Patterns of the left thalamus embedding into the connectome associated with reading skills in children with reading disabilities.

We examined how thalamocortical connectivity structure reflects children's reading performance. Diffusion-weighted MRI at 3 T and a series of reading measures were collected from 64 children (33 girls) ages 8-14 years with and without dyslexia. The topological properties of the left and right thalamus were computed based on the whole-brain white matter network and a hub-attached reading network, and were correlated with scores on several tests of children's reading and reading-related abilities. Significant correlations between topological metrics of the left thalamus and reading scores were observed only in the hub-attached reading network. Local efficiency was negatively correlated with rapid automatized naming. Transmission cost was positively correlated with phonemic decoding, and this correlation was independent of network efficiency scores; follow-up analyses further demonstrated that this effect was specific to the pulvinar and mediodorsal nuclei of the left thalamus. We validated these results using an independent dataset and demonstrated that that the relationship between thalamic connectivity and phonemic decoding was specifically robust. Overall, the results highlight the role of the left thalamus and thalamocortical network in understanding the neurocognitive bases of skilled reading and dyslexia in children.