Functions Relation Between Callosal Size and Shape and Functional Hemispheric Symmetry De Lacoste-Utamsing and Holloway (1982) suggested that sex differences in the size and shape of the splenium reflect sex differences in hemispheric lateralization of visuospatial functions. Specifically, they suggested that a larger splenium implies more structural and functional hemispheric symmetry. If particular variations in callosal size or shape are to be interpreted to indicate differences in some parameter of cognitive functioning, then such interpretations must be based upon known correlations between callosal morphology and cognitive functions. To date no evidence exists for such correlations. What is known about the cortical topographic organization of callosal neurons does not permit any assumptions of correlations between callosal size or shape and the number of callosal axons or degree of symmetry of hemispheric projections. Although virtually all cytoarchitectonic areas of the cortex send and receive callosal projections, patches of callosal neurons and terminals are arranged in register, surrounded by neurons with no or few callosal connections (Berlucchi, 1981). Callosal terminations occur on neurons that do not project to the corpus callosum, and some areas of the cerebral cortex that send axons through the callosum do not receive Despite the body of information gained experimentally in recent years concerning the organization and functions of some callosal neurons, relatively little is still known about the functions of the callosum in animals. Neither is there a basis for predicting how variations in cortical callosal representation may affect size or shape of the callosum nor, conversely, what variations in callosal size or shape imply for cortical representation and functions. What is known experimentally about the corpus callosum cannot, in any case, be extrapolated to cognitive functions or abilities of the human brain or to the question of possible assymetries in hemispheric processing Of information. We are, furthermore, still lacking in the knowledge concerning the functions of the human corpus callosum that would be necessary to formulate a theory concerning its role in cognitive functioning. Furthermore, the effort to correlate small statistical morphological variations with cognitive functions represents the application of very crude measures of unknown significance (e.g., splenial size) to very complex, subtle, and incompletely understood phenomena (e.g., visuospatial ability). Within neuropsychology, there is no consensus or rigor in the definition of the term, visuospatial ability, nor is there any reason to consider visuospatial ability to be a unitary skill or concept rather than a complex of elements (Caplan et al., 1985). Yet, 226 W. BYNE, R. BLEIER, AND L. HOUSTON what mechanisms, structures, and processes together comprise whatever aspects of visuospatial ability that are measured by a variety of neuropsychological instruments cannot be defined or described at the present time. Because, in addition, it is estimated that only about 2% of cortical neurons send their axons through the callosum (Berlucchi, 1981), it is unlikely that even a more complete knowledge of callosal functions and morphological variations can provide a basis for theories of cognitive functions or of individual differences in cognitive abilities. Influences on Callosal Size and Shape In two recent studies, de Lacoste-Utamsing and Holloway have suggested that their finding of sex-related differences in callosal size in adult and fetal brains provides evidence that the gonadal steroids and/or genetic sex have an important role in the differentiation of central neural structures that are associated with cognitive functions (de Lacoste et al., 1986; Holloway & de Lacoste, 1986). For this hypothesis, the authors rely on the validity of the highly speculative theory (Geschwind & Behan, 1982) that fetal testosterone causes delayed left hemispheric development and consequent right hemispheric dominance. Serious questions have been raised, however, concerning the validity of both the theory and the study (of an association between left-handedness, dyslexia, and immune disorders) that prompted the theory (Bleier, Houston, & Byne, 1986; Satz & Soper, 1986). It seems likely that the large variations in size and shape that we have found among individual corpora callosa may be the result of complex interactions among any number of prenatal and postnatal influences, which may include genetic, hormonal, and other biological factors as well as environmental and experiential influences. However, differences in callosal shape may simply reflect effects of prenatal and perinatal mechanical forces and be of no greater apparent significance than variations in gyral and sulcal patterns. Differences in postnatal cortical development may be influenced by significant individual variations in postnatal sensory and motor experiences as well as other environmental factors. At birth, callosal neurons are distributed uniformly across the visual, auditory, and somatosensory cortex in kittens and rodents, unlike the mosaic pattern of distribution in adults (Feng & Brugge, 1983; Innocenti, Fiore, & Caminiti, 1977; Ivy & Killackey, 1981). The restriction of callosal projections characteristic of the adult pattern is thought to result from selective elimination of callosal collaterals and/or neurons in the postnatal period. At birth, the corpus callosum of the rhesus monkey, for example, has three times the adult number of axons, which is attained at about 6 months of age (LaMantia & Rakic, 1984). There is little knowledge of the factors involved in the restriction of the diffuse neonatal pattern to the patchy adult pattern of distribution of callosal neurons or in the elimination of callosal axonal collaterals during postnatal development. Although changes from the continuous to discontinuous pattern of callosal neurons have been reported to occur prenatally in the rhesus monkey (Killackey & Chalupa, 1986), it appears also to be the case that specific patterns of callosal connections can be shaped by sensory experience. Experimental manipulations in kittens, such as ocular enucleation, induction of squint, and suturing of the eyelids, have been followed by changes in the number, packing density, and distribution of labeled callosally projecting cortical neurons and in the density of labeled callosal terminals within the cortex (Innocenti & Frost, 1979; Innocenti, Frost, & Hies, 1985; Lund, Mitchell, & Henry, 1978). However, it is not known how or whether these changes are reflected in callosal structure. In summary, large variations in callosal size and shape exist among individuals of each sex and of each age group. Although the range of callosal size and shape is similar between the sexes and between age groups, this study found a modest tendency for the minimum width of the callosal body to be larger in women, and for the AP distance to be larger in persons under 40 years of age than over. 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Received November 26, 1986 Revision received February 13, 1987 Accepted February 20, 1987 •
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