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Updated: Jun 10, 2026

Scanning Dos and Don'ts: Using Magnetic Resonance Imaging in Awake Children Aged 3 to 5 Years to Assess Brain Structure and Function
Published on: March 10, 2026
Children with reading difficulties show differences in brain regions associated with orthographic processing during
Amy S Desroches1, Nadia E Cone, Donald J Bolger
1Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois 60208, USA.
Children with reading difficulties may not automatically use visual word knowledge when processing spoken language. This study reveals differences in brain activation during a rhyming task, impacting reading ability.
Area of Science:
- Neuroscience
- Developmental Psychology
- Cognitive Science
Background:
- Reading difficulty is linked to challenges in spoken language processing.
- The interplay between phonological and orthographic processing is crucial for reading acquisition.
Purpose of the Study:
- To investigate the neural underpinnings of spoken language deficits in children with reading difficulties.
- To examine the role of orthographic processing during spoken language tasks.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was used to compare brain activation.
- Participants included children with reading difficulties and age-matched typical readers (aged 9-15).
- An auditory rhyming task was employed to assess spoken language processing.
Main Results:
- Both groups activated phonological areas (superior temporal gyri).
- Typically achieving children showed significant activation in the left fusiform cortex (orthographic processing), unlike children with reading difficulties.
- Fusiform activation correlated with behavioral conflict effects and nonword reading ability in typically achieving children.
Conclusions:
- Typical readers automatically integrate orthographic information during spoken language processing.
- Children with reading difficulties may not engage orthographic processing as readily.
- The integration of orthographic and phonological information is vital for reading proficiency.
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